With the number of elderly Veterans expected to double by 2039, an additional 2 million Veterans will be eligible for expanding VA programs that allow them to age in their homes, including Home Based Primary Care (HBPC).

With an eye toward those program expansions, a number of careers in HBPC are already available for talented medical professionals like you.

The comforts of home

HBPC is a unique program that provides comprehensive, interdisciplinary, primary care in the homes of Veterans. The program is for Veterans who need team-based in-home support for ongoing diseases and illnesses that affect their health and daily activities.

Like a VA Patient Aligned Care Team (PACT) at a VA facility, an HBPC team involves Veterans working with health care professionals to plan comprehensive care and lifelong health and wellness. An HBPC team also expands to include family caregivers and community-based services, with everyone working toward the goal of offering care in a comfortable, familiar setting.

A career providing care

HBPC requires a team of experienced health care professionals. Under the direction of a physician, they review a Veteran’s health care needs and offer treatments and support for the Veteran and their caregivers. Opportunities include:

  • Registered nurses (RN) — Functioning as a care manager, you’ll assess patient needs and those of their caregivers. You’ll deliver nursing care in the home, and delegate and oversee the care delivered by licensed practical nurses (LPNs), also on the HBPC team.
  • Occupational therapists (OT) — You’ll conduct in-home rehabilitative, functional and environmental safety assessments. As with any OT program, your work focuses on helping a Veteran perform activities and roles that are most important to their daily lives.
  • Physical therapists (PT) — Provide direct service to Veterans with regard to establishing physical limitations and overcoming handicaps. Like an OT, you can conduct in-home safety assessments, but instead of a focus on daily functions, you help Veterans cope with pain, increase range of motion and improve endurance.
  • Psychologists — As the primary mental health provider of the HBPC team, you’ll provide mental health assessment, treatment, management and professional consultation services. You’ll also assist the families of Veterans, particularly when such care is related to the Veteran’s overall treatment plan and allows the family to sustain the patient in the home environment.
  • Social workers — Help identify a Veteran’s problems, strengths, needs, abilities, preferences, weaknesses and coping skills. In collaboration with the family, caregivers and their colleagues on the HBPC team, you’ll use your expertise in socioeconomic, cultural, ethnic and educational backgrounds to help design a treatment plan that works for the Veteran in need.

Work at VA

Start your VA career by helping us help Veterans stay in their homes.

By VA Careers

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Published on Jun. 22, 2022

Estimated reading time is 2.4 min.

Views to date: 504


  1. John White June 29, 2022 at 10:05 pm

    The VA will not provide Home Based Primary Care solely because I live in Woodbridge, VA and am not covered by an VA Medical Center and not because of my medical conditions. John White

  2. Vernon Fackrell June 22, 2022 at 10:27 pm

    VA has been good to me. Thank you VA

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