Nurse Practitioner - Homebased Primary Care

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Nurse Practitioner (NP) Home-Based Primary Care (HBPC) Nurse Practitioner is accountable for the management and evaluation of a panel of patients under his/her care in the veteran's home setting or via clinical video telehealth. The HBPC NP provides comprehensive preventative and wellness care, as well as the spectrum of acute, episodic, chronic, and end-of-life care to Veterans assigned to his/her HBPC Patient Aligned Care Team (PACT) Team. The NP HBPC uses the nursing process and evidence-based practice to work collaboratively with the Team and the family/caregiver, internal and community-based services, and disciplines involved in providing care to the patient, in developing the patient-driven holistic care plan for life. The NP HBPC provides diagnosis and treatment and provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The NP HBPC is prepared in advanced practice across the health continuum. This role includes participating in and use of research, development, and implementation of health policy, leadership, education, case management, and consultation. The HBPC Nurse Practitioner utilizes preventative clinical guidelines and appropriate standards of care in collaboration with the Home-Based Primary Care Medical Director in providing quality care to patients with complex chronic and acute on chronic health conditions.The NP HBPC: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with other members of the health care team. Utilizes critical judgement in the performance of comprehensive health assessments, differential diagnosis, and the prescribing of pharmacological and non-pharmacological treatments in the direct management of patients with complex acute and complex chronic health conditions. Promotes wellness and prevents illness and injury. In addition, the HPBC Nurse Practitioner serves as a resource to other members of the health care team, providing consultation and education as needed. The HBPC Nurse Practitioner may also function in the dual role of case manager for veteran's assigned to his/her HBPC PACT Team The NP HBPC conducts a comprehensive assessment of patients' medical, physical, and biopsychosocial status including: Obtains a relevant health & medical history Performs a physical examination based on age & history Conducts preventative screening procedures based on age & history Updates evaluation of health status to determine need for further health care Formulates appropriate medical diagnoses based on data obtained Orders appropriate diagnostic procedures and laboratory tests Identifies and prescribes appropriate pharmacological and non-pharmacological agent Provides relevant patient/family education Consults with collaborating health care professionals when doubt exists as to the diagnosis, when expected improvement is not soon apparent, and when specialized therapeutic or diagnostic techniques are indicated. Determines the effectiveness of the plan of care through documentation of outcomes Reassesses and modifies the plan as necessary to achieve medical and health goals Performs any procedures for which she/he has been credentialed The NP HBPC is under the supervision of a Nurse Manager or other immediate supervisor. Clinical supervision is provided by the HBPC Medical Director. Work Schedule: Full Time, Monday through Friday, 7:30am to 4:00pm or 8:00am to 4:30pm 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 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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 (Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. 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

Created: 2026-04-03