Nurse Practitioner - Internal Medicine

Veterans Health Administration • Boston, MA

8d • Onsite

About The Position

The Nurse Practitioner (NP) provides advanced clinical practice, consultation, and management for adult Veterans, with an emphasis on quality, timeliness, and advancing the VA mission. The NP practices to the full extent of their education, training, certification, and granted clinical privileges, and has prescriptive authority for a patient panel or program. This full-time, 40-hour-per-week position is located at the West Roxbury campus and provides inpatient Internal Medicine care. The NP serves as a primary provider on the Direct Care service and General Internal Medicine teaching services, managing admissions, daily care, care coordination, and discharge planning. The role includes clinical guidance for residents, medical students, and other trainees, and collaboration with the health care team to improve care quality and outcomes for a diverse Veteran population from age 18 through geriatric. This position is part of a multidisciplinary recruitment that will hire either a Nurse Practitioner or Physician Assistant. The position is eligible for the Education Debt Reduction Program (EDRP), subject to program eligibility and approval. The award may be up to $200,000, with an eligibility period of one to five years; former EDRP participants are not eligible to apply.

Requirements

• Post-master's certificate, master's degree, or doctoral degree as a Nurse Practitioner.
• Graduate of a professional nursing school approved by the appropriate accrediting agency and accredited by ACEN or CCNE when the program was completed, or qualifying equivalent credentials as described in the announcement.
• 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.
• Full and 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.
• Proficiency in basic written and spoken English for direct patient care.
• U.S. citizenship, except where non-citizens may be appointed under VA policy when qualified citizens cannot be recruited.
• Male applicants born after December 31, 1959, must be registered for Selective Service.
• Must complete required background/security investigation, pre-employment evaluation, onboarding, and other application requirements; testing-designated positions require pre-appointment urinalysis.
• Must participate in the VA seasonal influenza vaccination program.
• Must be physically able to satisfactorily perform the duties and complete a pre-placement evaluation.
• For Nurse Practitioner III, one year of specialized APN (NP) experience equivalent to Nurse II is required. Nurse II is the entry grade and requires no experience beyond the basic education requirement.
• Education used for Federal employment must be recognized by the U.S. Department of Education and from an accredited institution; applicable foreign education requires a foreign-equivalency certificate and transcript.

Nice To Haves

• Experience with medicine inpatients in collaboration with attending physicians.

Responsibilities

• Independently manage and provide comprehensive inpatient medical care to adult Veterans, including evaluation and management of acute, episodic, and chronic conditions.
• Practice with appropriate clinical autonomy within granted privileges.
• Serve as a primary provider on the Direct Care service and General Internal Medicine teaching services, managing admissions, ongoing patient care, care coordination, and discharge planning.
• Coordinate and oversee inpatient care, timely communication, and safe transitions of care.
• Order and interpret diagnostic studies.
• Prescribe pharmacologic and non-pharmacologic interventions.
• Initiate referrals and consultations to specialty services.
• Provide clinical guidance and continuity for Internal Medicine residents, medical students, and other trainees involved in patient care.
• Lead and support resident teams in inpatient care, focusing on patient safety, high-value care, and evidence-based practices.
• Use advanced assessment, diagnosis, clinical decision-making, treatment-planning, and care-plan implementation skills.
• Deliver patient-centered care that considers medical, psychosocial, spiritual, and cultural factors.
• Assess and adjust care plans to achieve optimal patient outcomes.
• Collaborate with the health care team to design and continually improve the quality of care delivered to Veterans.
• Demonstrate accountability to VA policies, procedures, and standards of care, and exemplify the ICARE values of Integrity, Commitment, Advocacy, Respect, and Excellence.
• Collaborate with patients, families, and health care practitioners to develop and implement treatment plans and evaluate health outcomes.
• Lead care delivery to support continuity, peer accountability, and improved outcomes for the patient panel or program.

Benefits

• Education Debt Reduction Program (EDRP), subject to eligibility and approval, with an award of up to $200,000 and an eligibility period 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.
• 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.
• Licensure coverage for one full and unrestricted license from any U.S. state or territory.

What This Job Offers

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