Registered Nurse - Home Based Primary Care (HBPC) Case Manager
Veterans Affairs, Veterans Health Administration
Location: Jacksboro, Tennessee
Internal Number: 700065000
The Home Based Primary Care (HBPC) - Case Manager is administratively, professionally, and clinically responsible to the Program Director/Nurse Manager of Home Based Primary Care and executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient care. 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 approved by the appropriate State-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). 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. Preferred Experience: BSN, necessary for successful performance of job requirements. MSN, preferred. Five to eight years of experience as a Registered Nurse with documented progressive responsibility in increasingly complex nursing practice in the clinical areas of medical/surgical, ICU, Primary Care, Long Term Care, and/or Home Care. Three to five years of experience with chronic disease case management. Demonstrated ability to work effectively with other members of the health care team to accomplish the medical center's mission, vision, and goals. Evidence of strong positive interpersonal/customer service relations, verbal/written communication and leadership skills. Evidence of sound decision making and critical thinking skills. Evidence of excellent collaborative relationships with physicians and support services. 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 additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; 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 approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. MHVAHCS is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued sitting, telephone and computer usage. A valid driver's license is required. Transferring of equipment /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. The incumbent may occasionally be exposed to patients who are argumentative 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. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Duties and responsibilities include, but are not limited to, the following: The Registered Nurse provides care to a panel of patients who are enrolled in the HBPC program and coordinates care throughout the continuum of care to assure that care is timely, appropriate, of high quality and cost effective. Provides case management to a panel of approximately 30 patients with a broad spectrum of physical and mental disease processes. Manage the day to day operations of the patient panel and provide input into quality care and coordination issues. Provide care through home visits, phone calls, and general coordination of care using resources available within the program and this VAMC. Collaborate effectively with other program staff, and other health care professionals to deliver care. Considered an expert in this field and utilizes his/her ability to support other RNs working in HBPC with knowledge enhancements and with concerns and /or issues as they arise. Collaborates effectively with program staff, other healthcare professionals, other clinics, internal and external services and community agencies and the Program Leadership team to maintain the program at or above expected national levels providing interventions to assist with maintenance and expansion. Provide leadership in planning, implementing, evaluating and improving care for veterans. Initiates and participates on interdisciplinary projects, committees, teams, etc. with the aim of improving outcomes in patient care and the systems and processes of the organization/service. Recognized as a leader and consistently demonstrates leadership abilities in clinical activities, education, quality improvement, and resource utilization practices. Responsible for practicing in accordance with and adhering to regulations such as the Nurse Practice Act, VHA policies and procedures the ANA Standards of Nursing Practice. Other duties as assigned by the Nurse Manager. Pay Scale: NG45 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; 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Applicable Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.