The Nurse Practitioner (Gap Provider) will maintain acceptable standards of practice within the Community Based Outpatient Clinics (CBOC) under the administrative direction of the CBOC Clinic Director and Clinical practice directive of nurse practitioners or physician assistants. Duties include but are not limited to: Performing initial histories and physical examinations for outpatient setting; Completes medical consults Providing ongoing outpatient care for assigned patients. Screening outpatients to determine need for further care. Displays clinical competency through effective and thorough clinical diagnosis; documenting of symptoms/observations and care plan. Coordinates and directs proper care for patients in conjunction with privileged and credentialed physicians, including coordination of outside care in the community and referrals to VA tertiary care facilities. Ordering specialty care studies, diagnostics, and patient pre/post operation requirements. Prescribing medications within defined scope of practice. Ordering diagnostic studies such as laboratory tests, x-rays, electrocardiograms (EKGs). Carrying out health promotion and disease prevention activities. Initiating and expediting requests for consultations and scheduling special tests and studies. Dictating notes on procedures performed for which the APN/PA-C is responsible. Providing education and counseling of patients and families in preventive care, medical conditions, and use of prescribed treatments and drugs. Provides training to APN/PA students. Collaborate with CBOC & MCL leadership for management of subspecialty clinics. Maintain professional standards of conduct and training. Maintain professional certification. Work effectively and courteously with patients, families or significant others, and with CBOC, medical staff and members of other services. Provide effective care to patients, i.e. assesses, plans, implements, documents, evaluates patient care; manages care for assigned patients; initiates effective actions in emergencies. Uses sound judgment in assessing, planning, implementing, documenting and evaluating patient care; as assessed by ongoing peer and supervising physician review. Accurately documents and reports care. Completes medical records on a timely basis, per staff bylaws. Actively involved in the management of clinics, to improve efficiency of patient care in coordination with CBOC and MEDVAMC. Work Schedule: Monday - Friday, 8:00 a.m. to 4:30 p.m. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized. Financial 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.