The Miami VA Healthcare System is looking to recruit for a Registered Nurse - HBPC who is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. This position requires the incumbent to drive daily to patient homes during their tour of duty.
Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). 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. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12773302. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. 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. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. 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. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. 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. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. 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. *Note: Foreign education programs/degrees are not creditable as related degrees. Preferred experience: Prior HBPC, PACT (Primary Care), critical care preferred. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Patients in the HBPC program may live in areas that present challenges to the staff. The homes may be in poor condition and present potential safety and infection control risks such as unsafe structures and invasive insects. The HBPC Nurse/Care Manager may occasionally be exposed to patients with infections and contaminated materials and may be required to don protective clothing when performing procedures. The HBPC RN /Care Manager may occasionally be exposed to patients, or other occupants in the home who are combative secondary to delirium, dementia, or psychiatric disorders. The HBPC RN/Care Manager may be exposed to animals, both as family pets and non-family pets. The HBPC RN/Care Manager may be exposed to inclement weather such as storms, tornados, flooding, and other weather- related elements. The position requires visual acuity, ken hearing, clear speech, and manual dexterity. This position requires driving daily to patients' homes. This position requires potentially long periods of continued driving, walking, standing, stooping, sitting, bending, pulling, and pushing. The ability to lift objects such as laptops, nurse bags and other nurse supplies in and out of vehicles and and other weather- related elements. The position requires visual acuity, ken hearing, clear speech, and manual dexterity. This position requires driving daily to patients' homes. This position requires potentially long periods of continued driving, walking, standing, stooping, sitting, bending, pulling, and pushing. The ability to lift objects such as laptops, nurse bags and other nurse supplies in and out of vehicles and into homes is required. Transferring patients and objects is required.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse Home Based Primary Care (HBPC} Outpatient Staff is located at Nursing, GEC section at the Miami VA Medical Center located at 1201 NW 16th Street, Miami, FL 330125, the RN HBPC Outpatient reports to the Service Section Nurse Manager or designee. This position requires the RN HBPC to drive daily to patient homes during their tour of duty. The Registered Nurse Home Based Primary Care (HBPC} Outpatient Staff Registered Nurse (RN) is responsible for providing proficient, evidence-based care to HBPC patients and oversight of licensed vocational nurses/nursing assistants, as appropriate to the setting. This nurse provides direct Veteran care and care coordination, as it pertains, to Veterans and their care within the HBPC Program. Responsible for case management, assessment, triage, Veteran education, resource coordination, medication and treatment coordination, and care planning. The Home-Based Primary Care (HBPC) Nurse/Case Manager is a Registered Nurse with broad-based clinical knowledge enabling him/her to effectively implement health promotion, prevention, and management for adult or older adult patients requiring skilled Nursing interventions in the home. He/she is responsible for identifying and facilitating options and services for meeting the HBPC veterans' health needs while decreasing fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. The HBPC Nurse/Case Manager functions as a care manager linking the veteran and the caregiver with the various services offered by the HBPC team and the Medical Center. The HBPC Nurse/Case Manager is responsible for the initial and continued assessment of unique needs of the veteran and caregiver, teaching the patient and caregiver effective and efficient ways of managing and delivering nursing care in the home. HBPC RN provide care management and skilled home care for patients with complex, mixed chronic medical and/or psychiatric conditions, cognitive impairments, terminally ill patients. The HBPC Nurse/Case Manager works collaboratively with the HBPC interdisciplinary team members to initiate referrals, access resources and to problem-solve clinical and/or social issues, related to treatment plan development and/or implementation. The HBPC Nurse/Case Manager utilizes the nursing process: The position may require travel to the various locations (e.g., Broward outpatient center and CBOCs,). This position may potentially require flexibility in schedule and assignments. The Registered Nurse Home Based Primary Care (HBPC} responsibilities include, but are not limited to: Analyze initial assessment data and coordinate with the interdisciplinary team to develop a treatment plan for appropriate level of care that addresses special needs of the veteran. Assess, plan, implement, document, and evaluate nursing care provided. Evaluates practice in an ongoing process, based on best evidence. Provides peers with informal constructive feedback for improvement. Educate the veteran and/or family on specific needs that will facilitate their participation in the treatment plan. Evaluate and revise the treatment plan based on changing patient needs, barriers to care and availability of resources. Document observations, assessments, interventions, and outcomes in the medical record. Improve the quality of performance through QM/PI activities to improve patient care outcomes. Utilize evidence- based research where applicable to better address the needs of the HBPC Patient. Work Schedule: Full time Tour of Duty, Monday to Friday 07:30 am to 4:00 pm. Flexibility is required in schedule and assignments to ensure coverage for the operations of the facility. Telework: Not Available Compressed/Flexible: Not Authorized. Telework: Not Authorized. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory