The Nurse Practitioner (Hospitalist) will provide comprehensive healthcare management of a broad range of specialty health services to veteran inpatients and outpatients seen within the specialty clinic setting, and includes management of required labs, medications, consultation and/or follow-up planning. The position is within the Medicine Inpatient/ER Service in the Hospitalist Section of the Jack C Montgomery VAMC. Note: This position is also being announced as a Physician Assistant. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Preferred Experience: Experience with inpatient/Acute care management, bedside procedures (intubation, central line, arterial line,ventilator management) preferred Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. 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 patients and 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, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards\nThis is an open continuous announcement until July 31, 2022 or until filled. The initial cut-off date for referral of eligible applications will be May 15, 2022, with subsequent cut-off dates on the 1st of each month. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. The incumbent will be part of the Hospitalist Team and his/her duties include, but are not limited to: Admits and manages inpatients including patients, including in the Intensive Care Unit, with general adult medical illnesses. This includes admitting patients and performing histories and physical examinations; rounding on patients and writing progress notes; discharge planning and timely completion of discharge summaries. Works closely with specialists and primary care Physicians to ensure that inpatients receive continuous high-quality care. Coordinates the transfer of patients with other hospitals if necessary. Provides inpatient internal medicine consultations to other services, including but not limited to, Mental Health, Rehab, and Surgery. Participates in quality assurance programs and chart reviews. Communicates with incoming and off going Hospitalists to ensure continuity of care. Attends Medical Service staff meetings and meetings of the Medical/Dental staff whenever scheduling allows. Serves on Medical Staff committees. Completes all medical records (including discharge summaries) in accordance with Bylaws, Rules and Regulations of the Medical Staff. Ability to participate in the teaching of medical residents and students. Ability to perform bedside procedures (Central venous access / arterial line placement/ intubation / vent management). Ensure discharge summaries are completed timely. Ideally, the discharge summary will be dictated prior to patient being discharged from facility. Documentation of care in the medical record in keeping with the bylaws of the Medical Center. Provide supervisory oversight of NP/PA students, as appropriate, who are assigned to the Medicine Inpatient/ER Service. Provide supervisory oversight of the clinical care on the Medicine Inpatient/ER service and ambulatory clinic of Nurse Practitioners and Physician Assistants as appropriate. Participates effectively in team meetings and treatment planning conferences and collaborates with multidisciplinary team members in a manner that enhances coordination of comprehensive patient care. Ensures that the practice of medicine is consistent with Joint Commission, CARF, VA policies and procedures, clinical practice guidelines, VISN standards, national statutes and regulations, medical record documentation, mandatory continuing education, and HIPPA policies. Academic/Teaching/Training Involved in performance improvement and quality assurance initiatives. Provides leadership guidance and consultation to staff. Is involved in the supervision and teaching of residents and other trainees assigned to service as appropriate. Serves as a consultant to other medical center staff and trainees and assist in implementation of treatment plan as appropriate regarding their patients. Is responsible for timely completion of all clinical charting and documentation required by the Medical Center or healthcare system, as appropriate. Plans and oversees the completion of personal research programs that might further the educational and mission goals of the VA healthcare system. Work Schedule: Optional- Week on/off or Monday-Friday\nCompressed/Flexible: Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.