Summary

Boise VA Medical Center (BVAMC) is an interdisciplinary teaching facility with service-lines serving medical - surgical - inpatients and outpatients - with an Emergency Department - and multiple community-based outpatient clinics (CBOC). There is a large outpatient psychiatric population - with admissions for medical co-morbidities. Home-Based Primary Care is provided in the veteran's home. The RN works in Home Based Primary Care (HBPC) as a Case Manager.

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 assignment of candidates - and if appropriate - the level within a grade
• The 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/13089650
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An 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 required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR 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 III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR 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 degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Moderate lifting - 15-44 pounds - Moderate carrying - 15-44 pounds - use of fingers - both hands required - climbing - use of legs and arms - both legs - able to see a computer screen - depth perception - ability to distinguish basic color - ability to distinguish shades of colors - hearing
• Environmental: Outside and Inside - working closely with others - working alone.

Duties

• The RN is assigned to the Home Based Primary Care program (HBPC)
• The RN practices as a Case Manager (RN) within the VA Boise Medical Center
• The RN functioning in the role of Case Manager is responsible for managing care across the health care continuum for a select group of clients
• The RN provides professional assessment - coordination - telephone triage and planning of multiple health care services
• acts on behalf of the veteran to assure that necessary clinical services are received and that progress is being made
• The Case Manager RN is responsible to facilitate communication and collaboration between all members of the healthcare team involving the patient and family in the decision-making process
• to minimize fragmentation of healthcare delivery
• to optimize quality of patient and family outcomes in a cost-effective manner
• The RN works effectively with all levels of staff - to include collaborative efforts with other health professionals providing ongoing case management services
• Duties include (but are not limited to) Initial and continuous assessment for a culturally diverse veteran patient population in the home setting
• Provides teaching to the patient and caregiver in ways of managing and delivering nursing care in the home
• Monitors patient's condition and the care required in the home
• Collects blood and other specimens required for monitoring the effectiveness of interventions and/or disease progression
• Provides needed assistance and consultation for home care referrals
• Assesses the care appropriate to the age related needs of patients served in the home setting
• Position may entail other duties as assigned and travel across all program sites Work Schedule: Monday - Friday: 8:00am to 4:30pm Compressed/Flexible: Not available Virtual: This is not a virtual position Financial Disclosure Report: Not required