The VA Ann Arbor Healthcare Center is recruiting for a Advanced Practice Nurse Practitioner within Mental Health at the Toledo Community Outpatient Clinic, located in Toledo, Ohio. Recruitment Incentives may be authorized for highly qualified external candidates.

Duties

Major Duties: The role of an Advanced Practice Registered Nurse is considered that of a Licensed Independent Practitioner (LIP). The term "LIP' is defined as any individual permitted by law and by the healthcare system to provide patient care independently within the individual's scope of practice as defined by his/her license and individually granted clinical privileges. The Nurse Practitioner exercises autonomy in medical decision making and provides a broad range of diagnostic and therapeutic services, and collaborates with physicians, PAs and other APRNs and disciplines. Core elements of practice are defined as sets of clinical practices, procedures, and /or interventions that all APRNs are qualified to perform based on their respective educational background, licensure, certification, expertise, and are in accordance with APRN scope of practice (Policy Memorandum 118-10). APRN core elements of practice include but are not limited by the following: - Direct patient care (in-person/video) - Conducting history and physical examinations - Focused assessments - Diagnosis - Diagnostic assessment - Comprehensive treatment planning - Management of acute and chronic health problems - Ordering and interpretation of basic diagnostic tests/studies - Performing interventions based on diagnostic tests/studies - Promoting health maintenance - Prevention of illness and disability - Health counseling and guidance - Providing consultation - Prescribing psychopharmacologic agents (per VHA directive 2008-049) as requested in delegation to prescribe. - Managing patient caseload within the mental health clinic - Facilitating nursing lead psychoeducational individual/groups focused on health and wellness - Patient, families and staff education 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 8:00am - 4:30pm Compressed/Flexible: To be discussed with hiring manager. Telework: Not Available Virtual: This is not a virtual position. Recruitment Incentive: May be available for well-qualified external applicants EDRP Authorized: Contact [email protected], the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Physical Requirements: The population of male and female veterans served ranges from adult, age 18, to the elderly adult, age 65 and over. AAVAHCS is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with visits to the Emergency Department and admissions for medical co-morbidities. This position requires working closely with others; & protracted or irregular hours of work. Requires performing activities involving sitting, walking, and standing, bending and carrying such items as books, papers, and files. Basic computer skills and the ability to learn to use the electronic medical record, Microsoft Outlook, Microsoft Word, Microsoft Teams, and Microsoft Excel are required. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

Requirements

Qualifications

United States Citizenship English Language Proficiency. Education. A post-master's certificate or master's or doctoral degree as a APNs (NPs). (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: 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 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. Licensure and Certification. The following licensure and certification requirements are considered conditions of employment. 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); OR Other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. The required basic certification as a APN (NP) must be identified in support of any position being established or filled as an APN (NP). An approved list of NP/APN certifications may be found on the Office of Nursing site at the Office of Nursing Services. Basic certification as a nurse practitioner is a condition of employment and qualifying factor for the specific assignment. APNs (NPs) are credentialed and privileged to provide care based upon scope of practice, formal graduate nursing educational preparation, certification and patient population. It is the focus of care based on patient care needs, not the care setting, that defines the provider's scope of practice and basic certification required. The scope of practice is determined by the provider's formal academic education and basic APN (NP) certification. The assignment will either require a specific basic certification as a nurse practitioner, i.e., Mental Health, Women's Health, etc., or may allow for more than one basic APN (NP) certification. The APNs (NPs) may also hold a specialty certification which in many cases is not specific to an APN (NP) role. Specialty certifications may be highly recommended but are not required as a condition of employment or required for an assignment and do not support the basic board certification nurse practitioner requirement. GRADE REQUIREMENTS. Recency and Quality of Experience. Recency or quality of training and experience as a Nurse/APN should be carefully reviewed when determining the appropriate grade. To be creditable, specialized experience requirements must be met for each level and/or grade. Experience. To be creditable, experience must demonstrate possession of the following dimensions of practice requirements identified for each grade level: Research. At any grade, an APN (NP) may conduct, collaborate, or assist with approved research or scholarly projects that enhance their knowledge and skills in the profession and advance the missions of VA. 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. APN (NP) II. Scope. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. 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. Dimension Requirement. APNs (NPs) at level II are expected to meet the following dimension requirements: Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program. 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. Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care. Professional Development. Acquires knowledge and skills to develop expertise in area of practice. 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 (NP) III. Scope. Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care. Education and Experience Requirement. Meets basic education requirement for an APN (NP) .AND One year of specialized APN (NP) experience equivalent to the Nurse II grade level. Dimension Requirement. APNs (NPs) at grade III are expected to meet the following dimension requirements: 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. 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. 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. Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. 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.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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 Ann Arbor VA Medical Center 2215 Fuller Road Ann Arbor, MI 48105 US
• Name: Brian Oliver
• Phone: 734-934-0217
• Email: [email protected]