Registered Nurse - Home Based Primary Care

The Home Based Primary Care Registered Nurse delivers and coordinates patient-centered home care, focusing on education, self-management, and quality improvement while working with an interdisciplinary team. The role serves Veterans across the VA St. Louis Health Care System, including multiple Missouri and Illinois sites and rural areas.

The Home-Based Primary Care (HBPC) Registered Nurse delivers comprehensive, evidence-based care to Veterans living in urban, rural, and highly rural communities. HBPC nurses serve throughout the VA St. Louis Health Care System, including the John Cochran and Jefferson Barracks campuses, the Washington Avenue and Manchester annexes, and additional sites in Franklin, St. Charles, and St. Louis counties in Missouri, as well as St. Clair County and Scott Air Force Base in Illinois. The HBPC RN provides direct patient care and guides the work of licensed vocational nurses and nursing assistants as appropriate. Core responsibilities include case management, assessment, triage, Veteran and caregiver education, coordination of resources, medication and treatment management, and the development of individualized care plans. The RN delivers skilled, home-based care to Veterans with complex health needs, including primary, geriatric, preventive, and palliative care, with interventions tailored to optimize health outcomes and reduce avoidable urgent care or emergency department visits. Additional duties include conducting home visits, supporting nursing education and competency development, and contributing to quality improvement initiatives. The RN continually evaluates clinical practice based on current evidence, collaborates effectively within the interdisciplinary team, and fosters a professional environment that supports learning and growth. The nurse provides constructive feedback, advocates for high-quality patient outcomes, and actively participates in sustaining evidence-based practice. Preferred Experience: 3 to 5 years of experience in home care. 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 - Friday, 7:00am - 3:30pm, 7:30am - 4:00pm, 8:00am - 4:30pm Telework: Ad-hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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. 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.