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Registered Nurse Pracitioner-Home Based Primary Care


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  • Duties
    Help Duties Summary

    OUR MISSION: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

    The VA Palo Alto Health Care System (VAPAHCS) consists of three inpatient facilities located at Palo Alto, Menlo Park, and Livermore, plus seven outpatient clinics in San Jose, Fremont, Capitola, Monterey, Stockton, Modesto, and Sonora. These facilities provide some of the world's finest medical care and cutting-edge technology.

    VAPAHCS is a teaching hospital with an affiliation with the Stanford University School of Medicine which provides a rich academic environment including medical training for physicians in virtually all specialties and subspecialties. Our Health Care System operates over 800 beds, including three nursing homes and a 100-bed homeless domiciliary - all to serve more than 67,000 enrolled Veterans.

    You can learn more about VAPAHCS by visiting: http://www.paloalto.va.gov/about/

    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.

    All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with the VA. In addition, any offer of employment will be rescinded with a verified positive drug test result. VA employees in drug testing designated position are also subject to post appointment random drug testing.

    ***NOTE: Declining to be interviewed, failure to respond/accept interview attempts, or failure to report for a scheduled interview will be considered as a declination for further consideration for employment against this vacancy.***
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    Responsibilities

    Work Schedule: Full-Time, NOTE: Shifts may vary depending on patient care needs.

    ***RELOCATION INCENTIVE/RECRUITMENT INCENTIVE IS NOT AUTHORIZED.***

    The incumbent of this position will serve as a Nurse Practitioner of the Home Based Primary Care team with the Extended Care Service with the Veterans Affairs Palo Alto Health Care System. Home Based Primary Care (HBPC) is an interdisciplinary program that provides short term and long term health care services to patients who are homebound. The HBPC Nurse Practitioner provides and coordinates comprehensive, interdisciplinary, primary medical care & case management in the homes of veterans with complex medical, social, and behavioral conditions. Population served includes those patients with multiple chronically active medical problems, impairment in self, non-ambulatory, cognitive impairment, frequent use of the ER/hospital, terminally ill, no caregiver/support network; no other accessible primary care provider.

    The major duties and responsibilities include, but are not limited to :
    • Provides oversight when consulting & collaborating with interdisciplinary team members to develop strategies/ plan of care for handling specific patient needs.
    • Develops and updates , with the collaboration of the interdisciplinary team, patient treatment plans and ensures care coordination by involving the patient, caregiver(s), family, VA and community programs.
    • Provides and/or coordinates skilled nursing services which includes, but not limited to: monitoring and management of chronic and acute illnesses, medication management, wound care, lab tests, catheter care, injections, electrocardiograms, promotion of health, wellness, and independence.
    • Coordinates and participates in implementation of clinical practice guidelines.


    Travel Required
    50% or less - You may be expected to travel for this position.

    Supervisory status
    No

  • Job family (Series)
    0610 Nurse

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  • Requirements
    Help Requirements Conditions of Employment

    • You must be a U.S. Citizen to apply for this job.
    • Designated and/or Random Drug Testing required.
    • Must pass pre-employment examination.
    • You may be required to serve a probationary period.
    • Subject to a background/security investigation.
    • Must be proficient in written and spoken English.
    • Selective Service Registration is required for males born after 12/31/1959.
    Physical Requirements: This position requires heavy lifting, 45 pounds heavy carrying, 45 pounds straight pulling (2 hours); reaching above shoulder; use of fingers; both hands required; walking & standing 8 hours - intermittently; repeated bending; both legs required; ability for rapid mental& muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

    Qualifications
    BASIC REQUIREMENTS:
    • United States Citizenship.
    • Graduate from a Nurse Practitioner master's degree program accredited by the National League of Nursing Accreditation Commission (NLNAC) which changed to the Accreditation Commission for Education in Nursing (ACEN; http://www.acenursing.org or The Commission on Collegiate Nursing Education (CCNE; http://www.aacn.nche.edu/ ) at the time the program was completed.
    • Certification: Full and current certification as a Nurse Practitioner from the American Nurses Association or another nationally recognized certifying body. The certification appointed or selected must be in the specialty to which the individual is being appointed or selected.
    • License: Current, full, active and unrestricted licensure as a graduate professional Registered Nurse practice as a Nurse Practitioner in a State, Territory, or Commonwealth (i.e., Puerto Rico) with approval to of the U.S. or in the be in possession of from an approved in spoken and of nursing Inquiry District of Columbia. Graduates of foreign schools of professional nursing programs must current, full active and unrestricted licensure, and must meet the requirement of graduation school of professional nursing.

    Grade Determinations: In addition to the basic requirements, 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN 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 or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree in nursing or related field and approximately 2-3 year's of nursing practice/experience.

    Reference: VA Handbook 5005/27, Part II, Appendix G6 Nurse Qualification Standard, dated March 17, 2009, http://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf
    Preferred Criteria:
    • (1) year of full-time experience as a licensed professional nurse.
    • Current BLS provider card issued by American Heart Association (AHA) or Military Training Network (MTN).
    • Five (5) years of successful full-time RN practice in the area of responsibility with progressive oversight and accountability, demonstrating a high level of administrative and leadership responsibility, and utilization of management skills.
    • Current Advanced Cardiovascular Life Support (ACLS) provider card.


    Education
    IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
    Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/ . If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html .

    Additional information

    It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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

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

    Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

    United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

    Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

    If you are unable to apply online view the following link for information regarding an Alternate Application .

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    How You Will Be Evaluated

    You will be evaluated for this job based on how well you meet the qualifications above.

    IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
    NOTE: Applicant's education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and step of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.
    Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. The criteria are as follows:
    • Practice: practice, ethics and resource utilization;
    • Professional Development: performance, education/career development;
    • Collaboration: collegiality, collaboration;
    • Scientific Inquiry: quality of care, research
    Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

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    Background checks and security clearance

    Security clearance
    Public Trust - Background Investigation

  • Required Documents
    Help Required Documents

    All applicants are required to submit the following supporting document(s):
    • Resume (Required for ALL applicants)
    Applicants are not required, but highly encouraged to submit the following document:
    • VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search . (Required if selected)
    • Non-Award SF-50 (VA, other Federal Employees, and Reinstatement eligible)
    • OF-306 Declaration For Federal Employment https://www.opm.gov/forms/pdf_fill/of0306.pdf (Required if selected)
    • Copy of Transcripts (Official transcripts will be required if selected)


    Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees), SF-50's, etc.

    Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx .

    If you are relying on your education to meet qualification requirements:
    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

  • Benefits
    Help Benefits

    A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits .

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.

  • How to Apply
    Help How to Apply

    All applicants are encouraged to apply online.
    To apply for this position, you must complete the Full Questionnaire and submit the documentation specified in the Required Documents section below.
    The complete application package must be submitted by 11:59 PM (EST) on 10/18/2018 to receive consideration.

    1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.

    2. Click Submit My Answers to submit your application package.

    NOTE : It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

    To verify your application is complete, log into your USAJOBS account , select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.

    To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.

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    Agency contact information Alexandria Williams

    Phone
    (650) 694-6000 X15126
    Email
    ALEXANDRIA.WILLIAMS2@va.gov

    Address

    Palo Alto VA Medical Center
    3801 Miranda Avenue
    Palo Alto, CA 94304
    US

    Learn more about this agency
    Next steps

    Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided). Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

    You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center .

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  • Fair & Transparent
    Fair & Transparent
    The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
    Equal Employment Opportunity Policy

    The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
    • Equal Employment Opportunity (EEO) for federal employees & job applicants

    Read more Reasonable Accommodation Policy

    Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.

    A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.

    Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when:
    • An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
    • An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
    • An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.


    You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.

    Learn more about disability employment and reasonable accommodations or how to contact an agency.

    Read more Legal and regulatory guidance
    • Financial suitability
    • Social security number request
    • Privacy Act
    • Signature and false statements
    • Selective Service
    • New employee probationary period



This job originated on www.usajobs.gov . For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/496899000 . Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.
Company
Veterans Affairs, Veterans Health Administration
Posted
09/20/2018
Type
Full time
Location
Palo Alto, CA, US