VAMC Wilmington is seeking a Nurse Practitioner-Float for its Primary Care Services Team located at various locations (Kent and Sussex Community Based Outpatient Clinics (CBOCs). The primary duty station can be at either location. The Nurse Provider-Float may be utilized to provide Primary Care coverage for providers who are out on leave (planned or unexpected) walk-in patients. Incumbent provides both routine scheduled appointments as well as urgent and same-day care when indicated. The incumbent is in collaboration with the team physician, and is a clinical provider that practices within the Rules and Regulations of the Nursing Practice Act of the state of licensure, and provides comprehensive primary care services for patients in the Primary Care setting in the assigned location at the Wilmington VA Medical Center. The delivery of care may be in person, VVC, or via telemedicine. The incumbent provides effective care to patients characterized by using sound judgment in assessing, planning, implementing, documenting and evaluating patient care for assigned patients. FUNCTIONS OR SCOPE OF ASSIGNED DUTIES: The Nurse Practitioner-Float provides medical histories and performs comprehensive physical examinations (H and P's) Orders appropriate diagnostic studies Interprets and analyzes medical data Establishes diagnoses, formulates and implements treatment plans, and modifies treatment plans when appropriate under supervision and co-signature of collaborative physician; Orders subspecialty consults, tests, prosthetic requests, Completes forms on veterans' behalf that are within the treatment purview of the incumbent, and performs other clinical duties as directed and deemed by service chief and collaborative physician to be appropriate and in the interest of the Veteran. Primary Care is comprehensive, continuous, and covers preventative and psycho-social aspects of patient management. When not engaging in Provider coverage, the incumbent will be expected to review quality measures for panels not meeting expectations and offer assistance in improvement. The incumbent references quality improvement information and organizes patient care needs to assure safe, efficient, and cost effective care and initiates effective actions in emergencies. The delivery of care may be in person, by VVC, or via telephone; and the incumbent will actively participate in the provision of telemedicine care to outlying communities as well as occasional travel to other VA clinics to provide clinical coverage. Must be willing to treat opiate use disorder with buprenorphine therapy (training available) in consultation with Behavioral Health. Must be willing to engage in Women's Health treatment, hypertension management, and diabetes management. Work Schedule: M-F, 8:00am-4:30pm 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.