NP - Dermatology - Des Moines VA The ARNP functions autonomously within their approved privileges and in Collaboration with physicians/providers, peers and other members of the health care team to develop, implement, and coordinate a system of patient care delivery that effects achievement of quality of care, patient satisfaction, positive outcomes, appropriate utilizations of resources, and cost effective services.

Duties

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Functions as a Licensed Independent Practitioner within the Specialty Care Department at the VA Central Iowa Health Care System. Duties include ongoing evaluation and assessment of inpatients and outpatients seen within a specialty clinic setting, and includes management of required labs, medications, consultation and/or follow-up planning on known or suspected abnormal pathology. Progress notes and orders are required on all patients, as well as, histories and physicals when indicated. Care planning with collaborating physicians/providers, peers, patients, families and allied services is expected. Perform initial physical examinations on new patients collecting information regarding the history of the chief complaint and completes a physical examination, to develop and implement an appropriate level of expertise regarding evaluation & treatment. The NP Provider will manage scheduled and unscheduled patients in the outpatient clinic setting. Alternative or collateral duties may include management of a subsection of primary or specialty care patients. The subsection may be defined either by a disease status (e.g. spinal cord injury patients), or demographic status (women Veterans, OIF/OEF Veterans, etc.) Typically these duties are designated at the time of joining but occasionally during the course of employment, participation in special projects pertinent to an assigned section may be necessary as the projects become available through strategic or other initiatives. Other alternative or collaborative duties may include providing clinical video telehealth to patients at another outpatient clinic or VA site. Places orders for diagnostic tests (e.g. MRI, ABI, orthotics, X-rays, bone scans etc.), and evaluates test results / reports. Coordinates clinic and providers schedules to maximize clinic efficiency and Veteran access to care. Coordinates pre-operative work-up for operative patients and arranges for them to be put on the schedule. Evaluates, treats and triages walk-in or add-on outpatients on a daily basis. Manages inpatient care as requested, making rounds, recording their medical progress, updating and summarizing medical records, changing patient orders as appropriate, and notifying the admitting physician of significant changes in the patient's condition. Provides education and counseling to patients and families regarding preventive care, medical conditions, and use of prescribed treatments and drugs. Obtain surgical I-med consents in person and by recorded phone conversation for those procedures identified by the physician performing the procedure as appropriate. If determined appropriate, participate in specialty after-hours call as delegated by Chief of Specialty Care. Prescribes medications as appropriate for patients. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday through Friday; 7:30 am to 4:00 pm Promotion Potential: The selectee may be promoted to the full performance 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 full performance level. EDRP Authorized: Contact [email protected] , the EDRP Coordinator for questions/assistance 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

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. 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. Master's or Doctoral Degree from a program accredited by the Accreditation Commission for Education in Nursing or the Commission (ACEN-Formerly NCLAC) or the Collegiate Nursing Education (CCNE). 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 must be licensed or otherwise recognized as a nurse practitioner in a State 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 and Certifications - 3-5 years of Dermatology 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 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. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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. 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. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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.

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 VA Central Iowa Health Care System 3600 30th St Des Moines, IA 50310 US
• Name: Nicole Howell
• Phone: 651-405-5601
• Email: [email protected]