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Nurse Practitioner Specialty Care

Veterans Health Administration | Charleston, SC

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Posted Date 12/13/2024
Description The Advanced Practice Nurse (APN) II Certified Nurse Practitioner (NP) practices in Medicine. Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. The NP practices to the full extent of their education, training, and certification. Core functions are outlined in the clinical privileges that correspond with this position.



The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for patients.

Major duties and responsibilities of the position in the Medicine Service specialties:
-Independently (with mentorship) manages patients with acute and chronic health
conditions with an emphasis on advanced care in the specific specialty using evidence based
practice.
-An NPII is in their first year of independent practice. A clinical mentor will be assigned
and a mutual decision made between the provider and mentor on which patients
require review and progression to care without review. Clinical notes done with mentor
review will have the statement: " Clinical Care reviewed with (mentor).".
-Consultation and ongoing management can occur in an outpatient, inpatient, virtual, or
electronic consult setting.
-Works with other providers in their specialty to co-manage patients.
-Completes or assists with appropriate medical procedures based on granted privileges
and duties as determined by leadership of the Medicine Section.
-Demonstrates leadership and works collaboratively with the interdisciplinary team.
-Orders and interprets labs, tests, and diagnostic studies.
-Prescribes pharmacologic and non-pharmacologic interventions.
-Initiates referrals and consults to other specialty services, as appropriate.
-Provides education to patients and their families.
-Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.
-Supports all aspects of consult management.
-Supports decisions, evaluation of referral, and integrates community care.
-Uses tele-care modalities including voice, video, electronic consults, and others to
provide care, when appropriate.
-Completes appropriate documentation of care in a timely fashion meeting facility
requirements.
-Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence.
-Completes or assists with projects to improve Veteran care based on the needs of the
facility.
ties include:
-Perform inpatient, outpatient, and case management duties with an emphasis on inpatient care both in the Critical Care unit and with Ward patients. Inpatient services will be as part of a Pulmonary/Critical Care (PM/CC) team or at times, part of an Internal Medicine Hospitalist team. Performs management of consults.
-Uses sound clinical judgement in assessing, planning, implementing, documenting, and evaluating care.
-Performs outpatient and remote care for patients being evaluated for sleep-related disorders
-Prescribe and/or recommend laboratory tests, diagnostic studies, and/or medications based on current Medical Center, VHA, and DEA policy.
-Assumes a leadership role in utilizing problem-solving methodologies to resolve system and/or process problems that impact patient care, staff performance, and/or system improvements. Identify opportunities for improvement and initiate performance improvement processes.
-Guides, develops, and supports staff from a leadership prospective and collaborates with other clinicians.
-Maintain current knowledge of clinical practice guidelines, preventive measures, and other standards of practice, and apply evidence to practice to improve the quality of care.
-Effectively manage Pm/CC/Sleep Service resources to increase efficiency, cost effectiveness, and maintenance of a safe environment.
-Identify potential/actual problems and select courses of action which will result in the most favorable patient and organizational outcomes.
-Perform clinic procedures appropriate to Pm/CC/Sleep services.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

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: Various Tours
Compressed/Flexible: Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Basic Requirements:
  • English Language Proficiency. In accordance with 38 U.S.C. 7403(f), 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 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).
  • 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. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.)
NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12624977.
Grade/Level Scope Education
Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.
Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.
Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience.
Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.
Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.
*Note: Foreign education programs/degrees are not creditable as related degrees.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: This position potentially requires flexibility in schedule and assignments. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The position requires potentially long periods of combined walking, standing, stooping, sitting, bending, pulling, and pushing. The incumbent must be a mature, flexible, sensible individual capable or working effectively in stressful situation, able to shift priorities based on needs of the organization. The incumbent who provides off-site training may be required to travel occasionally.
Salary106,559.00 - 182,278.00 Annual
Opportunity Type
Job

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