Advanced Practice Nurse- Home Based Primary Care

Veterans Health Administration • Wenatchee, WA

6d • Onsite

About The Position

The Advanced Practice Nurse (Nurse Practitioner) provides home-based primary care to Veterans, independently managing a patient panel with acute and chronic health conditions. The role emphasizes health promotion, disease prevention, evidence-based practice, and individualized care plans to support optimal population health and disease management. The nurse practitioner collaborates with an interdisciplinary team, provides patient and family education, and adjusts care plans to improve patient outcomes.

The position may be filled at Nurse II or Nurse III level. Nurse II is the entry grade and requires the basic education and credentialing qualifications, with no experience required. Nurse III requires the same basic qualifications plus one year of specialized advanced practice nurse experience equivalent to Nurse II. The role requires an active, unrestricted nurse practitioner license and current board certification in an accepted specialty. A temporary Graduate Nurse Technician appointment may be available in specified circumstances for eligible candidates who lack required licensure and/or certification.

The position is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m. Compressed or flexible scheduling may be authorized. Telework is not available, and this is not a virtual position. The work may involve travel and driving in rural areas, including winter conditions, and care in patients’ homes. The position is eligible for the Education Debt Reduction Program, subject to program eligibility and approval; awards may be up to $200,000 over a one-to-five-year eligibility period.

Requirements

• Graduate from an appropriately accredited school of professional nursing and hold a post-master’s certificate, master’s degree, or doctoral degree as a Nurse Practitioner.
• Hold and 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 full and current basic board certification as a Family Nurse Practitioner, Adult Nurse Practitioner, Adult-Gerontology Primary Care Nurse Practitioner, or Gerontology Nurse Practitioner from an accepted national certifying body.
• Demonstrate basic written and spoken English proficiency for direct patient care.
• Meet Nurse II dimension expectations, including evidence-based clinical practice, outcome focus, leadership, professional development, and professionalism/collegiality.
• For Nurse III: meet the basic education requirement and have one year of specialized Nurse Practitioner experience equivalent to the Nurse II grade level.
• Meet federal employment conditions, including U.S. citizenship unless an exception applies, applicable Selective Service registration, background/security requirements, pre-employment drug screening when designated, pre-employment physical examination, and seasonal influenza vaccination requirements.
• Complete required onboarding and application documentation.

Nice To Haves

• Board certification as a Family, Adult-Gerontology Primary Care, or Adult Nurse Practitioner.
• Experience practicing to full practice authority.
• Primary care experience with older adults and Veterans with multiple chronic conditions, preferably in home-based primary care, house calls, long-term care, or geriatrics.
• Experience managing complex multimorbidity, including heart failure, COPD, diabetes, chronic kidney disease, and dementia.
• Experience with transitions of care, including timely follow-up after emergency department visits and hospital discharges, medication reconciliation, and documented care plans.
• Experience with polypharmacy management and deprescribing, such as using Beers Criteria, in partnership with clinical pharmacy.
• Experience with goals-of-care and life-sustaining treatment conversations and palliative care or hospice referrals.
• Experience leading an interdisciplinary team and providing clinical direction to RN care managers and other disciplines.
• Documentation demonstrating assessment and medical decision-making for each problem addressed.
• Experience with telehealth, including VA Video Connect, alongside in-person nursing visits.
• Rural practice experience and comfort covering a large geographic area by government vehicle, including in winter conditions.
• Accurate coding for home and telehealth visits.

Responsibilities

• Independently manage a panel of patients with acute and chronic health conditions, emphasizing health promotion and disease prevention using evidence-based practice.
• Develop and implement individualized plans to achieve optimal population health and disease management.
• Demonstrate leadership and collaborate with the interdisciplinary team.
• Order and interpret laboratory tests, other tests, and diagnostic studies.
• Prescribe pharmacologic and non-pharmacologic interventions.
• Initiate referrals and consults to specialty services.
• Educate patients and their families.
• Assess and adjust plans of care as needed to achieve optimal patient outcomes.
• Exemplify the ICARE core values of Integrity, Commitment, Advocacy, Respect, and Excellence.

Benefits

• Education Debt Reduction Program student loan reimbursement, subject to eligibility and approval, with awards up to $200,000.
• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year, comprising 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.

What This Job Offers

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