The PMHNP manages the administrative and clinical aspects of the Behavioral Health Interdisciplinary Program (BHIP) in the Mental Health Clinic at the Tucson Main Campus, and at the Seven Community-Based Outpatient Clinics. The incumbent practices in Mental Health services as a certified Psychiatric Mental Health nurse practitioner (PMHNP) to provide a full range of services emphasizing quality and timeliness. The PMHNP provides advanced clinical practice, consultation, and management.

Duties

Mental Health The SAVAHCS Mental Health Service values cultural diversity across our staff and training programs. Mental Health Service leaders are deeply committed to fostering an environment that is highly sensitive to and appreciative of all aspects of diversity. Our staff represent a variety of cultural backgrounds, competencies, interests, and theoretical orientations." The Psychiatric Mental Health nurse practitioner (PMHNP), Behavioral Health Interdisciplinary Program (BHIP) practices to the full extent of their education, training, and certification. Core functions are outlined in the clinical privileges that correspond with this position. The PMHNP has prescriptive authority as indicated by their position. Based on the needs of the service, the incumbent may be asked to assist with coverage of BHIP or other Mental Health Service psychiatric providers to include nurse practitioners and physicians, as well as clinical pharmacy providers, as their privileges permit. The incumbent is responsible for the day-to-day oversight and functioning of BHIP, as well as long term program outcome evaluation and efficiency. This includes directly supervising the multi-disciplinary BHIP Team Supervisors who each oversee up to two BHIP teams, subspecialty program coordinators, and Gap Psychiatric Providers. The incumbent will develop and facilitate a weekly BHIP Supervisors' Meeting, a monthly BHIP Program Meeting, participate in weekly BHIP team meetings as clinically or administratively indicated, participate in monthly or bimonthly Mental Health Service Management Meetings, and participate in monthly or bimonthly discipline- specific meetings to include psychiatry, nursing, social work, and psychology as needed. The incumbent will attend BHIP VISN and national level meetings to ensure the SAVAHCS is in compliance with BHIP national guidelines. The incumbent is delegated the full scope of authority and responsibility for the coordination of BHIP, to include performance standards and evaluations, workload evaluation, competencies, proficiencies and all other personnel related responsibilities. The incumbent assumes professional, technical, and administrative responsibilities for psychiatry programs extended to these areas. The incumbent collaborates with supervisory clinical leads outside of psychiatry (i.e., social work, psychology) in evaluating their employees' clinical skills. The incumbent coordinates with the BHIP Nurse Manager to ensure that BHIP registered nurse and licensed practical nurse/nursing assistant competencies, proficiencies, direct management, and other personnel related needs are being met. Major duties not limited Uses advanced clinical judgment to independently provide evidence-based treatment to Veterans with acute or chronic mental illness including use of psychotropic medications, psychotherapy, and other modalities. Provides patient and family education on medical/mental health conditions, preventive measures, and prescribed treatments. Demonstrates leadership and engages in collaboration with other mental health and specialty care professionals while involving Veterans and their families (as appropriate), in treatment plan development. Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes Counsels and treats patients with substance use disorders. Orders and interprets diagnostic studies Initiates referrals/consults to specialty services Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence adhering to nondiscriminatory employment practices in regard to race color, religion, sex, and affirmative action for the area under his/her supervision in the following: The incumbent performs a wide range of services and provides technical assistance to state, local, and private agencies, and universities. Technical assistance provided is based on monitoring activities and program reviews, and the development and analysis of information. In addition, the incumbent uses sound judgment in the interpretation of trends and patterns; the application of guidelines; and the recommendation of program enhancements. The incumbent performs program analysis, development, review, research, design, and public contact work. The incumbent is responsible for key project activities related to the planning, development, and implementation of the project component. As a key leader within the Mental Health Service, the incumbent may represent the service on Medical Center task forces or committees, as deemed appropriate. Preferred experience: NP III -5 years behavior l health care managerial experience VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday-Friday, 0800-1630 Telework: Not Authorized Virtual: This is not a virtual position. Permanent Change of Station (PCS):Not Authorized Financial Disclosure Report: Not required.

Requirements

Qualifications

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited 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). NOTE: 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 will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. License and Certification: License. All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Basic Certification. All APN (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), 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. NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II: Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B). Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others Education and Experience Requirement: Meets basic education requirement for APN (NP). 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. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) 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: APN (Nurse Practitioners) 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6a Nurse Qualification Standard. Physical Requirements: Heavy lifting (45 lbs and over); Heavy carrying (45 lbs and over); Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking and standing up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted.

Education

This job does not have an education qualification requirement.

Contacts

• Address Tucson VA Medical Center 3601 South Sixth Avenue Tucson, AZ 85723 US
• Name: Elena Gonzalez
• Phone: 858-623-1850
• Email: [email protected]