Registered Nurse - Home Based Primary Care (HBPC)

Veterans Health Administration • Boston, MA

1d • Onsite

About The Position

The Registered Nurse – Home Based Primary Care (HBPC) position is within Primary Care Service at the Jamaica Plain VA Medical Center in Boston, Massachusetts. This is a full-time position working 40 hours per week, with a Monday–Friday schedule and a tour of duty to be negotiated with the supervisor. The position is not virtual and includes home visits to Veterans enrolled in the program.

The nurse provides competent, evidence-based care to HBPC patients and may oversee licensed vocational nurses and nursing assistants. The role includes direct Veteran care and care coordination, case management, assessment, triage, Veteran education, resource coordination, medication and treatment coordination, and care planning. The nurse plans and delivers technically competent home-based care for Veterans with complex needs, including health promotion and prevention, geriatric, primary, and palliative care. Interventions are intended to maximize health capabilities and reduce unnecessary urgent-care and emergency-room visits in accordance with each Veteran’s goals of care.

The nurse also contributes to nursing education, orientation, competency development, quality improvement, and utilization outcomes. The role demonstrates leadership through collaborative strategies, ongoing evaluation of practice based on best evidence, constructive feedback to peers, and support for a safe environment conducive to healthcare professionals’ development.

VA describes a total rewards package that includes competitive salary, regular salary increases, potential performance awards, paid time off, retirement, and insurance. The position is in the Excepted Service; permanent change of station is not authorized.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, subject to the stated education pathways and exceptions.
• Current, full, active, and unrestricted professional nurse registration in a U.S. State, Territory, Commonwealth, or the District of Columbia; a temporary Graduate Nurse Technician appointment may be available to qualifying candidates pursuing licensure.
• Valid unrestricted driver’s license and safe driving record.
• Ability to satisfactorily perform the position’s duties physically; a pre-placement physical examination is required.
• U.S. citizenship, except that non-citizens may be appointed when recruiting qualified citizens is not possible under VA policy.
• Selected applicants must complete required pre-employment screening and processes, including drug testing for testing-designated positions, background/security investigation, onboarding, credentialing as applicable, and seasonal influenza vaccination requirements.
• Male applicants born after December 31, 1959 must be registered for Selective Service.
• Applicants must meet the applicable grade-specific education, experience, and dimension criteria described in the announcement.
• Only qualifying education recognized by the U.S. Department of Education and accredited nursing degrees from ACEN- or CCNE-accredited programs may be used; foreign education requires the specified equivalency documentation.

Nice To Haves

• One year of Primary Care or Critical Care experience is preferred.

Responsibilities

• Provide competent, evidence-based care to HBPC patients.
• Provide direct Veteran care and coordinate care for Veterans and their care within the HBPC Program.
• Provide case management, assessment, triage, Veteran education, and resource coordination.
• Coordinate medications and treatments and develop care plans.
• Plan and deliver technically competent care in Veterans’ homes for complex needs, including health promotion, prevention, geriatric, primary, and palliative care.
• Use interventions that maximize health capabilities and reduce unnecessary urgent-care and emergency-room visits in accordance with Veterans’ goals of care.
• Make home visits to Veterans enrolled in the program.
• Oversee licensed vocational nurses and nursing assistants, as appropriate to the setting.
• Assist in directing nursing education, orientation, and competency activities, and provide quality improvement and outcomes utilization.
• Demonstrate leadership in improving holistic home-based care through collaboration.
• Evaluate practice on an ongoing basis using the best available evidence.
• Provide peers with informal, constructive feedback for improvement.
• Foster a safe and supportive environment conducive to healthcare professionals’ professional development.

Benefits

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

What This Job Offers

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