RN Staff - HBPC (Brattleboro VT)

Veterans Health Administration • Brattleboro, VT

2d • Onsite

About The Position

The RN Staff - Home Base Primary Care position is in Geriatrics and Extended Care Service at the VA White River Junction Healthcare System, located at the Brattleboro, VT location. This position is full-time at 40 hours per week. Duties include providing and supervising direct patient care, coordinating patient care across settings with an emphasis on education, self-management, and patient satisfaction. The role involves administering medications, performing clinical procedures, participating in quality improvement initiatives, and delivering evidence-based care to HBPC patients, including oversight of licensed vocational nurses and nursing assistants. Case management includes assessment, triage, patient education, resource and medication coordination, and individualized care planning. The RN will plan and deliver comprehensive care to veterans in their homes, addressing primary, geriatric, preventive, and palliative needs, implementing interventions to maximize health and reduce hospital visits, and conducting routine home visits. The position also supports staff development through orientation, education, and competency assessment, and contributes to quality improvement activities. Veteran/Patient-Driven Care involves collaborating with the interdisciplinary team to resolve issues impacting the veteran experience, incorporating patient/family values into care, and advocating for patient needs. Evidence-Based Practice/Research includes leading the integration of evidence-based practice, applying current research to daily practice, assessing clinical processes for efficiency, monitoring outcomes, and leading initiatives to integrate patient preferences and shared decision-making.

Requirements

• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE).
• Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
• English Language Proficiency.
• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Must pass pre-employment physical evaluation.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.
• May be subject to satisfactory completion of our credentialing process.
• Selectee must have a valid unrestricted driving license.
• Selectee must have a clean driving record for the last 5 years.
• Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required (for Nurse I, Level I).
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required (for Nurse I, Level II).
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a related field with a BSN and no additional professional nursing experience (for Nurse I, Level III).
• A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a related field with a BSN with no additional professional nursing experience (for Nurse II).
• MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III (for Nurse III).
• Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment.
• The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE).

Nice To Haves

• Home based care experience

Responsibilities

• Provide and supervise direct patient care, ensuring accountabilities for all elements of the nursing process.
• Coordinate patient care across settings with emphasis on education, self-management, and patient satisfaction.
• Administer medications and perform clinical procedures per established policies and guidelines.
• Participate in unit and program-level quality improvement and customer service initiatives.
• Deliver evidence-based care to HBPC patients, including oversight of licensed vocational nurses and nursing assistants.
• Manage cases through assessment, triage, patient education, resource and medication coordination, and individualized care planning.
• Plan and deliver comprehensive, technically competent care to veterans in their homes, addressing complex primary, geriatric, preventive, and palliative needs.
• Implement interventions to maximize health, reduce hospital/ED visits, and align with each veteran's goals of care.
• Conduct routine home visits to veterans as part of care delivery.
• Support the orientation, education, and competency development of nursing staff; contribute to quality improvement and outcome evaluation activities.
• Provide constructive feedback to peers and foster a safe, supportive, and professional environment for staff development.
• Collaborate with the interdisciplinary team to resolve issues impacting the veteran experience, including care coordination, timeliness, satisfaction, and environment of care concerns.
• Incorporate the knowledge, values, and beliefs of patients, families, and caregivers into care delivery without judgement or discrimination.
• Advocate for patient, family, and caregiver needs to improve outcomes in the immediate practice setting.
• Serve as a resource for resolving ethical concerns for patients, caregivers, and staff.
• Lead the integration of evidence-based practice and research to improve care quality, resource utilization, and outcomes.
• Apply current evidence and research findings to daily practice, resulting in process or outcome improvements.
• Assess clinical processes to identify opportunities for efficient and cost-effective care delivery.
• Monitor, analyze, and evaluate care outcomes to drive patient care improvements.
• Lead initiatives to integrate patient preferences and shared decision-making into care delivery.

Benefits

• Competitive salary, regular salary increases, potential for performance awards
• 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
• Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
• Federal health/vision/dental/term life/long-term care (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