Advanced Practice Nurse (Nurse Practitioner)

Military Treatment Facilities under DHA•Tacoma, WA
•Onsite

About The Position

This position is located in Primary Care, Internal Medicine, at Madigan Army Medical Center in Tacoma, Washington. The Nurse Practitioner serves as a direct primary health care provider, independently examining, diagnosing, and treating patients within their credentials and the privileges granted by the Military Treatment Facility. The role involves complex medical care, including evaluating undiagnosed conditions, obtaining and documenting patient histories, making clinical assessments, and coordinating care with other professionals and agencies. The Nurse Practitioner assesses patients, determines and orders appropriate laboratory tests, X-rays, and other procedures, and prescribes treatment for a variety of diseases, disorders, and injuries. The role also provides routine follow-up and chronic-illness care, including participation in management of hypertension, hyperlipidemia, diabetes mellitus, coronary artery disease, congestive heart failure, and chronic obstructive pulmonary disease. The position requires maintaining appropriate clinical privileges and current Basic Life Support certification. It is designated Mission Essential and Inclement Weather Essential, and the incumbent may be required to report during emergencies or severe weather. Occasional temporary duty or business travel may be required. Advance-in-hire, recruitment, relocation, and advanced leave accrual may be authorized in applicable circumstances.

Requirements

  • Graduate or higher-level degree from an accredited professional nursing educational program in Advanced Nurse Practitioner, unless eligible for the stated federal-employee exemption.
  • Current, active, full, and unrestricted professional nurse license or registration from a U.S. state, the District of Columbia, Puerto Rico, or a U.S. territory, and passage of the National Council Licensure Examination, unless eligible for the stated federal-employee exemption.
  • Current, active, full, and unrestricted license or registration as a Family Practice Nurse Practitioner or in a related specialty from a U.S. state, the District of Columbia, Puerto Rico, or a U.S. territory.
  • At least one full year of professional nursing experience obtaining and recording patient health histories, prescribing medications, and explaining laboratory and diagnostic test results for patients age 50 and older. Education may not substitute for this experience.
  • Meet credentialing requirements and obtain and maintain appropriate and relevant clinical privileges.
  • Obtain and maintain current Basic Life Support certification through the American Red Cross; advanced certification does not replace BLS.
  • Complete a pre-placement medical examination and required immunization screening; hepatitis B immunization is required for positions with direct patient contact, and other immunizations may be required depending on the position.
  • Consent to pre-employment screening and random drug urinalysis testing.
  • Complete a background investigation and any required suitability or fitness determination.
  • Ability to perform moderate to heavy lifting up to 15 pounds.
  • U.S. citizenship and proof of citizenship are required.
  • Occasional temporary duty or business travel may be required.
  • For foreign nursing school graduates, official certification from the Commission on Graduates of Foreign Nursing Schools is required.
  • Selectees must consent to seasonal influenza vaccination or provide a recognized exemption.
  • A one-year probationary period applies.

Responsibilities

  • Provide direct primary health care as a credentialed Nurse Practitioner.
  • Independently examine, diagnose, and treat patients within credentials and privileges delineated by the Military Treatment Facility.
  • Evaluate complex medical cases, including isolating and defining unknown medical conditions.
  • Obtain and document health and medical histories from patients or family members, record findings, and make clinical evaluations.
  • Coordinate primary care with other professionals and agencies involved in care for patients and their family members.
  • Examine patients and perform initial workups and assessments of care and treatment.
  • Determine the need for and order laboratory tests, X-rays, and other procedures needed to complete patient assessments.
  • Prescribe treatment for and treat a variety of diseases, disorders, and injuries.
  • Provide routine or directed follow-up care and treatment for documented chronic illnesses.
  • Participate in disease management for hypertension, hyperlipidemia, diabetes mellitus, coronary artery disease, congestive heart failure, and chronic obstructive pulmonary disease.
  • Report to work during contingency operations, natural disasters, extreme weather, or other emergencies, and make every attempt to report on time or remain on duty during severe weather.
  • Maintain current Basic Life Support certification and appropriate clinical privileges.

Benefits

  • Federal employee benefits package available to the employee and family, subject to eligibility and position type.
  • Advance in hire may be authorized for candidates new to Federal service.
  • Recruitment or relocation incentives may be authorized for highly qualified candidates.
  • Advanced leave accrual may be authorized.
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