Summary

The Home Based Primary Care (HBPC) Nurse Manager directs daily operations - clinical services - and staff for an interdisciplinary team providing in-home care to veterans. They manage program resources - performance metrics - and quality improvement - while ensuring compliance with VA standards.

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/12911010
• 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: A pre-employment physical is required for this position
• Physical Demands: The population of male and female Veterans served ranges from the adult - age 18 - to the elderly adult - age 65 and over
• This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• Transferring patients and 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 or operative/invasive procedures
• The incumbent may occasionally be exposed to patients who are combative 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
• Must complete annual employee health requirements such as annual TB screening or testing as a condition of employment.

Duties

• Functions or Scope of Assigned Duties include and are not limited to the following: The Home Based Primary Care Nurse Manager (NM) is the designated first-line supervisory authority and is responsible and accountable for the operation of their assigned units and provides coverage for other NMs as needed
• The NM is responsible and accountable for the direction and supervision of specific orientation - training - development of staff - and evaluation of individual staff performance
• The NM provides oversight of licensed nursing staff and nursing assistants responsible for providing competent - evidence-based care to HBPC patients
• They provide direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program
• They function as a role model - educator - practitioner - and supervisor providing leadership to the team
• They influence care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence based cutting-edge programs/processes
• The NM engages in professional organizations to enhance leadership and career growth
• They adhere to ethical principles in decision-making - fostering accountability at personal - organizational - and staff levels
• They equip staff with tools for culturally competent care and promotes a culture of accountability for high-quality - cost-effective outcomes
• They cultivate alliances across the care continuum - building trust through active listening - engagement - and emotional intelligence
• The NM contributes to the development of care delivery models and environmental design - ensuring evidence-based - accessible - affordable - and equitable patient care in the home of Veterans with complex needs - including health promotion - health prevention - geriatric care - primary care - and palliative care
• Ensures compliance with accreditation and regulatory standards
• Aligns nursing/clinical objectives with organizational strategic outcomes - participating in strategy planning and execution
• They promote an inclusive workplace valuing diversity to achieve the organizations vision and mission
• The NM maintains knowledge and ensures compliance with all regulatory and accreditation standards - Directives - policies - and standard operating procedures (SOP)
• Provides peers with Functional Statement: Nurse III Last Updated: January 29 -2024 Page 2 informal constructive feedback for improvement
• Supports colleagues and other nurses through knowledge sharing to provide safe - quality nursing care
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Contributes professional nursing perspective in discussions with the interdisciplinary team
• Partners with others to effect change and produce optimal outcomes
• Evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations
• Responsible for the documented outcomes at the program or service level
• Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility
• Other Significant Information: This position potentially requires flexibility in schedule and assignments
• Utilizes a Government Vehicle to make home visits to Veterans in the program and adheres to all VA regulations for driving Government Vehicles
• The incumbent must be poised and articulate in communicating with people of varied educational levels and varied ethnic backgrounds
• Willing to work cooperatively as a member of a team in all assignments
• Makes caring for the Veteran his/her priority while demonstrating customer service principles in all aspects of work
• Self-motivated in the pursuit of meeting professional work standards
• Maintains all licensure requirements and education/training as determined by the facility including BLS/ACLS as required
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards
• Compensation in this position includes 2 additional steps for nurse manager pay and may be reduced when no longer meeting nurse manager criteria
• 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: Day Shift - Monday - Friday