This vacancy is for a Nurse Practitioner in the Home Based Primary Care service. 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: Experience working with patients in a home care setting, specifically geriatric patients. 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. 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: VA Regulations, specifically VA Handbook 5019 ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Home Based Primary Care is Health Care Services provided to Veterans in their home. A VA Physician supervises the Health Care Team who provides the services. Home Based Primary Care is for Veterans who have complex health care needs for whom routine clinic-based care is not effective. The program is for Veterans who need team based in-home support for ongoing diseases and illnesses that affect their health and daily activities. Veterans usually have difficulty making and keeping clinic visits because of the severity of their illness and are often homebound. The Home Base Primary Care (HBPC) Nurse Practitioner functions with expert knowledge and skills to provide the provision of primary care for complex patients in their homes. This includes clinical coordination and oversight for their patient population. The Nurse Practitioner is responsible and accountable for assessing, planning, implementing, treating, and evaluating care and identifying outcomes for patients in HBPC. The Nurse Practitioner applies the nursing process and care management principles within a collaborative, interdisciplinary practice setting. Nurse Practitioner (HBPC) is supported in the provision of complex patient care by utilizing techniques to effectively implement health promotion and prevention practices and the management of acute and chronic illness of the HBPC patient. Major duties and responsibilities include, but are not limited to: Participates in the education and procedural teaching of patients and their significant others, maintaining patient confidentiality and ensuring privacy. Communicate with the veterans and their families to assure understanding of their disease process and the goals of therapy. Collaborates with other healthcare professionals and colleagues, team building activities. Guides and supports staff development from a leadership perspective, using scientific evidence and practice to evaluate programs and/or services and their effectiveness Elicits a complete and/or problem oriented health history, performs physical examinations, orders appropriate diagnostic tests, and formulated diagnostic impressions and appropriate treatment plans. Admits patients for hospitalization or refers to other ambulatory care programs Furnishes new medications and provides refills of existing medications in accordance with standard procedure. Provides telephone advice to clinic patients and their families. Triages and evaluates unscheduled clinic patients. Demonstrates a high level of skill in individualizing care for patients with various diagnoses and changing conditions, which may require specialized care. 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 Work Schedule: Monday - Friday, administrative day tour Telework: On an as needed basis, based on the need of the service. Virtual: This is not a virtual position. EDRP Authorized: Learn more"]
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.