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The VA Western New York Health Care System, Springville Community Bases Outpatient Clinic, is currently recruiting for one Registered Nurse who will serve as a Home Based Primary Care (HBPC) Nurse - Assistant Manager. The Nurse uses the nursing process and evidence-based practice to collaborate with the core interdisciplinary team in the Home Based setting. 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: MSN Preferred Valid Drivers License (2) Years of acute medical/surgical RN experience within the past 5 years Ability to function effectively without direct daily supervision Ability to make sound, independent clinical judgments and accurate physical assessments Previous RN home care experience preferred RN experience in geriatric nursing care preferred Primary Care RN experience preferred PRI (Patient Review Instrument) certification preferred Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical patient lifts are provided. 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. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Home Based Primary Care Registered Nurse (RN) responsibilities include but are not limited to: Using the nursing process and evidence-based practice to collaborate with the Core Team and Expanded Team in developing the patient-driven holistic care plan for life. Utilizing collaborative strategies and creative approaches in the delivery and improvement of holistic care for patients and family members. The nurse functions as a member of the interdisciplinary team in the planning and management of care delivery to a complex patient population, supporting the transition and medical needs of patients in the outpatient home setting, decreasing the need for hospitalization and Emergency Room visits when possible. Functioning in a leadership role engaging staff in active problem solving regarding clinical and professional issues, leading to an improvement in care or practice in the HBPC Program. Providing patient and family health education with a focus on self-management, prevention and wellness based on the patient's goals. Demonstrating leadership by serving as an advocate for patients, as a team player to colleagues, to enhance his/her own and the team's professional growth, development and practice. Promoting cost effective use of resources including the use of various telehealth technologies. Coordinating the care of patients with complex medical issues including bowel and bladder needs regardless of location (e.g. Spinal Cord Injury (SCI) outpatient clinic, inpatient, and home) in care an/or supply issues, skin care, SCI practices and protocols, referrals, autonomic dysreflexia risks, bowel and bladder issues, etc. Comprehensive care of male/female HBPC patients which includes the prevention and maintenance of physical systemic issues, social, mental health and spiritual domains in each phase of the life cycle. Educates patient and caregiver on proper use of supportive adaptive devices (chairs, lifts, activities of daily living tools, etc.) to promote maximum independence. Assisting with data collection, analyzing, trending, and reporting activities as they pertain to the HBPC Program. Assisting with monitoring compliance with regulatory and VHA standards and policies. Upholding the VA ICARE core values. Working knowledge of VISTA/CPRS/Computer Systems. Ability to organize and prioritize own work 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: Days 7:30 am - 6:00 pm (10 Hour shift / 4 days a week) Compressed/Flexible: Compressed schedule Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Eligible Permanent Change of Station (PCS): Not Eligible Financial Disclosure Report: Not required"]

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