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The Nurse Practitioner promotes self-care, advanced-illness planning, and enlists the participation of patients in establishing realistic health goals. In addition to providing direct patient care, the nurse practitioner also provides patient and family teaching; staff education; consults and collaborates with other health providers, participates in nursing research; prescribes medications and adjunctive modalities; and refers patients to specialty care. 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: 1 year of geriatrics 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 I Level III - Master's degree in nursing (MSN) and no additional nursing practice/experience. Nurse II - Master's degree in nursing and approximately 1-2 year's 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 and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's 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: The Nurse Practitioner must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective practice. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Major Duties: Obtains and documents relevant health and medical history Assures that care is provided in a manner that is in accordance with best practices and is evidence-based Provides Advance Care Planning Documents in Computerized Patient Record System in a timely manner and within the required timeframe Maintain availability to team members for collaboration when medical or other problems arise Conducts preventive screening procedures based on history Performs a physical examination based on the history Orders and interprets diagnostic tests Responds to critical labs/diagnostic test result notifications in a timely manner and within the required timeframe Identifies medical and health risks and needs of the patient/family based on data collection Formulates the appropriate differential diagnosis based on the history, physical examination and clinical findings Establishes a plan of care to achieve the identified medical and health goals Prescribes (and administers) medications which may include controlled substances per licensure Identifies patient education needs and provides for relevant education Initiates referrals and/or consultations as appropriate Determines effectiveness of the plan of care through documentation of client (patient) care outcomes Is proactive in identifying potential emergency/crisis situations and providing appropriate interventions Performs procedures within the approved scope of practice and based on documented competencies such as excising skin lesions, administration of local anesthesia, suturing, injection of joints, pelvic exam and pap smear, punch biopsy, etc. Coordinates admission of outpatients to inpatient service and collaborates with physician when indicated Provides coverage to other HPACT providers, as necessary Collaborates with the HPACT Interdisciplinary Team in delivering comprehensive care to veterans with complex medical and psychosocial problems and functional impairments. Work Schedule: Monday through Friday; 8:00 am to 4:30pm. May be required to work weeknights and/or weekends as needed by program/agency. Telework: Available - Adhoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required"]

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