This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. 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. 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: Experienced Nurse Practitioner with at least 2 years Primary Care experience Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: 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 regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Nurse Practitioner (NP) Home-Based Primary Care (HBPC) Nurse Practitioner is accountable for the management and evaluation of a panel of patients under his/her care in the veteran's home setting or via clinical video telehealth. The HBPC NP provides comprehensive preventative and wellness care, as well as the spectrum of acute, episodic, chronic, and end-of-life care to Veterans assigned to his/her HBPC Patient Aligned Care Team (PACT) Team. The NP HBPC uses the nursing process and evidence-based practice to work collaboratively with the Team and the family/caregiver, internal and community-based services, and disciplines involved in providing care to the patient, in developing the patient-driven holistic care plan for life. The NP HBPC provides diagnosis and treatment and provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The NP HBPC is prepared in advanced practice across the health continuum. This role includes participating in and use of research, development, and implementation of health policy, leadership, education, case management, and consultation. The HBPC Nurse Practitioner utilizes preventative clinical guidelines and appropriate standards of care in collaboration with the Home-Based Primary Care Medical Director in providing quality care to patients with complex chronic and acute on chronic health conditions. The NP HBPC: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with other members of the health care team. Utilizes critical judgement in the performance of comprehensive health assessments, differential diagnosis, and the prescribing of pharmacological and non-pharmacological treatments in the direct management of patients with complex acute and complex chronic health conditions. Promotes wellness and prevents illness and injury. In addition, the HPBC Nurse Practitioner serves as a resource to other members of the health care team, providing consultation and education as needed. The HBPC Nurse Practitioner may also function in the dual role of case manager for veteran's assigned to his/her HBPC PACT Team The NP HBPC conducts a comprehensive assessment of patients' medical, physical, and biopsychosocial status including: Obtains a relevant health & medical history Performs a physical examination based on age & history Conducts preventative screening procedures based on age & history Updates evaluation of health status to determine need for further health care Formulates appropriate medical diagnoses based on data obtained Orders appropriate diagnostic procedures and laboratory tests Identifies and prescribes appropriate pharmacological and non-pharmacological agent Provides relevant patient/family education Consults with collaborating health care professionals when doubt exists as to the diagnosis, when expected improvement is not soon apparent, and when specialized therapeutic or diagnostic techniques are indicated. Determines the effectiveness of the plan of care through documentation of outcomes Reassesses and modifies the plan as necessary to achieve medical and health goals Performs any procedures for which she/he has been credentialed The NP HBPC is under the supervision of a Nurse Manager or other immediate supervisor. Clinical supervision is provided by the HBPC Medical Director. Work Schedule: Full Time, Monday through Friday, 7:30am to 4:00pm or 8:00am to 4:30pm 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"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.