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Nurse Practitioner (Ambulatory Care)

Summary The West Texas VA Health Care System is currently recruiting for Ambulatory Care Nurse Practitioners located with the West Texas VA Health Care System in Big Spring, Abilene, and Odessa, Texas locations. These vacancies may also be filled by Physician(s); see CAZM-12303828-24-HL .Candidates are encouraged to apply to the vacancy announcement that matches their specific occupation/discipline and specific qualification standards that are used to determine qualifications. Learn more about this agency Help Overview * Accepting applications * Open & closing dates 02/15/2024 to 07/31/2024 * Salary $97,518 - $167,051 per year * Pay scale & grade VN 00 * Help Locations * Abilene, TX * Big Spring, TX * Odessa, TX * Remote job No * Telework eligible No * Travel Required Occasional travel - You may be expected to travel for this position. * Relocation expenses reimbursed No * Appointment type Permanent - * Work schedule Full-time - * Service Excepted * Promotion potential None * Job family (Series) 0610 Nurse * Supervisory status No * Security clearance Other * Drug test Yes * Position sensitivity and risk Non-sensitive (NS)/Low Risk * Trust determination process Credentialing Suitability/Fitness * Announcement number CAZM-12303829-24-HL * Control number 777071000 Help This job is open to * Internal to an agency Current federal employees of this agency. * The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Videos Help Duties The Ambulatory Care Nurse Practitioner(s) is responsible for the initial evaluation, stabilization and triage of all patients who present to primary care as well as obtaining consultation when needed and ensuring appropriate referrals for follow-up visits are completed and the maintenance of the patients computerized medical records. Services may be provided face to face or through tele-health. The Nurse Practitioner must possess commitment to patient care and take an active role in the delivery of medical care in a Primary Care setting. The candidate must also possess excellent clinical knowledge. This position will involve interaction with other services and hospitals and fosters a high level of patient and staff satisfaction. The incumbent will also provide women's health care needs. DUTIES INCLUDE THE FOLLOWING: * Provides for Ambulatory Care Service must be available 8 hours a day, Monday thru Friday. Shift work may be required as appropriate for coverage. * In an emergency, as a member of the medical staff, you are authorized to treat any disease and perform any procedure within the scope of medical licensure. An emergency for these purposes is defined as any situation in which any delay in your administering treatment would result in serious harm to the patient or would constitute an immediate threat to the life of the patient. * BLS/CPR is required; ACLS and Out of Operating Room Airway Management (OORAM) as appropriate. * Nurse Practitioner must be qualified and training in the following areas: * Ambulatory and Outpatient Care * Mental Health * Patient Aligned Care Team (PACT) * TeleHealth/TeleMedicine * Compensation & Pension (C&P) * Consult response in any setting * Notifies supervising physician regarding any unusual or unexpected events or problems requiring direct physician consultation. * Instructs and counsels patients regarding compliance with prescribed therapeutic regimen, emotional problems associated with cardiac disease and health maintenance. * Documents and maintains patient record of services provided per program standards. * Enhances professional growth and development through participation in mandatory educational reviews, educational programs, current literature, in-service meetings, and workshops. * Performs clinical research related to specific operations as appropriate. * Participates in utilization review for quality of service. * Coordinates patient treatment plan with other caregivers such as the physician, community health nurse, physical therapist, social worker, and nutritionist. * Clinic note completed, documented, and encounter closed in CPRS same day of visit with the patient. * View alerts to be addressed within 24 hours of receipt and no more than 75 view alerts permitted to be carried over to the following day. * Participation in the facility's PEER review process, including the external review. * Provides telemedicine service via Clinical Video teleconferencing, as needed, to other WTVAHCS primary care setting for cross coverage. Please note-This announcement has been amended to include the new Nurse Qualifications Standards, Appendix G dated 01/29/2024. Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) VA offers a comprehensive total rewards package: VA Nurse Total Rewards Help Requirements Conditions of Employment * You must be a U.S. Citizen to apply for this job. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. * 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 VA. * 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 background/security investigation. * Selected applicants will be required to complete an online onboarding process. * Must pass pre-employment physical examination. * Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). * Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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. 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. * Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. Graduate of a school ofprofessional nursing approved 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. OR * Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent Nurse Practitioner masters or doctorate level degrees who possess current, full, active and unrestricted registration and certification (see paragraph 2c) will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. * License: 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. * Nurse Practitioners must be licensed or otherwise recognized as a nurse practitioner in a State 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. Prescriptive Authority. The handbook does not address any additional requirements that nurse practitioners and clinical nurse specialists must meet before they are granted prescriptive authority. Preferred Experience: * 2+ years experience as a Nurse Practitioner. * National Certification as a Family/Internal Medicine or Adult Health Nurse Practitioner. * Proficient in computer proficiency software. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: * APN (Nurse Practitioner) II: Meets basic education requirement for APN (CNS). Nurse II is considered the entry grade level for APN (NPs); no experience is required. * APN (Nurse Practitioner) III: (i) Meets basic education requirement for an APN (NP) AND (ii) One year of specialized APN (NP) experience equivalent to the Nurse II grade level. 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. Physical Requirements: Moderate lifting, 15-44 pounds, Light Lifting, under 15 pounds, Heavy carrying, 45 pounds and over, Light carrying, under 15 pounds, Straight pulling (8-12 hours), Pulling hand over hand (8-12 hours), Pushing (8-12 hours), Reaching above shoulder, Use of fingers, Both hands required, Walking (8-12 hours), Standing (8-12 hours), Crawling (8-12 Hours), Kneeling (8-12 Hours), Repeated bending (8-12 hours), Climbing, legs only (8-12 Hours), Climbing, use of legs and arms, Both legs required, Ability for rapid mental and 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, Both eyes required, Depth perception, Ability to distinguish basic colors, Ability to distinguish shades of color, Hearing (aid permitted), Hearing without aids, Mental and Emotional stability required. Education Note: Only education or degrees recognized by the appropriate State agency and accredited by either: a) The Accreditation Commission for Education in Nursing (ACEN); or b) The Commission on Collegiate Nursing Education (CCNE) or 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: * ACEN - * CCNE - * U.S. Department of Education - 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: Note: If your school was accredited by Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) at the time of graduation but is no longer listed on the ACEN or CCNE website, you must provide documentation of accreditation with your application packet.Note: If your school has changed names, or is no longer in existence, you must provide this information in your application. Note: If your school has changed names, or is no longer in existence, you must provide this information in your application. Additional information Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. 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. Read more * Benefits Help 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. Opens in a new windowLearn 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 You Will Be Evaluated You will be evaluated for this job based on how well you meet the qualifications above. Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered 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 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. 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. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. 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 Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.