Registered Nurse- Geriatrics

Summary Delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, self management, and customer satisfaction throughout the continuum of care. Responsibilities Duties include but are not limited to the following: Perform diverse nursing functions such as significant case management, coordination of patient care, physical assessment, creating care plans, completing primary care clinical reminders, teaching in-home patient care to Medical Foster Home (MFH) and family caregivers, and drawing lab studies. Must have a Valid Driver's license. Travel is expected to be up to 75% of work week Administers medications and procedures per established policies and guidelines. Evaluate new consults to HBPC team, case management of HBPC patients and supporting the provision of care in the home to a complex population of chronically ill or severely disabled Veterans of JDDVAMC. Support the provision of care by others to the HBPC population, Homemaker/Home Health Aide population, Home Hospice and Intermittent Skilled Services patient population, MFH, and Contract Nursing Home population. Perform other duties as assigned by the Home Care Leadership team, Home Care Program Director, and the Associate Chief of Staff, Geriatrics and Extended Care. Administers medications and procedures per established policies and guidelines. Utilizes interventions, which maximize health capabilities and reduces unnecessary urgent care and emergency room visits, per Veteran's goals of care. Makes home visits to Veterans in the program. Focuses on individual growth and development in HBPC nursing practice with increased levels of self-direction. Seeks guidance on how to improve care provided to patients and families. Delegates elements of care to the appropriate individual based upon assessed needs, condition, and safety of the patient. Brings HBPC principles and theory with limited application of critical thinking skills. Manages consults and patient inquiries (electronic or telephone) expeditiously. Use appropriate data sources (Clinical Reminders/dashboards) for proper patient management. Schedules home visits according to patient needs and understanding; schedules consults promptly. Monitors patients at high risk for hospitalization and keeps the HBPC Provider and Primary Care Provider apprised of clinical issues needing provider intervention. Provides individualized education and support to the patient and caregiver to optimize clinical outcomes and support quality of life decisions. Develops and coordinates the patient's plan of care to include ongoing assessment and re-assessment, care planning, care coordination, monitoring, and evaluating clinical outcomes. Identifies specific goals and develops a treatment plan within 30 days of admission, collaborating with other interdisciplinary team members. Evaluate patient progress towards achieving goals as needed. Effectively provides care and manages clinical issues of a panel/caseload of 25-30 Veteran patients 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 thru Friday 7:30 AM to 4:00

PM Telework:

Not Available Virtual:

This is not a virtual position.

Relocation/Recruitment Incentives:

Not Authorized Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment 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 pass pre-employment physical evaluation. 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.

Qualifications Basic Requirements:

English Language Proficiency. In 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 English. Graduate 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 program. Upon 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 program. Credit 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 Columbia. Graduate 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/certification.

Grade Determinations:

The following Scope, Education and Dimension criteria must be met in determining the grade assignmen