This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Advanced Practice Nurse (Nurse Practitioner) Basic Requirements Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). NOTE: Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. License and Certification: License. All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Basic Certification. All APN (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II: Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B). Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required. Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements: Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program. Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care. Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care. Professional Development. Acquires knowledge and skills to develop expertise in area of practice. Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III: Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level. Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements: Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population, or program. Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations. Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population, or program. Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Preferred Experience: 1 year experience providing psychiatric care to adults. Physical Requirements: Moderate Lifting, 15-44 pounds, Moderate carrying, 15-44 pounds, Straight pulling (1 hour)Pulling hand over hand (1 hour), Use of fingers, Both hands required, Walking (4 hours), Standing (4 hours), Repeated bending (4 hours), Both legs required, Ability for rapid mental and muscular coordination simultaneously, Near vision corrected at 13" to 15" to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Both eyes required, Depth perception, Ability to distinguish basic colors, Ability to distinguish shades of colors, Hearing aid (may be permitted), Emotional/mental stability. Environmental Factors: Dry atmospheric conditions, Fumes, smoke or gases, Electrical energy, Working with hands in water, Vibration, Working closely with others, Working alone, Protracted or irregular hours of work, Hazardous drugs. ["The incumbent practices as a Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN) within the Mental Health service primarily located within the Social and Behavioral Health Service (S&BHS) and, occasionally the Mental Health Residential Rehabilitation Program (MHRRTP), Tele-mental Health services, and Community Based Outpatient Clinics (CBOCs) within the state of Alaska. The Psychiatric-Mental Health APRN functions as an independent member of the medical staff with delineated clinical privileges granted by the Medical Executive Board. As a member of an assigned interdisciplinary team or Behavioral Health Interdisciplinary Program (BHIP), the incumbent will be responsible for providing psychiatric-mental health care to outpatient and inpatient Veterans with chronic or acute mental illness including addictions, changes in mental status, and/or functional decline within the Alaska VA Healthcare System. Direct clinical care duties and responsibilities (80% of position) include but are not limited to: Providing direct mental health services for VA patients 80% of total available clinic time or 32 hours per week, or as determined by the Chief of Psychiatry and/or the ACOS, Mental Health Conducting history and mental status exams on assigned patients Completing intake assessments and formulating diagnoses Developing, documenting and updating treatment plans consistent with VHA guidelines and accreditation standards Participating in multidisciplinary treatment team meetings Ordering all necessary laboratory and radiological assessments Initiating and following up with consults/referrals as indicated Providing psychotherapy and pharmacotherapy as indicated Prescribing medications and supplies in accordance with VHA guidelines, state regulations and scope of practice Maintaining effective and up-to-date documentation of patient encounters Completing pertinent clinical reminders during scheduled appointments Providing health care education to patients and their families Acting as a consultant for other medical, nursing, and clinical staff Placing return to clinic orders for patients follow up care. The incumbent serves with delineated clinical privileges granted by the Medical Staff. The primary duty of the incumbent is to manage the responsibility of providing primary care services to a defined panel of patients. The primary focus of practice is the independent clinical VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday, 8:00 a.m. - 4:30 p.m. Telework: As determined by the agency policy. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact V20CompensationTeam@va.gov, the EDRP Coordinator for questions/assistance Permanent Change of Station (PCS): Not Authorized."]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.