Nurse Practitioner-Geriatrics

Summary

The Advanced Practice Nurse III Certified Nurse Practitioner (NP) practices in Geriatrics 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. Assigned under the Inpatient and Outpatient sections and reports the the CLC Medical Director.

Duties

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The C.W. Bill Young VA Medical Center Geriatrics and Extended Care Service is seeking an experienced and dynamic Nurse Practitioner (NP). Ideal applicants are those who want to contribute to the achievement of quality care standards, as well as the growth and development of a VA academic hospital program.

As a Licensed Independent Provider, the Nurse Practitioner practices autonomously and in coordination with health care professionals and other individuals. The incumbent provides a wide range of health care services, including the diagnosis and management of acute, chronic, and complex health problems; health promotion; disease prevention; health education; and counseling to individuals, families, groups and communities. Must be an excellent communicator and team player who is adaptable to the needs of a growing medical center.

Major duties and responsibilities of the position :

• Serves as Hospice / Palliative Nurse Practitioner in Geriatrics Service working in the following areas : Community Living Center (CLC), Hospice and Palliative Care Unit, Acute Care Units and seeing outpatients for Palliative care. In CLC the APN is responsible for the management of a panel of patients with acute care and chronic health conditions with an emphasis on health promotion and disease prevention using evidence- based practice in a long-term care setting at the Community Living Center (CLC) as part of the GEC staff.
• Performs consults in inpatient acute care, CLC, and outpatient settings. Ongoing daily clinical management of Veterans receiving care in inpatient acute care, CLC, hospice and palliative care designated units.
• The APN will provide direct patient care which include completing admission H&P, progress notes, transfer notes, all day-to-day aspects of patient care and participation in family conferences.
• Does monthly notes, completes section I in MDS, weekly wound rounds, attend IDT meetings, pain management notes, self-medication clearance notes, aspiration precaution orders for veterans on special diet, and collaboration with physicians.
• Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.
• Performs initial and ongoing assessment of medication therapy, medication monitoring plans (as appropriate), and identifying patient-specific medication issues, including drug interactions, adverse effects, efficacy, appropriateness, and compliance challenges for Veterans receiving ongoing palliative care. Develops a plan for follow-up and ongoing assessment, evaluation with the interdisciplinary team that aligns with the Veteran and family goals.
• Demonstrates leadership and works collaboratively with the interdisciplinary team.
• Ensures referrals from within the facility are addressed appropriately, coordinating team meetings, ensuring effective communications with community hospice agencies for transitioning Veterans, serving as a resource for VA staff that make community hospice referrals, promoting competency in palliative care for all members of the PCCT through current certification or by attendance at continuing education programs annually, and

monitoring and reporting of quality measures.

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 : Friday to Tuesday 8 : 00 AM to 4 : 30 PM. This position will work 8 hours working weekends as prescribed by the Supervisor Friday through Tuesday from 8 AM to 4 : 30 PM

Telework : Not available

Virtual : This is not a virtual position.

Relocation / Recruitment Incentives : Not authorized

Permanent Change of Station (PCS) : Not authorized

Requirements

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Conditions of employment

Qualifications

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements

The Accreditation Commission for Education in Nursing (ACEN) or

NOTE : Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also 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.

The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II :

Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and / or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B).

Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program.

The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III :

Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population, or program.

Physical Requirements : This position includes a level of physicality normally associated with duties performed by advanced practice nurses such as physical assessment, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling.

Examples may include but are not limited to :

Preferred Experience : Preferred experience in inpatient Hospice and Palliative Care 2 to 3 years. Experience in managing CLC veterans 1 to 2 years

Additional information

Reference : For more information on this qualification standard, please visit

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration / Operations, Security, and Preparedness (HRA / OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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