Advanced Nurse Practitioner Women's Health (Specialty Care)
Veterans Affairs, Veterans Health Administration
Application
Details
Posted: 28-Nov-24
Location: Garner, North Carolina, North Carolina
Categories:
General Nursing
Internal Number: 821259400
Applicants note: This position will be filled as either a Physician Assistant (PA) or a Nurse Practitioner (NP). This is determined by the selecting official. This announcement is for applicants applying for the NP position only. If you are interested in applying as a PA, please go to Vacancy Announcement CBTA-12604626-25-TW to submit your application. Advanced Practice Nurse (Nurse Practitioner) Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. (Copy of NP Certification Required) 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: 2-3 years of Women's Health Clinical experience as a Nurse Practitioner Proficiency in Gynecologic procedures such as LARC placements/removals, EMB's, Early Pregnancy Ultrasound, and Colposcopy. Required Certification(s): Women's Health Nurse Practitioner (NAMS) or (NCC) Family Nurse Practitioner (AANP-CB) or (ANCC) Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The position requires potentially long periods of combined walking, standing, stooping, sitting, bending, pulling, and pushing. The incumbent must be a mature, flexible, sensible individual capable or working effectively in stressful situation, able to shift priorities based on needs of the organization. ["Major duties and responsibilities of the position include but are not limited to: Independently practices as a Nurse Practitioner providing a full range of services utilizing treatment guidelines in the delivery of high-quality care. Collaborates with patients, families, and health care practitioners to develop, implement, and evaluate care. Utilizes customer service principles, supports veteran self-determination, and serves as a resource for patients and staff in addressing ethical issues. Demonstrates critical thinking in assessing and managing complex situations. Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice and trauma-informed care. Develops and implements an individualized plan to achieve optimal population health and disease management. Demonstrates leadership and works collaboratively with the interdisciplinary team to provide clinical guidance for patient triage needs via in-person encounters or other telephone or electric communications. Performs office-based gynecologic procedures independently. Orders and interprets labs, tests, and diagnostic studies. Performs bedside ultrasound dating of early pregnancy. Prescribes pharmacologic and non-pharmacologic interventions. Initiates referrals and consults to other specialty services and receives and triages the Garner Gynecology consults. Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.- Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence. Provides education to patients and their families. 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. Position includes 10% administrative time to address the following: Facilitate response/actions to patient inquires to care and treatment received by the Gynecology Service; Develop clinical programs, educational materials, and/or process as needed with clinical expansion; Attends committee meetings and process action teams representing the Gynecology Service at the direction of the Gynecology Section Chief as needed in Garner and Durham; As needed assists other Advanced Practice Practitioners assigned to Women's Health Center and Ambulatory Care Service who has administrative or clinical concerns; Assists the Gynecology Section Chief with quality-of-care activities; Other administrative duties as assigned by the Chief of Gynecology. 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: 07:30a.m.-4:00p.m. OR 8:00a.m.-4:30p.m. (TBD) Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized 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.