Executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of chronic pain care. *This is one (1) position that can be located at Hot Springs, Rapid City or Fort Meade, SD.

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. A. Clinical Functions: Incumbent will provide direct patient care full time and work as a member of an expanded healthcare team (e.g. psychologist, social worker, physical therapist, clinical pharmacists, behavioral health clinician, and a care manager) to oversee and coordinate medical care for a population of Veterans in a group practice setting utilizing the Biopsychosocial Model of Pain Care" and "VA Stepped Care Model of Pain Care model. Major Duties of this position include, but are not limited to: 1. Provides comprehensive pain care for Veterans via TeleHealth or in-person. 2. Perform initial histories and physical examination on outpatients using TeleHealth and/or face-to-face visits. 3. Provide ongoing pain care for assigned patients 4. Prescribe medications within defined scope of practice 5. Utilizes evidence-based approach to medication management for chronic and acute pain. 6. Provides evidence-based approach to medication management for Veterans with Opioid Use Disorder (OUD). 7. Order and interpretation of diagnostic studies such as laboratory tests, x-rays, magnetic resonance imaging (MRIs) 8. Review opioid safety metrics (e.g., PDMP, drug screening, STORM reviews). 9. Obtains consent for long term opioid therapy. 10. Initiates, respond to, and expediate request for consultations, special tests and studies 11. Provide education and counseling of patients and families in pain self-management, active treatment modalities, and use of prescribed treatments and medications. 12. Serve as an attending/teaching physician for pain medicine residents/students as assigned. 13. Performs community care provider opioid use reviews. Clinical Responsibilities: 1. May occasionally perform interventional pain medicine procedures in designated VA facilities as part of a balanced, data-driven, multi-disciplinary treatment plan, in accordance to current licensing and standards of care. 2. Provides electronic consultation services. 3. Performs pain management comprehensive assessments and develops treatment plans for complex acute and chronic pain patients. 4. Manages opioid medications and performs opioid tapers and detoxification when necessary. Complies with current VA/DOD Long-term Opioid Therapy Guidelines, and local BLACK HILLS HEALTH CARE SYSTEM policies. 5. Treats patients with chronic and acute pain. 6. Develops therapeutic care plans that are intended to achieve defined outcomes that improve the patient's quality of life. 7. Works as part of an interdisciplinary team of pain management providers. 8. Initiates, modifies, or discontinues medication therapies and serves as a consultant for intensive medication therapy management services. 9. Orders, performs, reviews, and analyzes appropriate laboratory tests, other diagnostic studies and registries necessary to monitor and support medication therapy. 10. Follows up with patients regarding laboratory or other diagnostic test results to discuss care plans, changes to therapy and additional monitoring or testing requirements. 11. Evaluates and reports adverse outcomes via local VA standard reporting processes. 12. Documents all TelePain management activities, including therapeutic changes and recommendations, in progress notes and completes encounters per VHA standards to ensure workload capture. VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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 Work Schedule: 7:30 AM to 4:00 PM Monday to Friday Telework: Ad-Hoc

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 - Pain Management 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 - Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. 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: See VA Directive and Handbook 5019, Employee Occupational Health Service. Determined by the position.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address VA Black Hills Health Care System 113 Comanche Road Fort Meade, SD 57741 US
• Name: Todd Otterberg
• Phone: 605-347-2511 X7380
• Email: [email protected]