Nurse

Home Based Primary Care Rn Case Manager

The mission of the HBPC is to provide comprehensive, interdisciplinary, primary care in the homes of Veterans with complex medical, social, and behavioral conditions for whom routine clinic-based care is not effective. The HBPC target population is frail and/or chronically ill Veterans who require interdisciplinary health care teams, continuity and coordination of care, and the integration of diverse services to cover their complex medical, social, rehabilitative, and behavioral care needs. These Veterans need comprehensive, longitudinal home care services as they age to maximize function, minimize institutionalization, and maintain quality of life. The HBPC RN Case Manager will:

• Provide initial and continued assessment of nursing needs of the Veteran.
• Teach the Veteran and/or Caregiver effective and efficient ways to manage health and care in the home.
• Monitor the Veteran's condition and the care provided in the home.
• Oversee the provision of direct care.
• May delegate tasks to the HBPC LPN depending on the patient's medical needs.
• Visit the Veterans monthly for the first 90 days the Veteran is enrolled in the HBPC program, then will visit at least every 60 days if supplemented by LPN visits so that nursing visits are provided on a minimum of once a month; will visit monthly if no supplemental LPN visits.
• Complete the appropriate clinical reminders/screening.
• Monitor the Veteran's physical and psychosocial status.
• Notify the Primary Care Provider of changes in condition or care needs.

Driving Required: Yes

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: Full-time, 8:00am to 4:30pm

Telework: Not Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized