Advanced Practice Nurse

Veterans Health Administration • Monterey, CA

1d • Onsite

About The Position

The Advanced Practice Nurse III Certified Nurse Practitioner in Home Based Primary Care (HBPC) practices in Geriatrics and Extended Care Service, providing a full range of health care services with an emphasis on quality, timeliness, and advancing the Veterans Affairs mission. The NP provides advanced clinical practice, consultation, and management for patients with acute and chronic health conditions, primarily through visits in patients’ homes in the community.

The position requires collaboration with the HBPC interdisciplinary team and other VA staff and community care providers. The NP independently manages a patient panel, assesses and diagnoses medical problems, develops and adjusts individualized treatment plans, orders and interprets tests, responds to patient and caregiver inquiries, and completes clinical documentation. The NP also provides clinical coverage when other NPs are on leave.

The position works Monday through Friday, 8:00 a.m. to 4:30 p.m. Telework and virtual work are not available. The role requires driving to patients’ homes and holding an appropriate valid California driver’s license to operate sanctioned vehicles. The schedule may require flexibility.

Requirements

• Post-master’s certificate, master’s degree, or doctoral degree as a Nurse Practitioner.
• Graduation from an appropriately approved and accredited school of professional nursing; qualifying accrediting bodies include ACEN and CCNE. Foreign nursing education must have nurse practitioner degree equivalency validated through a recognized evaluation agency.
• Active, current, full, and unrestricted APN 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.
• At least one year of specialized APN (NP) experience equivalent to the Nurse II grade level.
• Possess an appropriate valid California driver’s license to operate sanctioned vehicles and drive to patients’ homes.
• U.S. citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
• Proficiency in basic written and spoken English.
• Pass required pre-employment screening, including drug testing for applicants selected for testing-designated positions, background/security investigation, and physical examination.
• Participate in the seasonal influenza vaccination program.
• Meet applicable Selective Service registration requirements for males born after December 31, 1959.
• Complete the online onboarding process and required application documentation.
• Ability to meet the physical demands associated with advanced practice nursing, including physical assessment and potentially prolonged walking, standing, or sitting, moderate lifting, repeated bending, or kneeling.

Responsibilities

• Independently manage a panel of patients with acute and chronic health conditions, emphasizing health promotion and disease prevention through evidence-based practice.
• Visit patients in their homes in the community and operate a government vehicle in accordance with applicable policies and procedures.
• Assess, identify, and diagnose patients’ general medical problems and define medical management.
• Determine the need for specialty consultation.
• Develop and implement individualized treatment plans to achieve optimal patient health outcomes, adjusting plans as patient needs change.
• Demonstrate leadership and collaborate with HBPC interdisciplinary team members, VA staff, and community care providers.
• Participate constructively in interdisciplinary team meetings to address complex patient problems, foster open communication, and resolve conflicts promptly.
• Order and interpret laboratory tests, other tests, and diagnostic studies.
• Promptly address patient and caregiver requests and inquiries.
• Complete required clinical documentation and clinical reminders in a timely manner, following HBPC program standards and applicable policies and procedures.
• Provide clinical coverage when other nurse practitioners are on leave.

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 a 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 may be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior