Advanced Practice Nurse - Primary Care, Site Medical Director

Veterans Health Administration•Auburn, WA
•Onsite

About The Position

This position is located at the VA Puget Sound Auburn Community Based Outpatient Clinic in Auburn, Washington, in the General Medicine Service. The Advanced Practice Nurse provides management and leadership of interdisciplinary patient care services within the primary care setting and serves as the Primary Care Provider lead in the Patient Aligned Care Team (PACT) triad. The role evaluates, diagnoses, and treats patients within the specialty of Internal Medicine or Family Practice, as authorized by clinical privileges and applicable state law. It also includes supervision of staff and responsibility for administrative tasks, human resources matters, and performance evaluations. The incumbent contributes to population health and quality improvement for Veterans, participates in continuing medical education and quality assurance activities, and follows Medical Staff By-Laws. Working collaboratively with administrative and nursing leads, Extended PACT services, and other service lines, the Advanced Practice Nurse helps coordinate clinical operations and optimize the care environment. The role also supports highly reliable organization principles, participates in strategic and operational planning, ensures staff compliance with applicable policies, reviews staffing and resource utilization, monitors clinical performance and Veteran and staff satisfaction measures, contributes to work-unit governance, and supports emergency planning, drills, and communications. The position is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m. Flexible scheduling or a compressed schedule is authorized. Telework is not available, and the position is not virtual. Relocation and recruitment incentives and permanent change of station expenses are not authorized.

Requirements

  • Graduate from an approved professional nursing school accredited by ACEN or CCNE at the time of program completion.
  • Hold a post-master's certificate, master's degree, or doctoral degree as a Nurse Practitioner.
  • Maintain an 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 basic board certification as a Family Nurse Practitioner, Adult Nurse Practitioner, Adult-Gerontology Primary Care Nurse Practitioner, or Women's Health Nurse Practitioner from ANCC, AANPCB, or another nationally recognized certifying body in the area of academic preparation.
  • For Nurse Practitioner III qualification, have one year of specialized APN (NP) experience equivalent to Nurse II.
  • Meet the applicable Nurse Practitioner II or III scope, education, experience, and dimension criteria described in the announcement.
  • Be a U.S. citizen, except that non-citizens may be appointed only when qualified citizens cannot be recruited under VA policy.
  • Demonstrate basic written and spoken English proficiency for direct patient care.
  • Meet applicable Selective Service registration requirements for males born after December 31, 1959.
  • Undergo a background/security investigation and, if tentatively selected for a testing-designated position, urinalysis for illegal drug use.
  • Participate in the seasonal influenza vaccination program for VA Health Care Personnel.
  • Complete required onboarding and application documentation; a probationary period may be required.

Responsibilities

  • Evaluate, diagnose, and treat patients in Internal Medicine or Family Practice within clinical privileges and applicable state law.
  • Provide direct and indirect patient care and perform professional tasks within the scope of applicable law and clinical privileges.
  • Supervise staff, including handling administrative tasks, human resources issues, and performance evaluations.
  • Participate in population health and quality improvement efforts related to Veterans' care.
  • Participate in continuing medical education and quality assurance activities and follow Medical Staff By-Laws.
  • Collaborate with the Patient Aligned Care Team triad and share leadership of clinical operations.
  • Coordinate with Extended PACT services, including pharmacy, social work, nutrition, telemedicine, laboratory, radiology, and Primary Care Mental Health Integration, to optimize the clinical environment.
  • Collaborate with non-General Medicine Service lines to facilitate care as needed.
  • Lead according to the foundational principles of a highly reliable organization.
  • Participate in strategic and operational planning for the work unit.
  • Ensure staff follow VHA, facility, and General Medicine Service policies and procedures.
  • Review staffing and resource utilization; monitor clinical performance measures and Veteran satisfaction metrics; review staff satisfaction metrics; and contribute to work-unit governance.
  • Support staff engagement in emergency planning, drills, and emergency communications.

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.
  • 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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