Registered Nurse-Home and Community Based Care-Outpatient Staff
San Antonio, TX
ABOUT THIS ROLE
<p>The Veteran Directed Care (VDC) program is a Home and Community-Based Care (H&CBC) service designed for Veterans who would otherwise qualify for nursing home care but require significant support to safely remain in their home or community setting. Through VDC, Veterans are allocated an individualized budget to direct their own services. The Registered Nurse plays a critical role in ensuring clinical appropriateness, program integrity, and quality oversight.</p><h3>Major Duties</h3><p>As the Home and Community-Based Care (H&CBC) Registered Nurse assigned to the Veteran Directed Care (VDC) program is responsible for providing care coordination and program monitoring for Veterans with high levels of functional, medical, and psychosocial needs. This role ensures Veterans receive safe, high-quality, and cost-effective care while maintaining autonomy and remaining in their preferred care setting. Duties of the VDC RN include, but are not limited to: Assessing and determining clinical appropriateness of Veterans for enrollment in the Veteran Directed Care program. Implementing and applying the Case Mix Index (CMI) to establish appropriate levels of care and budget allocations. Developing, reviewing, and monitoring individualized Veteran budgets (spending plans). Monitoring the quality and safety of care provided to Veterans enrolled in VDC. Conducting quarterly reviews and complete required documentation for Personal Care Services. Maintaining ongoing communication and coordination with the VDC Provider(s). Attending and actively participating in monthly VDC Provider meetings. 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; Monday-Friday; 7:30am-4:30pm Telework: Available; Ad-hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: 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. A pre-placement examination is required. Incidental driver: A valid driver's license is required. 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.<h3>Education</h3>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). Verification of accreditation may be obtained from http://www.acenursing.us/accreditedprograms/programsearch.htm or https://directory.ccnecommunity.org/reports/accprog.asp If your school has changed names, or is no longer in existence, you must provide this information in your application. If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Note: 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. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.