Registered Nurse - Home Based Primary Care Nurse Case Manager

Summary Join the Sioux Falls VA Health Care System in Union County - South Dakota - as a Home Based Primary Care Nurse Case Manager and bring comprehensive care directly to Veterans in their homes. You will assess complex health needs - provide skilled nursing care - coordinate services with VA and community partners - support Veterans and caregivers - and build lasting relationships that promote safety - independence - and quality of life. Qualifications Basic Requirements: English Language ProficiencyIn accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken EnglishGraduate of a school of professional nursing approved by the appropriate 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)OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge programUpon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program(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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education programCredit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)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 ColumbiaGraduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certificationGrade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a gradeThe Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13081392Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III*Note: Foreign education programs/degrees are not creditable as related degreesPreferred Experience: 2-3 years of home care or case management experienceReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: You may be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this positionQuestions about physical demands or environmental factors may be addressed at the time of examination/evaluation. Duties Make a lasting difference by caring for Veterans where they are most comfortable-their homes and communitiesAs a Home Based Primary Care Nurse Case Manager - you will serve as a trusted advocate and clinical partner for Veterans with complex - ongoing health needsWorking closely with an interdisciplinary team - you will combine skilled nursing - care coordination - education - and problem-solving to create individualized plans that reflect each Veteran's health goals - living environment - family dynamics - and personal valuesThis role offers the opportunity to develop meaningful long-term relationships - strengthen continuity of care - and help Veterans remain safe and independent at homeDuties include - but are not limited to: - Conduct comprehensive in-home nursing assessments and reassessments that address each Veteran's clinical needs - living conditions - support system - and personal goals- Develop - implement - and evaluate individualized plans of care in collaboration with Veterans - caregivers - and the Home Based Primary Care interdisciplinary team- Provide direct nursing care in the home - including medication review - vital-sign monitoring - wound care - and other services within the registered nurse scope of practice- Coordinate health care services across VA programs - community providers - and state and federal agencies to promote continuity - safety - and timely access to care- Manage an assigned caseload through ongoing monitoring - follow-up - clinical judgment - and adjustment of care strategies as Veteran needs change- Advocate for Veterans by clarifying treatment options - supporting informed decisions - resolving care barriers - and communicating concerns to the interdisciplinary team- Educate Veterans and caregivers about health conditions - medications - self-management strategies - and available resources that support independence at home- Travel to Veterans' residences across the assigned geographic area and provide flexible visit coverage to meet patient care and program needsVA 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 7:30am - 4:00pm Telework: ADHOC-May be authorized (Employee who Telework on an occasional - episodic - or short-term - and have completed required telework training and telework agreement)Virtual: This is not a virtual positionRelocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Travel Requirements: - You may be expected to travel 75% of the time for this position to various care locations within the service area - including Veteran homes as part of Home Health care delivery- You must possess and maintain a current - valid - unrestricted state-issued driver's license- You must provide a safe - clean driving record from the Department of Motor Vehicles (DMV) during onboarding- You must successfully complete a driver's physical examination to demonstrate medical ability to safely operate a government-owned or leased vehicle - as required under 5 CFR 930 and HR Job Aid 05-OB-010.002The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical CentersThis 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 fullestAs 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 VeteranThis is done in the context of healing relationships and healing environments and a connection back to the Veteran's communityThis 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.