Advanced Practice Registered Nurses / Physician Assistants
Quality Care Our Heroes Deserve
Now is the time to take your career to the next level and become part of the high-caliber talent that is VA. Experience what 300,000 current VA employees already have state-of-the art practice settings, access to the latest technology, a multi-disciplinary team environment and the opportunity to provide the men and women who have bravely served this country with the finest patient care, benefits and customer satisfaction. And with VA Patient Satisfaction Scores leading the healthcare industry, youll be joining one of the most respected facilities in the Nation.
OUR MISSION: To fulfill President Lincoln's promise ? "To care for him who shall have borne the battle, and for his widow, and his orphan" ? by serving and honoring the men and women who are America's Veterans.
VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
The HBPC Nurse Practitioner (NP) is a member of the interdisciplinary team for Home Based Primary Care (HBPC). The NP is responsible administratively to Director HBPC, and professionally to the Medical Services of VANCHCS and the appropriate HBPC Medical Director for whose Division they are assigned. The HBPC NP provides integrated primary care through application of advanced clinical knowledge and experience in delivering safe, effective, quality care to geriatric and palliative care patients. The HBPC NP may have a portion of their position that requires them to oversee the care of patients admitted into the Contracted Nursing Home Program (CNH). Depending on division requirements the NP may be required to perform a dual role as the RN Case Manager. The HBPC NP utilizes communication skills and consultation in working with clinical services to achieve the patient's goals of care and meet the VANCHCS standards of care. The NP will act as a Primary Care Provider in a PACT delivery model typically see their patients within a private home, or other care facility situation.
Clinical duties include, but are not limited to: independently obtaining medical histories and performing examinations, making diagnoses, establishing and enacting treatment plans, and performing minor office procedures. Additional duties include making arrangements for further care if appropriate (e.g., by entering a consult), ordering and interpreting lab and diagnostic tests, prescribing medication, and serving as a consultant to other providers.
Provides primary home care with the cognizance of the HBPC medical director. Provides services by collecting data required for diagnosis and performing procedures and services. Obtains and evaluates medical histories, performs physical examinations, performs therapeutic and diagnostic procedures, and orders laboratory studies, radiographs, electrocardiograms, and other special examinations. Analyzes and interprets data, formulates problem lists, and establishes plans for solution of clinical problems. Counsels patients on medical problems, use of drugs, expected effects of treatment, diet, and other therapeutic health maintenance matters.
Coordinates patient care with other members of the health care team. Initiates consultation requests to other health care professionals to provide specialty patient management. Documents outpatient encounters in VA electronic medical record on a timely basis. Accomplishes other documentation (e.g., disability claims) on a timely basis.
Instructs other members of the health care team. Instructs other personnel assigned to the health care team on preventive medicine programs and other appropriate medical activities and functions, or as directed by medical and program directors. Instructs medical students, residents, and other learners that rotate through the department.
The incumbent will provide education, counseling and emotional support for patients and families receiving continuing care.
Prescriptive privileges will follow VA and medical center guidelines, including PS 118-3, Advance Practice Registered Nurse Scope of Practice. The incumbent will be expected to prescribe all condition and acuity appropriate medications including controlled substances.
Maintains current BLS certification. Remains in compliance with VA employee training requirements. Closes out encounters and signs orders on a timely (same-day) basis. Represents department at external meetings as directed by medical and program directors. Serves as subject matter expert during internal training events and external training events as directed by the medical and program directors. Performs minor administrative functions as directed by the medical and program directors.
Bring your expertise to VA and be valued as part of a team that is recognized and respected for significant contributions to medicine. Youâ??ll enjoy a patient-focused environment, terrific benefits and incentives, and the ability to practice at any VA facility in the country.
VA needs new employees with a wide variety of skills and professions.Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of some truly special and deserving people.Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your country's service.Those who a...lready work at VA feel privileged to assist the men and women who have defended our country. Gratitude is our motivation and service is our mission.The Department of Veterans Affairs is much more than just another employer. It is an honorable, open and welcoming community of those who care. America's veterans need you.