Nurse Practitioner (Home Based Primary Care)

Duties include but not limited to:

The NP practices to the full extent of their education training and certification. Core functions are outlined in the clinical privileges that correspond with this position. The NP has prescriptive authority as indicated by their position.

The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients.

Major duties and responsibilities of the position:
-Independently manages patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.
-Develops and implements an individualized plan to achieve optimal population health and disease management.
-Demonstrates leadership and works collaboratively with the interdisciplinary team.
-Orders and interprets labs tests and diagnostic studies.
-Prescribes pharmacologic and non-pharmacologic interventions.
-Initiates referrals and consults to specialty services.
-Provides education to patients and their families.
-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.

DIMENSIONS OF NURSING PRACTICE

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.

Expectations:
practices as a NP providing a full range of care utilizing treatment guidelines in the delivery of high-quality care.
with patients families and health care practitioners to develop implement treatment plans and evaluate health outcomes.
critical thinking in assessing and managing complex clinical situations.
the delivery of care to assure continuity of care and peer accountability for practice improving outcomes of panel population and/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.

Expectations:
performance improvement initiatives that improves care or processes.
in evidence-based practice and the application of clinical practice guidelines.
quality improvement initiatives that lead to outcomes at the panel population and/or program.

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.

Expectations:
positive effective communication skills and professionalism that promote cooperation and teamwork with internal and external customers.
effectively as a leader in planning and facilitating systematic change to improve outcomes.
with stakeholders to improve patient care staff development and performance measures.
as a member or leader in formal/informal workgroups or interdisciplinary teams.
within a High Reliability Organization (HRO) framework.

Work Schedule: 07:30 - 16:00 or depending on facility needs

Conditions of employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• English Language 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.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• As a condition of employment for accepting this position you will be required to serve a 2-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public determining if your employment advances the public interest we may consider:
• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.
• Upon completion of your probationary period your employment will be terminated unless you receive certification in writing that your continued employment advances the public interest.
• Complete all application requirements detailed in the Required Documents section of this announcement.

Qualifications

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements

• Education: A post-masters certificate or masters 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 - 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 Board Certification - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP) Adult Nurse Practitioner (ANP) Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) or Gerontology Nurse Practitioner (GNP) 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.

• 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.

• 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