Registered Nurse (Housing and Urban Development)

Job TitleHelpDuties Include But Not Limited To: Delivers fundamental knowledge-based care to assigned clients while developing technical skills, with a focus on individual growth and development in practice and increased levels of self-direction. Assesses, plans, implements, and evaluates care based on age-specific components, using the nursing process to identify health needs, risks, and priorities relevant to housing stability and recovery. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Follows procedures per established policies and guidelines, influencing care outcomes by collaborating with members of the interdisciplinary team. Administers medications and treatments prescribed by a licensed provider, including filling weekly medication planners and administering injections of long-acting antipsychotic medications to veterans in home and community settings. Provides patient management, care coordination, and discharge/disposition planning for inpatient and outpatient settings, bridging the gap between discharge and primary care follow-up. Assists veterans, family members, and caregivers with receiving the most appropriate options and services to meet their complex health care needs, including but not limited to acute, chronic, multiple, complex, catastrophic, or life-threatening illnesses; combat stress; residuals of traumatic brain injury; community adjustment; addictions; and other health problems. Coordinates care with multiple providers across all levels and sites of care, developing a plan of care using information from the patient, family, and provider. Identifies high-risk patient populations and transitions veterans to the appropriate discipline (e.g., primary care, home based primary care, hospice/palliative care), and is responsible for intensive monitoring, follow-up, and clinical management of high-risk patients. Conducts home visits to assess the veteran's physical and mental health status, safety, and overall well-being, and to identify emerging health concerns that could jeopardize housing stability. Provides crisis intervention and suicide prevention support for veterans experiencing psychiatric, substance use, or medical crises, coordinating rapid access to appropriate levels of care. Collaborates with interdisciplinary team members to develop and implement the veteran housing stability plan. Provides recovery-oriented and housing first services, with the goal of establishing the veteran independently in the community, at the veteran's highest level of functioning. Maintains timely, accurate clinical documentation of all veteran encounters using the computerized patient record system (cprs), essentris, and bar coded medication administration (bcm) software, consistent with va policy and reporting timelines.(nurse ii/iii only) serves as a clinical resource and mentor to less experienced nurses and team members, sharing expertise in community-based psychiatric nursing, housing first principles, and crisis intervention techniques.(nurse ii/iii only) provides leadership in evaluating and improving team-level care delivery, guiding staff in the application of critical thinking and evidence-based practice to improve outcomes for veterans experiencing homelessness.