The Home-Based Primary Care (HBPC) Registered Nurse provides comprehensive, patient-centered nursing care to Veterans with complex, chronic, or disabling conditions who receive care in their homes. The RN is a professional nurse who evaluates and analyzes care provided to patients to assure it is timely, appropriate, of high qualify, and cost effective.
The RN is a key member of an interdisciplinary team that includes various health professionals at the Oakland VA Outpatient Clinic.
The HBPC RN is responsible for ongoing assessment, care coordination, health promotion, patient education, and disease management for assigned Veterans. This role emphasizes preventive care, chronic disease management, and maintaining the Veteran's highest level of independence and quality of life in the home environment.
The nurse performs in-home visits, monitors health status, administers prescribed treatments, collaborates with providers to develop individualized care plans, and ensures compliance with VA standards, policies, and regulatory guidelines. The RN also supports telehealth and outpatient coordination as needed, contributing to continuity of care between home and clinical settings.
Key Responsibilities: Assess, evaluates, plans, implements, and coordinates care, and confers with other Home Based Primary Care providers to evaluate and initiate changes to ensure quality care. Helps Veterans to self-manage chronic diseases such as diabetes, hypertension, congestive heart failure, chemical dependency, cancer, dementia, and any other conditions that may warrant additional attention.
Triages and applies collaborative team approach in identifying, analyzing, and resolving Veteran's care problems, and develop care goals for resolving or managing these issues. Focuses on wellness and patient education, and uses motivational interviewing techniques to help the Veteran meet his/her goals. Collaborates with services, internal and external, to facilitate care.
Maintains a current knowledge of interdisciplinary resources, programs and services to include community resources as appropriate. Establish methods to monitor patients' progress, including performing injections, venipunctures and catheter care and management and maintain appropriate documentation within designated timeframes. Conduct comprehensive home assessments and develop individualized nursing care plans.
Manage chronic conditions, provide wound care, medication management, and health education. Coordinate multidisciplinary care to support Veterans' physical, emotional, and social well-being. Document care activities and outcomes in the electronic health record (EHR). Participate in quality improvement initiatives and case conferences. Promote safety, independence, and prevention of hospitalizations.
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: 8:00am-4:30pm hours vary on patient care needs Telework: Ad-hoc available.
Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Angelica.Ratliff@va.gov · (909) 836-8026
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $153887 – $228000/yr.
This position is eligible for telework.
Applications close on 2026-11-13.
This position is open under the 'Fed Internal Search' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-11-04 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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