Nursing Assistant- Home Health Services

Summary At the Sioux Falls VA Health Care System, Nursing Assistants play a vital role in delivering compassionate, hands-on care to Veterans in their homes. You will support daily living needs, promote safety and dignity, and collaborate closely with Registered Nurses to provide meaningful, mission-driven care that enhances the health, comfort, and independence of those who served our nation. Responsibilities In this home-based care role, you will provide direct support to Veterans who require assistance with daily living, mobility, nutrition, and personal care. Working directly in Veterans' homes, you will help maintain their independence, monitor changes in condition, uphold safety and infection control practices, and collaborate with the care team. This position requires maintaining a valid driver's license to travel to assigned homes while delivering high-quality, Veteran-centered care. Major Duties include, but are not limited to: Drive a government-issued vehicle to patient homes within a 60-minute radius of the Sioux Falls area; maintain safe driving practices, and adhere to all travel and documentation requirements. Provide care in a variety of home environments, including those that may be cluttered, unsanitary, or have known infestations; use appropriate infection control and safety precautions at all times. Provides personal care such as bathing, feeding, oral care, hygiene, and grooming. Assists with range of motion, ambulation, positioning, and turning. Utilizes principles of safe body mechanics in lifting, transfers, equipment handling, and care activities. Recognizes and properly uses equipment, materials, and supplies as delegated by the Registered Nurse (RN). Applies slings and braces when indicated. Prepares simple or light meals and reports any nutritional concerns to the RN. Observe skin integrity during personal care and immediately report any skin concerns, changes, or potential pressure areas to the RN. Performs light housekeeping tasks including dusting, sweeping, dishes, laundry, trash removal, and linen changes in the Veteran's home. Assists with bladder and bowel elimination, observes and reports function, and may apply condom catheters. Collects basic diagnostic specimens such as stool, urine, and sputum. Maintains accurate and timely documentation of daily care in the electronic health record and maintains required competencies including Basic Life Support (BLS). Maintains a valid driver's license for home visits. Total Rewards of a Allied Health Professional Work Schedule: Intermittent; Monday-Friday 7 a.m. - 3:30 p.m. Recruitment Incentive (Sign-on Bonus): Not authorized Permanent Change of Station (Relocation Assistance): Not authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year).Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. 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) Telework: Not available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not authorized Physical requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. Driver's License: The Position requires the ability to operate a government vehicle and the ability to travel for 2 continuous hours in a vehicle. The incumbent will be expected to travel to patient homes within the Catchment area. The incumbent will also be required to maintain a valid driver's license, car insurance, First Aid certification and may need to transport Veterans as needed. Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. 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. Must be proficient in written and spoken English. You may be required to serve a trial period. 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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Basic Life Support (BLS) certification required. Training provided. Must pass pre-employment physical examination/evaluation Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. Qualifications Applicants pending the completion of 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. Experience, Education or Training. You must meet one of the following to meet the basic requirements for a Nursing Assistant (NA): Six (6) months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA; OR, One year of education above high school with courses related to the NA occupation; OR, Completion of an intensive, specialized, occupation-related training course of study or program of less than one year as a NA may also meet in full the experience requirements for GS-3. Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade. GS-03 - None beyond the basic requirements. NAs at this grade NAs are considered entry-level and are closely supervised. GS-04 - To qualify at the GS-4 level you must meet the following: EXPERIENCE: One (1) year of experience as a Nursing Assistant or in another medical field (licensed practical nurse, health technician, hospital corpsman, etc.), performing technical and nursing skills requiring knowledge of the human physical and emotional states, therapeutic communication, and technical skills required for basic and intermediate treatments. OR, EDUCATION: Successful completion of two (2) years above high school in an accredited institution with courses related to nursing care, health care or in a field of study appropriate to the specialization of the position, such as education in a program for psychology, psychiatric, or operating room technicians. AND, in addition you must demonstrate the following Knowledge, Skills and Abilities (KSAs): Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents. Ability to observe patients/residents' or residents' physical or emotional status and refer deviations and/or problems to supervisor in a timely manner. Ability to properly use equipment, materials and supplies in simple diagnostic and treatment procedures such as bladder scan, continuous passive motion device, blood glucose monitoring machine, specimen collection, etc. Ability to communicate effectively with patients/residents, their families and other health professionals. GS-05 - To qualify at the GS-5 level you must meet the following: EXPERIENCE: One (1) year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities (KSAs) that are directly related to the specific assignment. Specialized experience includes but is not limited to functioning as a member of the nursing care team and assisting licensed nursing staff and other members of the care team in the full range of nursing care of patients/residents receiving outpatient care, home, or community living care or other patients/residents who are receiving preventative, acute, sub-acute, chronic, maintenance, and hospice care. OR, EDUCATION: Successful completion of 4-year course of study above high school leading to a bachelor's degree that included 24 semester hours of courses related to health care or possession of a bachelor's degree. AND, in addition you must demonstrate the following Knowledge, Skills and Abilities (KSAs): Ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral problems in a hospital, long-term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse/Licensed Practical Nurse. Ability to communicate orally with patients/residents, families, interdisciplinary team and other personnel. This includes serving as a preceptor to new NAs by assisting with the coordination of their orientation and overseeing/assessing their practical experience while in a clinical setting. Ability to recognize and react to emergent patient/resident care situations and intervene while waiting for assistance. For example, recognizing need for basic life support, controlling bleeding and assisting with behavior crisis, etc. References: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-5. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-5. Physical requirements: This position requires some degree of fitness, strength, and agility. Duties require extensive periods of standing and walking. Working with patients requires regular and recurring bending, lifting, stooping, stretching, pushing, pulling, lifting arm overhead, and similar activities. If selected, you will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. Driver's License: The Position requires the ability to operate a government vehicle and the ability to travel for 2 continuous hours in a vehicle. The incumbent will be expected to travel for outreach evens within the Sioux Falls Health Care System Catchment area. The incumbent will also be required to maintain a valid driver's license, car insurance, First Aid certification, and transport Veterans as needed. Education 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/. IMPORTANT: If basing all or part of your basic qualifications on education or training, an unofficial copy of college transcripts showing completion of one year of education above high school related to the Nursing Assistant occupation or documentation showing completion of an intensive, specialized, occupation-related course of study of less than one year as a nursing assistant is required to verify you meet the basic qualification requirements. If basing your qualifications on education at the GS-4 or -5 levels, you must submit a copy of all relevant transcripts with your application. You do not need to submit an official copy; however, your submitted transcript must include your name, name of school, name of program, total credits completed, date degree/certificate conferred. Your transcript will be reviewed for relevant coursework; therefore, the copy you submit must be legible. Candidates who do not yet meet the basic education requirement but are currently enrolled in a post high school technical school, junior college, college, or university completing coursework related to the Nursing Assistant occupation, must provide proof of enrollment at the time of application. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn a