The Home Based Primary Care Registered Nurse (RN) functions directly to support the activities of the REC Integrated Clinical Community (ICC). The RN is responsible for the planning, integrating, implementing, modifying, and evaluating the effectiveness of the Veteran's care. The REC ICC foundational elements will serve to support delivery of high quality, timely care to the Veteran receiving services.

Duties

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Major duties include, but not limited to: Nurses in this role provide care to a caseload of Veterans in the home setting. The service area for HBPC is considered within a 40-mile drive radius from the St. Cloud VA Health Care System (HCS) main campus, Community Based Outpatient Clinic (CBOC), or telework location as applicable. Demonstrates the ability to complete in-home assessments including the Veterans risk factors; physical, psychosocial, emotional and mental status; medications; home environment and safety; caregiver/support system; and educational needs. Develop an initial plan of care is developed with the patient and caregiver. Based on the assessment, referrals are made to other members of the HBPC team that includes Provider, Social Work, Occupational Therapy, Dietitian, and Psychologist. Review the interdisciplinary plan of care with all team members during the weekly team meeting. This plan of care is reviewed every 90 days during the team meeting, or as needed based on changes in the patient's condition. The review note is co-signed by the provider. Collaborates with HBPC pharmacist through interdisciplinary team meetings, or as needed based on quarterly pharmacy review of medications. Consults with inpatient discharge coordinators, nurses and social workers to facilitate the transition to home care. The nurse reviews the medications the patient has in the home to ensure they are correct and match the current orders from VA physicians. The nurse educates the patient regarding their medications and provides a current medication list for use in the home. The HBPC nurse also assesses for any over the counter medications or supplements the patient may be taking and conveys this information to the primary provider for further evaluation. Operates a government vehicle for travel to home visits. This does not include operating a government vehicle solely for business travel. A valid Minnesota driver's license is required as part of the job. VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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 Work Schedule: Monday-Friday 7:00am-3:30pm. Full time 40 hours/week. Telework: Available. Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 accredited by one of the following accrediting organizations 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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Note: New graduates will be considered for the position if education and licensure are obtained prior to the hire date. Preferred Experience: Home care experience preferred Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no professional nursing practice/experience. Nurse I Level II - An ADN or Diploma in Nursing and 1 year of specialized nursing practice/experience equivalent to a Nurse 1, Level 1; OR OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and 2 years of professional nursing practice/experience, one of which is a year of specialized experience equivalent to Nurse 1, Level 2; OR a BSN with 1 year of Professional nursing practice/experience equivalent to Nurse 1, level 2; OR a Master's degree in nursing (MSN) with no professional nursing practice/experience; OR a Master's degree in a related field with a bachelor's degree in nursing with not professional nursing experience. Nurse II - A BSN with 2 years of professional nursing practice/experience, one of which is equivalent to Nurse 1, Level 3.; OR a Master's degree in nursing with one year of specialized nursing experience equivalent to Nurse I, Level 3.; OR Master's degree in a related field with a bachelor's degree in nursing with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR Doctorate degree in nursing with no professional nursing experience; OR a Doctorate degree in a related field with a master's or bachelor's degree in nursing with no professional nursing experience. Nurse III - Master's degree in nursing with two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR Master's degree in a related field with a bachelor's degree in nursing with two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR Doctorate degree in nursing with one year of specialized nursing experience which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR Doctorate degree in a related field with a master's or bachelor's degree in nursing with one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. Dimension Requirement for Nurse III. Nurses at Nurse III must meet ALL the following dimension requirements to qualify for Nurse III. Practice. Demonstrates expertise in professional practice using the nursing process (assessment, diagnosis, outcome identification, planning, implementation and evaluation) with improved evidence-based and/or data-driven outcomes beyond the immediate practice setting. Veteran/Patient Driven Care. Leads initiatives to improve Veteran/patient experience. Satisfaction and/or safety beyond the immediate practice setting. Leadership. Communicates and collaborates as an effective leader of the interprofessional team, at the expert level, with improved evidence-based and/or data-driven outcomes beyond the immediate practice setting. Professional Development. Enhances knowledge base and practice evaluation, at the expert level, with improved outcomes beyond the immediate practice setting. Evidence Based Practice/Research. Leads the identification and integration of evidence-based practice/research with clinical expertise to improve quality of care and resource utilization at the expert level with improved outcomes beyond the immediate practice setting. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

Education

This job does not have an education qualification requirement.

Contacts

• Address St Cloud VA Medical Center 4801 Veterans Drive St Cloud, MN 56303 US
• Name: S Akcolm Keomanivong
• Phone: 319-339-7006
• Email: [email protected]