Nurse Practitioner (Primary Care)

Veterans Health Administration • Willoughby, OH

13d • Onsite

About The Position

The Nurse Practitioner provides comprehensive primary care to a defined panel of Veterans, including evaluation and treatment of acute and chronic conditions, preventive care, and care coordination. The role includes taking histories, performing physical examinations, ordering laboratory and diagnostic studies, making diagnoses, and developing treatment plans within the scope of practice. The provider documents care in clinical records and refers patients to specialists when additional expertise is needed.

The Nurse Practitioner leads a Patient Aligned Care Team (PACT) comprising a physician, RN, LPN, and clerical associate. The position monitors teamlet performance for adherence to VA standards, quality and effectiveness of care, and VA performance measures; collaborates with interdisciplinary services; and helps address patient concerns. The provider is assigned a patient panel at a specific location but may occasionally assist with patient care or administrative duties at the main hospital or another site. The position reports to the local medical director or associate chief of staff for primary care, who reports to the Chief of Staff.

This position is eligible for the Education Debt Reduction Program, subject to VHA eligibility and approval. Awards may be up to $200,000, with an eligibility period of one to five years. Applicants must submit an application within four months of appointment; former EDRP participants are ineligible to apply. The position is not virtual. Telework and compressed or flexible schedules may be available at the supervisor’s discretion.

Requirements

• Graduate from an approved professional nursing program accredited by ACEN or CCNE, with a post-master’s certificate or a master’s or doctoral degree as a Nurse Practitioner.
• Hold and 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, full 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.
• Meet Nurse II requirements: the basic education requirement; no experience is required at this grade. Demonstrate leadership in collaborative care, evidence-based clinical practice, outcome focus, professional development, and effective communication and teamwork.
• For Nurse III consideration, meet the basic education requirement and have one year of specialized APN experience equivalent to Nurse II, with demonstrated leadership and experience managing complex client care.
• Be proficient in basic written and spoken English for direct patient care.
• Meet U.S. citizenship requirements, subject to VA policy exceptions for non-citizens when qualified citizens cannot be recruited.
• Complete applicable pre-employment requirements, including urinalysis for applicants selected for testing-designated positions, background/security investigation, onboarding, and acceptable identity documentation.
• Participate in the seasonal influenza vaccination program.
• Male applicants born after December 31, 1959, must meet Selective Service registration requirements.

Nice To Haves

• At least two years of recent experience treating acutely and chronically ill patients in a full-time primary care setting.

Responsibilities

• Provide clinical examinations, diagnoses, and treatment for acute and chronic diseases, preventive care, and coordination of care for a panel of primary care patients.
• Take patient histories, perform physical examinations, order laboratory and diagnostic studies, and formulate treatment plans within the scope of practice.
• Document patient care in clinical records and refer patients to specialists when additional input or treatment is outside the provider’s experience and training.
• Lead a Patient Aligned Care Team consisting of a physician, RN, LPN, and clerical associate.
• Monitor PACT teamlet performance for adherence to VA standards, quality and effectiveness of care, and VA performance measures.
• Provide a broad range of diagnostic and therapeutic services and exercise medical decision-making for an assigned group of patients.
• Assist the patient advocate and administration in resolving patient concerns and inquiries.
• Collaborate with staff, community partners, and the multidisciplinary treatment team, including social work, pharmacy, mental health, and nutrition.
• Occasionally assist with patient care or administrative duties at the main hospital or another site.
• Perform other duties as assigned.

Benefits

• Education Debt Reduction Program (EDRP), with approved awards up to $200,000 and eligibility periods of one to five years.
• 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.

What This Job Offers

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