The West Texas VA Health Care System is currently recruiting for Ambulatory Care Nurse Practitioners located with the West Texas VA Health Care System in Big Spring, Abilene, and Odessa, Texas locations. These vacancies may also be filled by Physician(s); see CAZM-12303828-24-HL .Candidates are encouraged to apply to the vacancy announcement that matches their specific occupation/discipline and specific qualification standards that are used to determine qualifications.

Duties

The Ambulatory Care Nurse Practitioner(s) is responsible for the initial evaluation, stabilization and triage of all patients who present to primary care as well as obtaining consultation when needed and ensuring appropriate referrals for follow-up visits are completed and the maintenance of the patients computerized medical records. Services may be provided face to face or through tele-health. The Nurse Practitioner must possess commitment to patient care and take an active role in the delivery of medical care in a Primary Care setting. The candidate must also possess excellent clinical knowledge. This position will involve interaction with other services and hospitals and fosters a high level of patient and staff satisfaction. The incumbent will also provide women's health care needs. DUTIES INCLUDE THE FOLLOWING: Provides for Ambulatory Care Service must be available 8 hours a day, Monday thru Friday. Shift work may be required as appropriate for coverage. In an emergency, as a member of the medical staff, you are authorized to treat any disease and perform any procedure within the scope of medical licensure. An emergency for these purposes is defined as any situation in which any delay in your administering treatment would result in serious harm to the patient or would constitute an immediate threat to the life of the patient. BLS/CPR is required; ACLS and Out of Operating Room Airway Management (OORAM) as appropriate. Nurse Practitioner must be qualified and training in the following areas: Ambulatory and Outpatient Care Mental Health Patient Aligned Care Team (PACT) TeleHealth/TeleMedicine Compensation & Pension (C&P) Consult response in any setting Notifies supervising physician regarding any unusual or unexpected events or problems requiring direct physician consultation. Instructs and counsels patients regarding compliance with prescribed therapeutic regimen, emotional problems associated with cardiac disease and health maintenance. Documents and maintains patient record of services provided per program standards. Enhances professional growth and development through participation in mandatory educational reviews, educational programs, current literature, in-service meetings, and workshops. Performs clinical research related to specific operations as appropriate. Participates in utilization review for quality of service. Coordinates patient treatment plan with other caregivers such as the physician, community health nurse, physical therapist, social worker, and nutritionist. Clinic note completed, documented, and encounter closed in CPRS same day of visit with the patient. View alerts to be addressed within 24 hours of receipt and no more than 75 view alerts permitted to be carried over to the following day. Participation in the facility's PEER review process, including the external review. Provides telemedicine service via Clinical Video teleconferencing, as needed, to other WTVAHCS primary care setting for cross coverage. Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) VA offers a comprehensive total rewards package: VA Nurse Total Rewards

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). License: 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. The certification must be in the specialty to which the individual is being appointed or selected. Prescriptive Authority. The handbook does not address any additional requirements that nurse practitioners and clinical nurse specialists must meet before they are granted prescriptive authority. Preferred Experience: 2+ years experience as a Nurse Practitioner. National Certification as a Family/Internal Medicine or Adult Health Nurse Practitioner. Proficient in computer proficiency software. 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: Moderate lifting, 15-44 pounds, Light Lifting, under 15 pounds, Heavy carrying, 45 pounds and over, Light carrying, under 15 pounds, Straight pulling (8-12 hours), Pulling hand over hand (8-12 hours), Pushing (8-12 hours), Reaching above shoulder, Use of fingers, Both hands required, Walking (8-12 hours), Standing (8-12 hours), Crawling (8-12 Hours), Kneeling (8-12 Hours), Repeated bending (8-12 hours), Climbing, legs only (8-12 Hours), Climbing, use of legs and arms, Both legs required, Ability for rapid mental and muscular coordination simultaneously, 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, Both eyes required, Depth perception, Ability to distinguish basic colors, Ability to distinguish shades of color, Hearing (aid permitted), Hearing without aids, Mental and Emotional stability required.

Education

Note: Only education or degrees recognized by the appropriate State agency and accredited by either: a) The Accreditation Commission for Education in Nursing (ACEN); or b) The Commission on Collegiate Nursing Education (CCNE) or 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:

1. ACEN - http://www.acenursing.us/accreditedprograms/programSearch.htm
2. CCNE - https://www.aacnnursing.org/CCNE-Accreditation/CCNE-Accredited-Programs
3. U.S. Department of Education - 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.

Note: If your school was accredited by Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) at the time of graduation but is no longer listed on the ACEN or CCNE website, you must provide documentation of accreditation with your application packet.Note: If your school has changed names, or is no longer in existence, you must provide this information in your application.

Note: If your school has changed names, or is no longer in existence, you must provide this information in your application.

Contacts

• Address George H O'Brien Jr VA Medical Center 300 Veterans Boulevard Big Spring, TX 79720 US
• Name: VISN 17 SSU USAS Group
• Email: [email protected]