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Mid-Level Provider (Inpatient)


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  • Duties
    Help Duties Summary

    The VA Eastern Kansas Health Care system (EKHCS) is a tertiary care health system providing Emergency Care, Inpatient and Outpatient Care, Research, Domiciliary Care, Nursing Home Care, and Geriatric Care to a 45-county primary service area which spans throughout Northeastern and Central Kansas and Missouri. EKHCS consists of two divisions: in Topeka, Kansas, and in Leavenworth, Kansas, as well as multiple Community Based Outpatient Clinics across the service area.

    Learn more about this agency
    Responsibilities

    The NP/PA executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. The NP/PA may function in a variety of roles including patient advocate, consultant, leader, educator, administrator, researcher, and/or clinical care expert. Works effectively with all levels of staff, to include collaborative efforts with other health professionals. Major duties may include, but are not limited to, the following: Provide competent care to a diverse veteran population with consideration for differences in cultural, socio-economic, military service and age-specific criteria.
    - Obtains relevant health and medical history
    - Performs physical examination based on age and history
    - Performs or orders preventive / diagnostic procedures based on client's age and history
    - Identifies health and medical risk factors
    - Formulates differential diagnosis based on history, physical examination, and diagnostic test results
    - Establishes priorities to meet the health needs of the individual, family, or community
    - Formulates individualized treatment plan
    - Selects appropriate pharmacologic and non-pharmacologic interventions
    - Develops a patient - family education plan
    - Initiates consultation /referral as indicated
    - Establishes priorities for interventions
    - Implements interventions consistent with treatment plan
    - Prescribes specific pharmacologic agents and/or nonpharmacologic therapies as indicated
    - Follows any standardized procedures accordingly
    - Implements current clinical guidelines/pathways
    - Makes appropriate referrals to other health care professionals and community agencies
    - Participates in peer reviews as assigned
    - Obtains informed consent when appropriate
    - Maintains a process for systematic follow-up
    - Evaluates effectiveness of treatment plan promptly
    - Documents effects of interventions and outcomes of care in the patient record accurately
    - Reassesses and modifies plan as necessary to achieve health care goals
    - Serves on committees, teams, workgroups, and chart reviews as requested/approved by administration
    -Basic Life Support (BLS) certification, Advanced Cardiac Life Support (ACLS) and Out of Airway Management (OORAM) certification is required.
    Work Schedule: Full-Time. This position will be 7:00 am - 7:00 pm to include rotating tours, rotating days, nights weekends, evenings, Federal and Non-Federal Holidays.
    Financial Disclosure Report: Not required

    Travel Required
    Not required

    Supervisory status
    No

    Promotion Potential
    00

  • Job family (Series)
    0603 Physician Assistant

    0610 Nurse

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    • Assistants, Physician
    • Educators, Health
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    • Healthcare Practitioners, All Other
    • Nurse Practitioners
    • Nurses, Psychiatric


  • Requirements
    Help Requirements Conditions of Employment
    • You must be a U.S. Citizen
    • Designated and/or random drug testing required
    • Selective Service Registration is required for males born after 12/31/1959
    • Must be proficient in written and spoken English
    • You may be required to serve a probationary period
    • Subject to a background/security investigation
    • Selected applicants will be required to complete an online onboarding process
    • Must pass pre-employment physical examination

    Qualifications
    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: Candidates appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d).Psychiatric Nurse Practitioner Basic Requirements:
    Education: Graduate of a Master's Degree School of Nursing program accredited by the National League for Nursing Accrediting Commission (NLNAC) or Commission on Collegiate Nursing Education (CCNE).
    License and Registration: A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, Territory, Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. License must be current, full, active and unrestricted.
    Certification: Nurse Practitioners must maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be a Psychiatric certification.
    Physician Assistant Basic Requirements:
    Education:
    Applicants must be a graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; AND have a Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.
    Certification: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA. Note: Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years, as provided in VA Handbook 5005, Part II, Chapter 3, Section G, Paragraph 5.Preferred Experience: ACLS/BLS and out of OR airway certification preferred. Nurse Practitioner's applying require a certification in the specialty applying for.
    Nurse Practitioner Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
    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.
    Physician Assistant Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
    Full Grade. In addition to meeting the basic requirements individuals appointed to this grade must meet all the following requirements:
    (1) Experience / Education. None beyond the basic requirements in paragraph 2 of this standard.
    (2) Clinical Competencies
    (a) Clinical Proficiency
    1. Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans, and modify treatment plans when appropriate.
    2. Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate.
    3. References quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care.
    4. Initiates effective actions in emergencies.
    (b) Professional Development
    1. Obtains additional knowledge and skills appropriate to the practice setting to improve performance.2. Provides patient education in an effective manner.
    (c) Ethics. Safeguards patient privacy and confidentiality. Provides care in a nonjudgmental, non-discriminatory manner respecting the patient's values and beliefs.
    (d) Interpersonal Skills. Works effectively with patients, families, caregivers, and other professional and support personnel.
    (e) Research
    1. Demonstrates awareness of research application to practice.
    2. Researches medical literature and applies evidenced-based medicine to improve clinical practice.
    b. Intermediate Grade. In addition to meeting the basic requirements, candidates must meet all requirements described in this standard for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements:
    (1) Experience / Education
    (a) 1 year of professional practice as a PA; or
    (b) Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or
    (c) A Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education.
    (2) Clinical Competencies
    (a) Clinical Proficiency
    clinical skill and competency than that expected of the previous grade.
    2. Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade.
    3. Practices with a higher degree of autonomy and seeks guidance from the assigned physician less frequently than expected of the previous grade.
    4. Evaluates the delivery system of patient care within the area of assignment, presents findings and recommendations, and contributes to changes that enhance the quality and timeliness of care.
    (b) Professional Development
    1. Acquires knowledge and skills to maintain expertise in area of practice.
    2. Shares medical literature research findings with colleagues to enhance patient care delivery.
    3. Participates in educational activities to improve clinical knowledge and enhance role performance.
    4. Serves as a clinical preceptor to healthcare students.
    5. Serves on service level committees or subcommittees when assigned.
    (c) Ethics
    1. Identifies medical ethical issues and takes appropriate actions.
    2. Supports and enhances patient self-determination.
    (d) Research
    1. Shares medical literature research findings with colleagues to enhance patient care delivery.
    2. Uses a body of research to validate or change group practice.Scope of Practice: Advanced Practice Registered Nurse - Inpatient - or Physician Assistant
    References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard and VA Handbook 5005, Part II, Appendix G-2 Physician Assistant Qualification Standard. This can be found in the local Human Resources Office.

    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

    Physical Requirements: Heavy Lifting (45 pounds and over); Heavy Carrying (45 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.

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

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

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

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

    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.

    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, C.V., 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 experience will be reviewed by a Professional Standards Board and utilized in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

    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

    Drug test required
    Yes

  • Required Documents
    Help Required Documents

    To apply for this position, you must provide a complete Application Package which includes:

    • Resume


    VA Form 10-2850a can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search . VA Form 10-2850a is required at the time of application.

    The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), etc.

    • Cover Letter
    • DD-214
    • OF-306
    • Other
    • Service Award
    • Resume
    • SF-15
    • SF-50
    • Transcript


    Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and 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 Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, 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 (ET) on 09/16/2019 to receive consideration.
  • To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
  • 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 USA JOBS account, https://my.usajobs.gov/Account/Login , 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 USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

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    Agency contact information Christopher Kirmse

    Phone
    (785) 350-3111
    Email
    christopher.kirmse@va.gov

    Address

    VA Eastern Kansas Health Care System
    2200 SW Gage Blvd
    Topeka, KS 66622
    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. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. 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/511079300 . 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
Topeka, KS, US