Advanced Practice Nurse (Nurse Practitioner) - Primary Care (Float)

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

DUTIES: Provide short or long-term coverage for a panel of patients in the primary care service. Require intermittent and often frequent travel to various locations. Provide walk-in coverage, assist with performance improvement activities to improve quality metrics, conduct virtual care visits to other locations, or assist with other clinical duties as assigned. Performs independently or in collaboration with the provider to carry out the plan of care for the Veteran. Delegates to other Patient Aligned Care Team (PACT) members, but is responsible for diagnosing and treating medical problems, care coordination to higher level of care, and making complex clinical decisions. Serve as the leader of the PACT teamlet, that consists of an RN, LPN/Clinical Associate, and Advanced Medical Support Assistant (AMSA). Optimizes care delivery and provides care to patients with acute problems, patients undergoing transitions of care, and patients with chronic conditions who would benefit in developing and performing self-management skills for chronic conditions especially diabetes, hypertension, CHF, hyperlipidemia, pain, and depression. Utilizes motivational interviewing techniques to facilitate patient development of patient driven goals for health optimization and will be required to attend a formal Motivational Interviewing course. Demonstrate leadership in delivering and improving holistic care by utilizing health promotion and disease prevention and whole health strategies. Uses face to face, telephone, and video virtual care visits, and secure messaging, to provide care to patients. Develops the appropriate plan of care and tracks patient outcomes to determine if interventions are effective. Document timely, appropriately, and effectively in the medical record; ensure the patient's care plan contains medical recommendations for clinically indicated care; and communicate test results and plans of care to patients or ensure this is accomplished by clinical support staff in a timely and effective manner. Performs clinical assessments; triages face to face or virtually; in collaboration with the patient to identify goals for optimizing health; provides patient/family education to improve outcomes, evaluates patient's progress or lack of progress toward achieving goals; and performs case management activities and care coordination activities for those patients assigned to the team who require those services. Participate in team performance improvement and sustainment activities to optimize team efficiency and care delivery; provide leadership to the PACT including shared delegation of appropriate care and care processes to appropriate team members. Report directly to the Primary Care Director and/or Associate Chief of Staff of Primary Care. Other duties assigned 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: 7:30am-4:00pm or 8:00am- 4:30pm Monday- Friday, some weekends and evenings based on the needs of service. Telework: Ad-hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact vhaedrpprogramsupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

U.S. Citizenship; 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.