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.

Duties

The incumbent is responsible for leading the multidisciplinary team in coordinating and supporting care activities from the point of diagnosis and across the continuum of care through disposition for patients receiving services at VARHS. The APRN provides leadership that facilitates the delivery of quality coordinated care through the application of the nursing process, medical model, and using patient-centered principles of care. The Nurse Practitioner (Medical Health Outpatient) duties include, but not limited to: Serve as reference to PACT, PC-MHI, Mental Health teams / specialty teams to facilitate timely, appropriate work-up in collaboration with specialist(s) optimizing VA resources and facilitating community care as needed Point of contact for any work-up related questions from patient/family, staff (local and/or other VISN20 facility), community providers Inform patient/family of process, general disease education Assure proper follow-up of abnormal findings that are not treated during visit/stay. Identify high risk patients by acuity and/or biopsychosocial issues for intensive case management Monitor activities to ensure timely multidisciplinary review and coordination of activities necessary for development of a treatment plan and necessary supportive procedures Assess and link patient to additional services when needed, i.e. alcohol treatment, nutrition, palliative care, hospice as necessary, Home Telehealth Communicate/coordinate with Mental Health team regarding medications, patient care needs, etc. Support patient education, treatment education, awareness of steps in care Assess and treat patient for symptom management and/or refer to appropriate specialty for higher level care needs Track all treatments according to care plan, communicating with appropriate service provider on any deviations/omissions from plan Assure treatment summary and recommendations are communicated to involved services Proactively addresses discharge/continuity of care needs (home care, supplies, medications, etc). Provides education to patient/family for medication changes, symptom management, etc. Ensure all mandatory reporting, documentation, coding, and encounters are completed timely and tracked, as appropriate Serves as a point of contact for any medicine-related questions from patient/family, staff (local and/or other VISN20 facility), and community providers Facilitate transition of care for ongoing needs Ensures provision of biopsychosocial support to patient/family Participate in quantitative and qualitative data collection to support evaluation efforts of the unit Work directly with stakeholders to identify needs, systems issues, and communicate activities, treatments, and ongoing needs Partner with local Leadership in communicating and addressing systems issues identified by VARHS, VISN, or regulatory agencies for timely resolution Partner with the Leadership on regional and VISN-wide process improvement strategies Serves on local and VISN committees VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday-Friday, 0800-1630 PST Compressed/Flexible: Not available Telework: This position is available for Telework EDRP Authorized: Contact [email protected] and [email protected], the EDRP Coordinator for questions/assistance. Learn more Relocation/Recruitment Incentives: May be authorized for highly qualified candidates Financial Disclosure Report: Not required

Requirements

Qualifications

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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse II - 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. 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: Moderate lifting, 15-44 pounds; Light lifting, under 15 pounds; Light carrying, under 15 pounds; Straight pulling (0.5 hours); Reaching above shoulder, Use of fingers; Both hands required; Walking (1 hour); Standing (2 hours); Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors; Ability to distinguish shades of colors. Environmental Factors: Working closely with others; Working alone.

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: Kimberly Wallace
• Phone: (541) 826-2111 X3285
• Email: [email protected]