Home-Based Primary Care RN for HCC (Fredericksburg)

<p>The Home-Based Primary Care RN for HCC (Fredericksburg) positions are located at the Fredericksburg Health Care Center in Fredericksburg, Virginia. Please learn more about the position below, along with the duties.</p><h3>Major Duties</h3><p>Two Full time position exist for an experienced registered nurse in the Geriatric Extended Care (GEC) Home Based Primary Care (HBPC) Program This position reports to the Nurse Manager of Home-Based Primary Care. The HBPC RN is a member of the interdisciplinary team providing direct primary care to a specific group of homebound patients with a variety of chronic and terminal illnesses. The RN is responsible for Care Coordination on an assigned caseload utilizing professional nursing skills in collaboration with the interdisciplinary team members led by the licensed independent provider. Responsible for implementing the home health plan that meets each Veteran's specific need that complies with the organizational standards and federal and state regulations, and the VAMHCS policies and procedures. Participates in weekly Interdisciplinary team meetings (IDT) and in the performance and continuous quality improvement activities and initiatives. May oversees the nursing care of Veterans receiving care in community- care sponsored or contract programs. Duties include, but are not limited to: -Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans. -Performs triage, while considering both physical and psychosocial elements. -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 Central Virginia Healthcare System (CVHCS) 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. -Develops an initial plan of care 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. -Reviews 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. 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 through Friday, 8:00am-4:30pm. Weekend Requirement. Telework: Not Authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives/Expenses: Not Authorized Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must have a current valid State Driver's license. Must pass pre-employment physical examination. 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.