Advanced Practice Nurse

Veterans Health Administration•Sebring, FL
•Onsite

About The Position

The Advanced Practice Nurse Certified Nurse Practitioner practices in Home Based Primary Care (HBPC) within the Geriatrics and Extended Care Service. The position provides advanced clinical practice, consultation, and management, emphasizing quality, timeliness, and the advancement of the VA mission. The Nurse Practitioner serves as a licensed independent provider, practicing autonomously and in coordination with healthcare professionals and others. The role includes diagnosis and management of acute, chronic, and complex health problems, health promotion, disease prevention, health education, and counseling for individuals, families, groups, and communities. The incumbent works across HBPC settings, including patients’ current living arrangements, inpatient acute care, Community Living Centers, and outpatient settings. The role supports a growing medical center and VA academic hospital program, and requires effective communication, teamwork, adaptability, and collaboration with the interdisciplinary team. The position is assigned under the inpatient and outpatient sections for HBPC Medical Director duties and follows the HBPC Directive and directions from the HBPC Medical Director.

Requirements

  • Post-master’s certificate, master’s degree, or doctoral degree as a Nurse Practitioner.
  • Graduate of an approved professional nursing school accredited by ACEN or CCNE at the time the program was completed, or meet the stated equivalent qualification for qualifying foreign or equivalent education.
  • Active, current, full, and unrestricted advanced practice nurse license to practice as a Nurse Practitioner in a U.S. state, territory, commonwealth, or the District of Columbia.
  • Maintain current, full basic board certification as a Family Nurse Practitioner, Adult Nurse Practitioner, Adult-Gerontology Primary Care Nurse Practitioner, or Gerontology Nurse Practitioner from ANCC, AANPCB, or another nationally recognized certifying body in the area of academic preparation.
  • For Nurse Practitioner III qualification: one year of specialized Nurse Practitioner experience equivalent to the Nurse II grade level. No experience is required for Nurse Practitioner II.
  • Demonstrate evidence-based clinical practice and ability to manage a patient panel, population, or program.
  • Demonstrate communication, leadership, collaboration, professionalism, and teamwork skills appropriate to the applicable grade level.
  • Proficiency in basic written and spoken English for direct patient care.
  • U.S. citizenship, except where appointment of a non-citizen is permitted under VA policy.
  • Meet pre-employment screening and appointment conditions, including drug testing where applicable, background/security investigation, pre-employment physical evaluation, seasonal influenza vaccination, and annual Employee Health requirements.
  • Be capable of working effectively in stressful situations and shifting priorities based on patient needs.
  • Be able to drive and/or ride in government vehicles as required.
  • Meet physical requirements that may include prolonged walking, standing, and sitting; potential exposure to infected patients and contaminated materials; use of protective clothing; and occasional exposure to combative patients.

Nice To Haves

  • Experienced and dynamic Nurse Practitioner applicants are sought.
  • Applicants interested in contributing to quality-care standards and the growth and development of a VA academic hospital program are encouraged.

Responsibilities

  • Provide Home Based Primary Care as part of the Geriatrics Service in HBPC areas, Community Based Outpatient Centers, and patients’ current living arrangements.
  • Perform consultations in inpatient acute care, Community Living Center, and outpatient settings.
  • Manage Veterans’ care in the HBPC program on an ongoing daily basis.
  • Provide direct patient care, including admission histories and physicals, progress notes, transfer and discharge notes, and other day-to-day patient care.
  • Participate in Interdisciplinary Team meetings and, at times, function as an RN Case Manager.
  • Complete assigned forms and duties, collaborate with the HBPC team, participate in assigned meetings, and provide coverage for other HBPC advanced practice registered nurses as needed.
  • Independently manage a patient panel with acute and chronic health conditions, emphasizing health promotion and disease prevention through evidence-based practice.
  • Assess medication therapy and monitoring plans, and identify patient-specific medication issues, including interactions, adverse effects, efficacy, and appropriateness.
  • Develop follow-up and ongoing assessment plans, including Interdisciplinary Team treatment-plan notes.
  • Follow the HBPC Directive and directions from the HBPC Medical Director, and ensure facility referrals are addressed in accordance with the directive.
  • Demonstrate leadership and collaborate with the interdisciplinary team.
  • Follow the HBPC emergency plan during hurricanes.
  • Drive to the Sebring CBOC area and potentially throughout the Bay Pines catchment area to provide home-based primary care.
  • Maintain communication with the HBPC team throughout the workday and notify the team when unavailable for coverage.
  • Maintain competency in computer programs necessary for a Bay Pines HBPC advanced practice registered nurse.
  • Follow government vehicle rules and assist with vehicle transportation for maintenance when needed.

Benefits

  • Competitive salary, regular salary increases, and potential performance awards.
  • 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
  • Traditional federal pension with five-year vesting and federal 401(k) with up to 5% in contributions by VA.
  • Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
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