The Advance Practice Nurse-CRH Cardiology RCI positions are remote positions within Clinical Resource Hub service line. These positions are full time at 40 hours per week. 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. Example: Certification in the specialty such as a Family Nurse Practitioner, Adult Care APRN, Gerontology from ANCC or AANPCB. 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. Preferred Experience: Minimum 2 years of cardiology experience in a dedicated Cardiology unit or Cardiology clinical service 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. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. ["This job is also being posted in other disciplines: Physician Assistant - must apply to announcement number: 12639241 VA offers a comprehensive total rewards package: VA Nurse Total Rewards The CRH Advanced Practice Registered Nurse will function in the VISN 1 Clinical Resource Hub and provide care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgement, and evaluation of human responses to actual or potential health problems. Responsibilities include; but are not limited to: Perform specialty care consultations and continuity care. Provide ongoing care to patients, as indicated. Prescribe medications within defined scope of practice. Order diagnostic studies, such as laboratory tests and x-rays. Review need for and order health promotion and disease prevention activities. Initiate, respond, and expedite request for consultations, special tests, and studies. Provide education and counseling for patients and families in specialty care, medical conditions, and use of prescribed treatments and drugs. As appropriate, participate in interprofessional focused patient chart reviews, team meetings, team huddles, and shared medical appointments. The Cardiology APRN is responsible for management of outpatient, inpatient and ED sector institutions to facilitate and improve access to VA Cardiology Care including but not limited to Referral Coordination Initiative (RCI) Care coordination, consult management, care management including ordering of tests, labs, imaging, procedures, consults as needed. The Cardiology APRN works in close collaboration with Attending Cardiologists, Clinical Pharmacy Specialists, VISN 1 CRH providers and support staff at local facilities and CRH. Participate in the care of patients seen in various outpatient, inpatient and ED clinics, including but not limited to Cardiology and Tele-Medicine clinics. Coordination of veteran care related to Cardiology conditions, surveillance, diagnosis, treatment, and Veteran education to maintain or improve health. Serve as consultant to nursing staff in initiating and implementing problem-solving strategies for the patient with complex cardiology problems. Coordinates and participates in research designed specifically to improve quality of services provided by Cardiology staff. Coordinate and participate in the implementation of clinical practice guidelines used within the Cardiology Section or across VISN, facility, departmental, divisional, or section lines. Serve as a resource to PCP for veteran management. Support and enhance Department of Veterans Affairs philosophy and goals. Work effectively with others to initiate and lead interdisciplinary groups and establish relationships with professional and/or other health-related groups within the community. Develop a professional practice by leadership and accomplishments in the development and implementation of best-practice guidelines in patient care and healthcare delivery. Other duties as assigned. .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 through Friday, 8:00 am- 4:30 pm Telework: Not Available Virtual: This is not a virtual position. Remote: This is a Remote position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Notifications: This position is an AFGE Bargaining Unit position. This position is in the Excepted Service."]

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