The Caring for Older Adults and Caregivers at Home (COACH), is a home based dementia care program that serves veterans with neurocognitive disorders and their caregivers residing within a 50-mile radius from the Durham VA Medical Center. The COACH program offers support and education to caregivers in the dementia care management, including areas of disease progression, behavioral management, safety, caregiver stress, and advance care planning. Applicants pending the completion of certain educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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/Education: A minimum of one year successful Medical experience within the past two years. A minimum of 2 to 3 years of successful clinical practice in geriatrics Experience in geriatric and dementia care Experience in home health care Demonstrated skills in decision-making, using good clinical judgment and critical-thinking abilities Demonstrated ability to use computer systems in support of patient care delivery Previous Long-Term Care or Community Health experience BSN or higher Preferred Certification(s): ANCC for Case Management, Gerontology, or Med/Surg. Nursing BLS Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. 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: Nurse III must demonstrate performance and leadership that is broad enough to improve the care for a group of patients. The Nurse III is responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level. In order to be considered for appointment to Nurse III, outcomes must be documented. Meeting the Practice dimension involves incorporating and implementing the requirements of the other qualification standards, including: (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning. (b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making and evaluating outcomes. (c) Functioning as an expert in clinical practice and/or in areas related to the assigned roles and responsibilities. (d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within area of expertise. (e) Guiding, developing and supporting staff from a leadership perspective.(f) Using professional standards of care, scientific evidence and practice to evaluate programs and/or service activities. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: 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: Heavy Lifting (maximum 45 lbs.); Heavy Carrying (maximum 35 lbs.); Pushing; Reaching above shoulder; Use of fingers; use of both hands; Walking (frequent); Standing (frequent); Repeated bending; use of both legs; Ability for rapid mental and muscular coordination simultaneously. Selected applicants will be required to complete an online onboarding process. ["The Caring for Older Adults and Caregivers at Home (COACH) program is a home-based Dementia care program. In this program, a team of Geriatric Social Worker and an RN conducts home visits to evaluate the veteran's physical, cognitive, and functional status to identify unmet needs. They also do home safety evaluations and social/resource evaluation. The goal of the program is to maintain the veteran safely at home for as long as possible. Most of the interventions involve caregiver support, education on Dementia, progression, and behavioral management. Referrals are made to VA and community resources, and specialty providers. The program is based on an interdisciplinary approach. The full team consists of a Geriatrician, Geriatric psychiatrist, pharmacist, Social Worker, occupational therapist and an RN. The Care of Older Adults and Caregivers at Home Program (COACH) Registered Nurse will receive referrals for the COACH Program, conduct initial screening and coordinate evaluation with the Social Worker. Along with the Social Worker, the RN will provide education and linkage to other needed resources, conduct a home safety evaluation, and provide ongoing case management to the enrollees. This RN in effect acts as a Case Coodinator for the enrolled population, with the idea of supporting the Veteran and Caregiver so that the Veteran can remain in the home, away from the Emergency Room and outside of acute care. The COACH registered nurse is responsible for the screening, assessments, care planning, and care coordination of veterans with dementia and the provision of support and education to caregivers in collaboration with social workers and the supporting interdisciplinary team. Services are provided in the veterans' home environment and other settings as appropriate, including use of telehealth services. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday, 0730 - 1600 (Tour subject to change based on the needs of the agency). Incumbent to make home visits within a 35-mile radius of the Health Care Center. Must have an active/unrestricted NC Driver's License.\nTelework: Yes (Adhoc).\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May be authorized for External applicants ONLY (depending on funding etc.).\nFinancial Disclosure Report: Not required"]