Advanced Practice Provider for Nocturnal / Weekend Coverage

Veterans Health Administration • Indianapolis, IN

4d • Onsite

About The Position

The Advanced Practice Provider practices in the Surgical Service to the full extent of their education, training, and certification, providing care to Veterans with surgical specialty problems. The role independently manages a panel of patients with acute and chronic health conditions, emphasizing health promotion and disease prevention through evidence-based practice. The provider assesses, evaluates, and coordinates care; develops and adjusts individualized care plans; orders and interprets laboratory tests and diagnostic studies; prescribes pharmacologic and non-pharmacologic interventions; initiates referrals and consultations; and educates patients and families. The provider works collaboratively with interdisciplinary teams to plan, implement, and evaluate surgical care, serves as a VA and community liaison, and meets applicable standards and regulatory requirements. The position calls for leadership, teamwork, and conduct consistent with VA’s ICARE values: Integrity, Commitment, Advocacy, Respect, and Excellence.

The position provides nocturnal and weekend coverage on a night shift with rotating on-call duties and weekends. It is not eligible for telework and is not a virtual position. The role requires an approved nurse practitioner education credential, an active unrestricted APN license, and current board certification in an accepted nurse practitioner specialty. Nurse II is the entry grade and requires no experience beyond the basic education requirements; Nurse III requires one year of specialized APN experience equivalent to Nurse II. Preferred experience includes first-line management of critically ill cardiovascular and surgical ICU patients, including immediate postoperative cardiac surgery, acute coronary syndrome, heart failure, arrhythmias, and hemodynamic instability, as well as proficiency with invasive hemodynamic monitoring, mechanical ventilation, vasoactive and inotropic drips, and mechanical circulatory support devices such as IABP and Impella.

The VA offers competitive salary, regular salary increases, potential performance awards, 50 days of paid time off annually (26 days annual leave, 13 days sick leave, and 11 federal holidays), a traditional federal pension with five-year vesting, a federal 401(k) with up to 5% in VA contributions, and federal health, vision, dental, term life, and long-term care insurance. One full and unrestricted license from any U.S. state or territory is required. The position requires visual acuity, hearing, clear speech, manual dexterity, and potentially extended periods of walking, standing, stooping, sitting, bending, pulling, and pushing. Patient or object transfers may be required. The incumbent may encounter infected patients, contaminated materials, isolation or procedural protective clothing, and occasionally combative patients, and must be able to work effectively under stress and adapt priorities to patient needs.

Requirements

• Graduate from an approved school of professional nursing and hold a post-master’s certificate, master’s degree, or doctoral degree as a Nurse Practitioner.
• Maintain an 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 basic board certification as an FNP, ANP, AGPCNP, or GNP from ANCC, AANPCB, or another nationally recognized certifying body in the area of academic preparation.
• Demonstrate English proficiency for direct patient care.
• Be a U.S. citizen, except where non-citizen appointment is permitted under VA policy when qualified citizens cannot be recruited.
• Meet applicable background/security investigation, drug-screening, pre-employment physical examination, onboarding, and identification requirements; participate in the seasonal influenza vaccination program.
• For Nurse III qualification, have one year of specialized APN experience equivalent to Nurse II.
• Be capable of effective communication, professional conduct, teamwork, interdisciplinary collaboration, and adapting priorities in stressful situations.
• Meet the physical requirements of the position, including visual acuity, hearing, clear speech, manual dexterity, and the ability to perform the described physical activities.

Nice To Haves

• Demonstrated competency in first-line management of critically ill cardiovascular and surgical ICU patients.
• Independent experience managing immediate postoperative cardiac surgery patients.
• Experience managing acute coronary syndrome, heart failure, arrhythmias, and hemodynamic instability.
• Proficiency with invasive hemodynamic monitoring, mechanical ventilation, vasoactive and inotropic drips, and mechanical circulatory support devices such as IABP and Impella.

Responsibilities

• Independently manage a panel of patients with acute and chronic health conditions, emphasizing health promotion and disease prevention through evidence-based practice.
• Assess, evaluate, and coordinate care for Veterans.
• Develop and implement individualized plans to support optimal population health and disease management.
• Demonstrate leadership and collaborate with the care team and interdisciplinary colleagues.
• Order and interpret laboratory tests, other tests, and diagnostic studies.
• Prescribe pharmacologic and non-pharmacologic interventions.
• Support health promotion, disease prevention, and health education.
• Initiate referrals and consultations, serving as a liaison between VA and community services.
• Educate patients and their families.
• Assess and adjust plans of care as needed to achieve optimal patient outcomes.
• Provide consultation regarding Veterans with surgical specialty problems.
• Meet applicable standards and regulatory requirements, including Joint Commission requirements, performance measures, and clinical practice guidelines.
• Collaborate with the interdisciplinary team in planning, implementing, and evaluating surgical care for Veterans.
• Demonstrate VA’s ICARE values: Integrity, Commitment, Advocacy, Respect, and Excellence.

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.

What This Job Offers

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