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Northern Arizona VA Health Care System is looking for a Nurse Practitioner (PAIN/IMPACT) to join the Primary Care team! 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. A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected. *****NOTE: PLEASE PROVIDE A COPY OF YOUR CERTIFICATION WITH YOUR APPLICATION PACKET.***** PREFERRED EXPERIENCE: Pain experience preferred. 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. 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: Heavy lifting (45 lbs and over); Heavy carrying (45 lbs and over); Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking and standing up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The duties of the position include but are not limited to: Ongoing, continuous care of one or more assigned panel(s) of Veterans Utilizing all available tools to enable effective and efficient identification and interventions of individual patients Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel Functioning at the full extent of the team member's relevant clinical privileges, credentials, scopes of practice, elements of practice, certification, or other facility approved documentation of competency Participating in team performance improvements and sustainment activities to optimize team efficiency and care delivery to patients Implementing primary care operations management processes, as appropriate Managing communications and facilitating safe transitions of patients between PACT's site of care and other health care settings, using informal and formal communication methods, as appropriate Providing health education, and health coaching on wellness, disease prevention, chronic care management, and self-management skills to patients and personal supports persons Engaging patient in using health care, encouraging patients to engage personal support persons, receiving input from patient and personal support persons regarding VA care Using formal and informal communicators that are respectful, effective, timely, an bidirectional with all team members (including patient and personal support persons) to convey significant, clinically relevant information for the care of the patient Collaborating with informatics technology staff to develop and implement systematized, electronically supported tools to support PACT care delivery process (e.g. pre-visit reminder calls, post-hospitalization follow-up up calls, recall scheduling procedures, new patient orientation, disease registries and primary care protocols for chronic disease management Ensuring patient's care plan contains medical recommendations for clinically indicated care Offering clinically indicated health care services to patients assigned to PACT, and providing or arranging for care to which patients' consent Providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members Reviewing available clinical and performance data with team, focusing on continuous improvement of critical team processes Evaluations and treatment, including face to face, telephone, and/or video to home clinics Initial and ongoing assessment of patient's medical, physical, and psychosocial status Obtaining and documenting a comprehensive medical/physical history and physical examination Ordering and following-up on appropriate diagnostic tests Reviewing and interpreting laboratory tests and take appropriate action Referring patients to consultations with specialty clinics Managing chronic and acute medical problems Entering orders into VA Electronic Medical records for medications, consults, testing, etc. Women's Health examinations and counseling, including preventive care services such as but not limited to breast and cervical cancer screening, osteoporosis screening, intimate partner violence screening and military sexual trauma screening PAIN/IMPACT specific duties include: Practicing on integrated medicine team which consists of Provider, RN, LPN, MSA, Psychologist, Integrative Medicine Specialist (Chiropractor); Pharmacist, Dietician, and Rec Therapist Once weekly team meetings (1 hour) Joint/Trigger Point injections Opiate management Review and respond to pain e-consults Maintain a suboxone waiver and prescribe as indicated Follow Whole Health Principles Follow safe opiate prescribing guidelines Service on Opiate Safety (OS) and Pain Committees 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: This position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital. Some positions require rotation of tours or indefinite work on non-administrative tours as established by the immediate supervisor. Not all duties may be listed, so other duties may be assigned. Telework: Not available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized. Financial Disclosure Report: Not required."]

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