This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. 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. Nurse Practitioners. 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.] Current, full, active, and unrestricted license 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 copy of your Transcript and Certification must be submitted with the application. Preferred Experience: Clinical experience in the ongoing evaluation, assessment, and treatment of inpatients, outpatients, and ER patients seen within the specialty clinic setting, in the hospital, and on the inpatient units or in the ER. 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.Office. Physical Requirements: Medium Lifting (35 pounds and below); Medium Carrying (35 pounds and over); Straight pulling and/or Pushing (up to 6-8 hours); Reaching above shoulder; Use of fingers; Both Hands required; Walking (up to 6-8 hours); Standing (up to 4 hours); Sitting (up to 1 hour); Kneeling; Repeated bending (up to 1 hour); Both legs required. Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20; Hearing (aid permitted); Ability to hear whispered voice. Emotional stability. Ability for rapid mental and muscular coordination simultaneously. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards This is an evening time/night time position for nontraditional hours. The Psychiatric Nurse Practitioner functions in a clinical role to provide Veteran care and promote patient-centered interdisciplinary approaches to those individuals referred for Psychiatric services at VAEKHS in accordance with standards of VHA and other accrediting bodies to include the following: These duties are performed on a routine and repetitive basis based upon the training and experience of the incumbent Psychiatric Nurse Practitioner. This position is a hybrid inpatient and outpatient position but may transition fully to outpatient or fully inpatient depending on need. The Applicant would need to be comfortable with both inpatient and outpatient care needs and flexible in this position. -Perform initial psychiatric comprehensive evaluations on new patients, access walk in patients, triaged patients, or inpatients and collecting information of the chief complaint, as well as applicable additional information such as past psychiatric history, past substance abuse history, medical and family histories, psychosocial histories, treatment histories and any other relevant information. When appropriate, a limited (most common) or complete (uncommon) physical examination should be completed as needed to complete the Nurse Practitioner's understanding of the patient' - Develop treatment plans incorporating the appropriate level of expertise regarding psychiatric evaluation and treatment. This includes providing management of Veterans with acute and/or chronic suicidal and/or homicidality; conduct risk assessment and develop safety plan Manages ongoing treatment of follow-up patients in both outpatient and inpatient with different level of psychological functioning and levels of severity and acuity related to their psychiatric condition, consulting with other psychiatric and medical consulting providers as appropriate, based upon the Nurse Practitioner's experience and delegation of duties. - Coordinates care for psychiatric patients, ordering diagnostic tests and consults, performing patient education regarding the ongoing care of the Veteran's mental health needs, prescribing medications as appropriate. - Analyzes and interprets data, formulates problem lists, and establishes plans for solution of clinical problems - Places orders for diagnostic tests and evaluates the test results or reports. - Coordinates clinic and providers schedules to maximize clinic efficiency and Veteran access to care. - Participates in the evaluation, treatment and management of walk-in/access in clinic or ER or add-on outpatients or newly admitted inpatients when this is needed and manages their care as appropriate - Coordinates patient care with other members of health care team. If needed, initiate consultation request to other health care professionals to provide specialty patient management - Manages inpatient care , making rounds, recording psychiatric progress, updating and the medical records, changing patient orders as indicated and appropriate. Providing consultation in the same manner in the inpatient unit as well. - Provides education and counseling to patients and families regarding preventative care, psychiatric conditions, and the use of prescribed treatments/medications. - Develops new and ongoing treatment plans based on a comprehensive assessment of the patient. Implements the patient's treatment plan. Reviews the patient's treatment plan with BHIP team as needed and indicated. Effectively functions both autonomously as well as a member of an interdisciplinary team. 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: Full time, rotating shifts. Telework: Adhoc Telework Only as Needed Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not require"]
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.
