This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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. Education: 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. Licensure: 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. Nurse Practitioners. A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. [The certification must be in the specialty to which the individual is being appointed or selected.] Preferred Experience: Home Care experience; geriatric experience; Primary Care experience. 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. Résumé Reminder: Your résumé must include the following information each job listed: Job title Duties (be as detailed as possible) Month & year/end dates (e.g. June 2007 to April 2008) Full-time or part-time (include hours worked per week) Education should be included (list school and conferred date) Please be aware that your answers will be verified against information provided on your résumé. Be sure that your résumé clearly supports your responses to all of the questions by addressing your work experience in detail. An incomplete application will receive a rating of IFFM (ineligible due to missing forms). Requests for reconsideration will not be considered for applicants who fail to submit a complete application package. We cannot be held responsible for incompatible software or fax transmissions. ["This Nurse Practitioner position is located in Home Based Primary Care at the Springfield, MA location. This position is a full time at 40 hours per week. The Nurse Practitioner duties and procedures include but are not limited to: 1. Acts as the primary clinician for patients in the Home Based Primary Care PACT program; entering orders and other documentation for Veterans; entering orders for specialized diagnostic studies; evaluating results of diagnostic studies and consultations; and initiating appropriate follow up.\n2. Obtain a relevant health and medical history, completes documentation in the Veteran's record.\n3. Performs comprehensive physical examination, based on age and history. Performs psychiatric evaluation with assessment of potential for suicidal or homicidal ideation as needed.\n4. Acting as the primary clinician for on-going treatment of HBPC Veterans.\n5. Conducts preventative screening procedures based on age and history (including all mandated screening);educating Veterans regarding preventative health care.\n6. Identifies medical and health risks and needs assessment; screening Veterans to determine their need for further care.\n7. Initiates medical/surgical or appropriate referrals and consultations in accordance with medical practice and/or specified protocols.\n8. Formulates appropriate differential diagnosis based on history, physical examination and clinical findings.\n9. Identifies needs of the individual, family or community, based on evaluation of the data collected.\n10. Identifies, implements and evaluates appropriate plan of care, including pharmacologic and nonpharmacologic interventions.\n11. Conducts medical history to facilitate prescription of psychotropic medications.\n12. Provides relevant Veteran and family education.\n13. Refers to other health professionals and community agencies.\n14. Enters orders for Veterans including but not limited to: diagnostic studies, consultations, medications and supplies.\n15. Performs Phlebotomy as needed/administer immunizations/medications as indicated.\n16. When indicated obtains informed consent for procedures, transfers or opioid contracts.\n17. The Nurse Practitioner will co-manage Patients enrolled in the Home Care program on an, as needed. Work Schedule: Monday to Friday, 7:30 a.m. to 4:00 p.m.\nCompressed/Flexible Work Schedule: Authorized\nTelework/Virtual/Remote Work: Authorized Telework can be performed on a less than full-time basis anywhere other than a VA facility or using VA-leased space (example: home). Telework Ad-Hoc work can be performed on an as needed basis anywhere other than a VA facility or using VA-leased space (example: home). Mobile Work requires routine and regular travel to conduct work in customer worksites or other worksites as opposed to a single authorized alternative worksite. Relocation or Travel Incentives: Not Authorized\nRecruitment Incentives: Not Authorized\nFinancial Disclosure Report: Not Required\nPromotion Potential: The selectee may be promoted to the next level or grade level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the higher level. Notifications: This position is a Bargaining Unit position. Current and former Federal employees must submit copies of their most recent SF-50 (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. This position is in the Excepted Service. The salary is based on the grade and step approved for the selected candidate. The Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments based on the candidate's education and experience. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy."]
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.