The Nurse Practitioner (Pain Management) provides a highly specialized, coordinated, comprehensive medication management service, to include but not limited to the prescribing or deprescribing of opioids for pain and the assessment and the treatment of OUD.

Duties

Duties include but not limited to: Diagnosing, and treating chronic pain and Opioid Use Disorder (OUD) based on Specialty Pain Care focused services, screening assessments and prescribing medication and treatment. Provides pain management and OUD care as aligned with and inclusive of health promotion, screening and the Whole Health Model of care and disease prevention to patients, families, and caregivers. Implements the principal responsibilities of evidence-based pharmacotherapy management including but not limited to the identification of patient specific medication issues such as drug interactions, adverse effects, lack of effectiveness, appropriateness, and adherence, and is cognizant of and responsive to the patient's overall perspective and response to medication service interventions. Requires and provides an appropriate physical exam and diagnoses to include a comprehensive biopsychosocial risk assessment and the identification of associated risk mitigation strategies. These are vital components of this specialized medication management treatment service from which to consider in the development of an appropriate, veteran-centric care plan. Provides ongoing, comprehensive, high-level focused assessment for and monitoring of the associated risks of overdose or suicidality associated with any medication management interventions (or any other potential causality that presents during the Veteran's MMPMT Care). Implements and supports appropriate Veteran-centered risk mitigation strategies (e.g., Overdose Education and Naloxone Distribution (OEND), Prescription Drug Monitoring Program (PDMP), Urine Drug Screening (UDS), harm reduction) to improve Veteran safety and optimize outcomes in collaboration with supporting services and/or within the existing pain clinic structure. Recognizes adverse drug reactions to pain medications and makes appropriate adjustments in therapy in a patient-centered approach and provides flexible, patient-tailored follow-ups, while leveraging available resources. Applies knowledge of normal laboratory values in the evaluation of patient care, recognizes significant abnormalities, and makes dose adjustment recommendations based on objective laboratory findings and patient-centered assessment. Provides ongoing, comprehensive, high-level focused assessment for and monitoring of the associated risks of overdose or suicidality associated with any medication management interventions (or any other potential causality that presents during the Veteran's MMPMT Care). Evaluates patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with patients or prescribers and provides appropriate alternatives to current treatment plans as indicated. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. Works with PMT and providers to ensure compliance with National, VISN, and Local Facility initiatives policies. Demonstrates expertise in assessing, planning, implementing, and evaluating treatment plans for adult patients with complex pain problems. As part of the pain team, provides feedback and coordinates care with associated health care team members. Modifies treatment plan according to evaluative findings to meet short- and long-term goals. Exercises the highest degree of independence and professional judgment in planning and carrying out treatment plans to meet complex objectives for the chronic pain population. Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Contract Buy Out Program: This position may be eligible for the NP/ Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years). The Roseburg, OR VA Health Care System is a Rural / Highly Rural Target Facility. For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at [email protected] Work Schedule: Mon-Fri, 0800-1630 Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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: 2 to 3 years RN Experience. Master of Science in Nursing. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: Light lifting, under 15 pounds; Light carrying, under 15 pounds. Environmental Factors: Working closely with others, Working alone.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Roseburg VA Medical Center 913 Northwest Garden Valley Boulevard Roseburg, OR 97471 US
• Name: Jordaniel Baynum
• Phone: 503-220-8262 X51192
• Email: [email protected]