Nurse Practitioner (Home Based Primary Care)

U.S. Department of Veterans Affairs; Harrison (MT); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Paid Time Off

Federal retirement plan

Health insurance

Job summary

U.S. Department of Veterans Affairs in the Home Based Primary Care program seeks a Nurse Practitioner to provide comprehensive, patient-centered care to Veterans in a home-based setting.

You will practice to the full extent of your education and certification with advanced clinical management and prescriptive authority where indicated. This on-site role follows a standard daytime schedule, with potential limited Ad-Hoc telework; VA total rewards include competitive salary, generous leave, and

Qualifications

• English proficiency required for direct patient care.
• Graduate of a nursing program accredited by ACEN/CCNE.
• State license in nursing required; bridge program options available.

Responsibilities

• Independently manage a panel of HBPC patients with acute and chronic conditions.
• Develop and implement individualized care plans.
• Collaborate with interdisciplinary team and provide education to patients.

Skills

English language proficiency

Nurse practitioner certification

Clinical leadership

Education

RN nursing degree (ACEN/CCNE accredited)

State nursing license

Bridge program eligibility in nursing

Foreign education evaluation

Job description

• This is not a Remote Position* The Nurse Practitioner (NP) practices in Home Based Primary Care (HBPC) Service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs mission. They practice to the full extent of their education - training - and certification. They provide advanced clinical practice - consultation - and management. They have prescriptive authority for a panel of patients or program as indicated by their position.

Summary

• This is not a Remote Position* The Nurse Practitioner (NP) practices in Home Based Primary Care (HBPC) Service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs mission. They practice to the full extent of their education - training - and certification. They provide advanced clinical practice - consultation - and management. They have prescriptive authority for a panel of patients or program as indicated by their position.

Qualifications

• 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/13067788
• 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 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
• Preferred Experience: Home Based Primary Care and/or Home Care Experience
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: The incumbent must be able to perform all activities of the position without restriction
• This position involves considerable standing - walking - stooping - bending - reaching - lifting and turning
• It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers
• Mechanical devices when available are required to be used for heavy or difficult to lift patients
• 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 nursing care
• The positions requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients.

Duties

• https://youtu.be/NpaTtyybXFQ?si=IHyw-Bf27aaL4Wvz Duties and responsibilities include - but are not limited to - the following: Independently manage a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice
• Develop and implement an individualized plan to achieve optimal population health and disease management
• Demonstrate leadership and work collaboratively with the interdisciplinary team
• Order and interpret labs - tests - and diagnostic studies
• Prescribe pharmacologic and non-pharmacologic interventions
• Initiate referrals and consults to specialty services
• Provide education to patients and their families
• Assess and adjust the plan of care as needed to achieve optimal patient outcomes
• Exemplify the ICARE core values of-Integrity - Commitment - Advocacy - Respect - and Excellence
• 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: 8:00 A.M
• - 4:30 P.M
• Monday - Friday Telework: This position will likely be eligible to telework on a limited Ad-Hoc basis only