Nurse Practitioner - Primary Care

Veterans Health Administration • Murfreesboro, TN

13h • Onsite

About The Position

The Nurse Practitioner provides evidence-based primary care to a patient population at the Alvin C. York VA Medical Center in Murfreesboro, Tennessee. The role is for a licensed independent practitioner with advanced nursing education and national certification who manages acute and chronic conditions, emphasizing health promotion and disease prevention. The position includes leadership and collaboration with the Primary Care Team and other interdisciplinary team members, as well as participation in clinical quality improvement and healthcare program management. The position may be eligible for the Education Debt Reduction Program (EDRP), subject to VHA eligibility requirements and application review. Work schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. Ad hoc telework may be available. The position is in the Excepted Service and does not confer competitive status.

Requirements

• A post-master's certificate, master's degree, or doctoral degree as a Nurse Practitioner.
• Graduation from an appropriately accredited school of professional nursing; foreign nursing education must have the required equivalency validation unless the stated equivalent-degree and licensure/certification conditions apply.
• 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.
• 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 ANCC, AANPCB, or another nationally recognized certifying body in the area of academic preparation.
• For Nurse Practitioner III: one year of specialized Nurse Practitioner experience equivalent to Nurse II.
• Basic written and spoken English proficiency for direct patient care.
• U.S. citizenship, except where non-citizens may be appointed under VA policy when qualified citizens cannot be recruited.
• Must meet employment conditions including required background/security investigation, drug screening for selected applicants in testing-designated positions, onboarding, and seasonal influenza vaccination requirements.
• Ability to meet the position's physical requirements, including visual acuity, hearing, clear speech, manual dexterity, and lifting at least 50 pounds; patient or object transfers may be required.
• Ability to work effectively in stressful situations, shift priorities according to organizational needs, and complete annual Employee Health requirements.

Nice To Haves

• At least two years of Primary Care experience.
• Demonstrated experience leading clinical quality improvement initiatives or managing healthcare programs.
• Background in project management within a clinical setting.
• Training or certification in quality improvement methodologies such as Lean or Six Sigma.
• Proven ability to implement and sustain process improvements in primary care or outpatient environments.

Responsibilities

• Independently manage a panel of patients with acute and chronic health conditions, emphasizing health promotion and disease prevention through evidence-based practice.
• Develop and implement individualized plans to achieve optimal population health and disease management.
• Demonstrate leadership and collaborate with the Primary Care Team and other interdisciplinary team members.
• Perform patient histories and physical examinations.
• Document patient encounters, including history, physical examination findings, diagnosis, definitive care plan, and disposition.
• Ensure patient encounters are closed out with a clear disposition identifying the next step of care.
• Provide patients with a current medication list and appointment list at close-out.
• Communicate test results to patients.
• Order and interpret laboratory tests, other tests, and diagnostic studies.
• Prescribe pharmacologic and non-pharmacologic interventions.
• Initiate referrals and consultations to specialty services.
• Educate patients and their families.
• Assess and adjust plans of care as needed to achieve optimal patient outcomes.
• Model the ICARE core values of Integrity, Commitment, Advocacy, Respect, and Excellence.
• Lead clinical quality improvement initiatives or manage healthcare programs, and implement and sustain process improvements in primary care or outpatient environments.
• Perform other duties as assigned.

Benefits

• Education Debt Reduction Program (EDRP), with a potential award of up to $200,000 and an eligibility period of one to five years, subject to program approval and eligibility.
• 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