The Advanced Practice Nurse (Nurse Practitioner), Nurse Manager within the Medicine Service Line is accountable for promoting patient safety, continuity/quality of care and general well-being of the patient. The nurse practitioner collaborates with physicians and ancillary services to provide this care. The APN provides specialized care through traditional face-to-face mechanisms, as well as virtual electronic/tele-medicine mechanisms, in order to provide efficient, Veteran-centric care.

Duties

Preferred Experience and Certifications: Minimum 5 years' experience as a nurse practitioner, experience leading teams , 2 years outpatient specialty clinic experience Designated first-line supervisory authority, responsibility, and accountability for the 24/7 operations of assigned areas, Has continuing responsibility for time scheduling of the unit, coaches staff, addresses employee conduct and performance issues, completes recurring reports and performance evaluations in a timely manner. Participates on service and medical center committees and task forces to improve nursing practice and patient care. Identifies educational needs of staff and ensures that these needs are addressed. Works in partnership with the union and adheres to EEO principles. Duties include but are not limited to the following: a. Oversees practice and functions of outpatient advanced practice nurses assigned to Medicine Service b. Provides 51% clinical practice in his/her area of specialty. c. Responsible for overall clinical and competency supervision of outpatient Medicine/specialty Nurse Practitioner. d. Works in conjunction with the lead Nurse Practitioners/section chiefs to assure completion of chart reviews for the focused professional performance evaluations ( FPPE) and Ongoing professional performance evaluations ( OPPE) . Complete supervisory portion of the OPPE. e. Must establish and maintain effective relationships with all levels of medical center personnel and relate effectively with customers, families , as well as, program and service leaders at the local and network level f. Develop and implement standards of care, policies and objectives for the enhancement of nursing g. Leads efforts to continually improve access to patient care, patient experience and clinical outcomes. h. Oversight of the APN credentialing process, initial and ongoing professional performance evaluations, labor mapping, workload and performance measures Advanced Practice, Nurse Manager CRNP: NII j. Assist in policy making activities as related to customer service and the overall functioning of administrative and clinical programs for Nursing service overall and specific clinical areas as needed. Develops , plans to educate and maintain competence all APNS in aspects of workload productivity including utilization of CPRS, note signature, encounter coding and assuring encounters are properly opened and closed. k. Assures all APNs knowledge and involvement in SAIL measures related to their specific areas of practice l. Supports professional development of nursing staff, development and completion of quality projects, and staff member involvement in professional organizations locally, regionally and nationally m. Develops and implements a plan for APN involvement in shared governance, academic culture and evidence based practice n. Complete proficiencies, with input from section chief. o. Collaborate with Medicine Nurse leaders to ensure adequate staffing and coverage. p. Ensure full practice authority is implemented in all specialty areas. work with section chief and MSL leadership to implement strategies to improve practice. Address any performance related issues. q. Assist, in collaboration with Education Department and ACNS Education, in the development of Advanced practice residency programs r. Work with MSL Program Analyst , monitor APN book ability, labor mapping and productivity s. Collaborate with Nurse Manager to ensure consults are triaged, per RCI guidelines. t. Ensure orientation is completed on all new nurse practitioners. Update and streamline orientation program, u. Assign peer reviews. v. Develop ongoing educational programs for APPs. w. Ensure credentialing is completed for new hires. x. Address performance related concerns. 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: Monday-Friday 7:30 AM-4PM Compressed/Flexible: May be authorized Telework: Ad-Hoc Telework Virtual: This is not a virtual position. Permanent Change of Station (PCS): 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: Citizen of the United States [in accordance with section 7402(c) of title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a). English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Licensure and Certification: License: All APNs (NPs) must possess and maintain an active, current, full and unrestricted APN license to practice as a NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Basic Certification. All APNs (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following: The American Nurses Credentialing Center (ANCC); The American Academy of Nurse Practitioners Certification Board (AANPCB); Other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. Grade Determination: In addition to the basic qualification requirements, the grade level of an APN (NP) is based on a combination of education and experience. Beyond the minimum education requirements, grade determination for appointment, advancement and promotion will be based on the following specific requirement for an APN (NP). The level of practice at which an APN (NP) may perform is based upon a combination of many factors. Beyond the minimum educational requirements, grade determination, upon appointment and advancement, is dependent upon aspects such as continued professional development (formal and/or informal education), clinical performance, judgment, outcomes (at the service level and beyond), leadership and interpersonal skills that influence, inspire and motivate others within their program/service or beyond. As the APN (NP) acquires the knowledge, skills and judgment that accrues with experience, the privilege of increased authority for patient care and service in administrative roles is expanded as applicable. APN (Nurse Practitioner) II. (a) Scope. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. (b) Education and Experience Requirement. Meets basic education requirement for APN (CNS). Nurse II is considered the entry grade level for APN (NPs); no experience is required. (c) Dimension Requirement. APNs (NPs) at level II are expected to meet the following dimension requirements: i Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population or program. ii Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care. iii Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care. iv Professional Development. Acquires knowledge and skills to develop expertise in area of practice. v Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes. APN (Nurse Practitioner) III. (a) Scope. Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care. (b) Education and Experience Requirement. i Meets basic education requirement for an APN (NP). ii (c) AND One year of specialized APN (NP) experience equivalent to the Nurse II grade level. Dimension Requirement. APNs (Nurse Practitioners) at grade III are expected to meet the following dimension requirements: i Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population or program. ii Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations. iii Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population or program. iv Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. v Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6a Nurse Qualification Standard. Physical Requirements: Heavy lifting (up to 35 pounds); heavy carrying (up to 35 pounds); straight pulling (2-4 hours); pushing (2-4 hours); reaching above shoulders (1-2 hours); use of fingers; both hands required; walking (4-6 hours); standing (4-6 hours); repeated bending (2-4 hours); 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 20/40 in the other; both eyes required; ability to distinguish basic colors and shades of color; hear (aid permitted); mental and emotional stability.

Education

• Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (NOTE: the post-master's certificate is formal education awarded from an acceptable school of professional nursing and is not considered board certification as described under 2.c.(2) of this appendix).
  • Education Accreditation Requirement: Nursing education must be from a school of professional nursing accredited by one of the following accrediting organizations at the time the program was completed by the applicant: (a) The Accreditation Commission for Education in Nursing (ACEN), 3343 Peachtree Road NE, Suite 850, Atlanta, GA 30326. The ACEN accredits all levels of nursing programs, including clinical doctorate, masters/post-master's certificate, baccalaureate, associate and diploma nursing education programs. (NOTE: The National League for Nursing Accrediting Commission/NLNAC changed its name to ACEN in May 2013 ACEN's website may be utilized to verify accredited programs using automated inquiry processes; however, for verification of any nursing program's accreditation prior to 1998, an automated inquiry cannot be used and ACEN must be contacted directly via their email contact information on the ACEN website to verify.); or (b) The Commission on Collegiate Nursing Education (CCNE), 655 K Street, NW, Suite 7, Washington, DC 20001. The CCNE is an accrediting arm of the American Association of Colleges of Nursing (AACN) and accredits nursing education programs at the bachelor and master's level
  • Foreign Education: Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent Nurse Practitioner masters or doctorate level degrees who possess current, full, active and unrestricted registration and certification (see paragraph 2c) will meet the requirement of graduation from an approved school of professional nursing to warrant appointment

Contacts

• Address Pittsburgh VA Medical Center 1010 Delafield Road Pittsburgh, PA 15215 US
• Name: Eun-hae 'Grace' Foglietta
• Phone: (610) 384-7711 X4456
• Email: [email protected]