Registered Nurse-Outpatient Home Based Primary Care

Veterans Health Administration • Louisville, KY

2d • Hybrid

About The Position

The Registered Nurse provides competent, evidence-based care to Veterans enrolled in the Home Based Primary Care (HBPC) Program, including direct care in patients’ homes and coordination of care across the continuum. The nurse manages complex patient situations through assessment, triage, case management, patient education, resource coordination, medication and treatment coordination, and care planning. Care may include health promotion and prevention, geriatric care, primary care, and palliative care, with interventions tailored to Veterans’ goals and intended to reduce unnecessary urgent-care and emergency-room visits.

The nurse works collaboratively with the interdisciplinary team and may oversee licensed vocational nurses and nursing assistants as appropriate. The role also contributes to nursing education, orientation, competency development, quality improvement, and improved outcomes. The nurse is expected to plan and deliver technically competent care consistent with ANA Standards of Nursing Practice, organize and prioritize patient needs, ensure assigned tasks are completed, and support patient-driven care, safety, and satisfaction. Professional expectations include ethical conduct, maintaining appropriate boundaries, effective communication, teamwork, and adapting priorities in complex or stressful situations.

The position has a stated work schedule of 08:00–16:30. Telework is available, but the position is not virtual. Relocation and recruitment incentives and permanent change-of-station benefits are not authorized.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, or an applicable qualifying nursing education pathway described in the posting.
• Current, full, active, and unrestricted professional nurse registration in a U.S. state, territory, commonwealth, or the District of Columbia, subject to the stated Graduate Nurse Technician exception.
• Meet the applicable education, experience, and practice-dimension requirements for the assigned Nurse grade and level.
• Ability to perform the physical demands of the position, including visual acuity, keen hearing, clear speech, manual dexterity, extended periods of walking, standing, stooping, sitting, bending, pulling, and pushing, and lifting at least 50 pounds.
• Ability to transfer patients and objects when required.
• Ability to work effectively in stressful situations, adapt priorities to organizational needs, and meet annual Employee Health requirements.
• U.S. citizenship, except that non-citizens may be appointed when recruitment of qualified citizens is not possible under VA policy.
• Successful completion of applicable pre-employment screening, including a physical evaluation, background/security investigation, and drug testing when designated.
• Participation in the seasonal influenza vaccination program.
• Completion of required online onboarding and application documentation.

Nice To Haves

• Home health experience.
• Previous experience in geriatrics or long-term care.
• Previous experience in case management.
• Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN).

Responsibilities

• Provide competent, evidence-based direct care to Home Based Primary Care patients in their homes.
• Coordinate Veteran care, including case management, assessment, triage, education, resource coordination, medication and treatment coordination, and care planning.
• Plan and deliver technically competent care for Veterans with complex needs, including health promotion, prevention, geriatric care, primary care, and palliative care.
• Use interventions that maximize health capabilities and reduce unnecessary urgent-care and emergency-room visits in accordance with each Veteran’s goals of care.
• Collaborate with interdisciplinary team members to influence patient outcomes and coordinate care.
• Provide oversight of licensed vocational nurses and nursing assistants as appropriate to the setting.
• Assist in directing nursing education, orientation, competency development, and quality-improvement activities.
• Organize and prioritize patient-care needs and ensure assigned tasks are completed.
• Provide and direct patient-driven care that supports patient experience, satisfaction, and safety.
• Maintain professional boundaries, model ethical behavior, communicate effectively, and contribute to teamwork.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year, comprising 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays.
• Traditional federal pension, with five-year vesting.
• Federal 401(k), with up to 5% in contributions by VA.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs may be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree