Nurse Practitioner - Internal Medicine

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements 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 - 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 Board Certification - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP), Adult Nurse Practitioner (ANP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), or Gerontology Nurse Practitioner (GNP) 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.

01Preferred Experience

Experience with medicine inpatients in collaboration with an attending physicians. 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: Physical Requirements: All applicants must be physically able to satisfactorily perform the duties of the position. A pre-placement evaluation shall be completed prior to appointment.

NOTE: This is part of a multi-discipline recruitment that will result in the hiring of one of the following disciplines: Nurse Practitioner or Physician Assistant To apply to the Physician Assistant Posting: Physician Assistant - Internal Medicine This Nurse Practitioner - Internal Medicine position is located at the West Roxbury campus location. This is a full-time 40 hours per week position.

The Nurse Practitioner (NP) provides a full range of services emphasizing quality, timeliness, and the advancement of the VA mission. The NP provides advanced clinical practice, consultation, and management. The NP 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 NP has prescriptive authority for a panel of patients or program as indicated by their position.

Duties include, but are not limited to: Independently manages and provide comprehensive inpatient medical care to adult veterans , including evaluation and management of acute, episodic, and chronic conditions. Practices with appropriate clinical autonomy within granted privileges. Serve as a primary provider on the Direct Care service and the General Internal Medicine/GIM Teaching services, managing daily patient care activities including admissions, ongoing management, care coordination, and discharge planning.

Coordinates and oversees inpatient care, coordinates timely communication, safe transitions of care. Orders and interprets diagnostic studies Prescribes pharmacologic and non-pharmacologic interventions. Initiates referrals/consults to specialty services Provides clinical guidance and continuity for Internal Medicine residents, medical students, and other trainees involved in patient care.

• Lead and support resident teams in addressing all aspects of inpatient care, with a focus on patient safety, high value care, and adherence to evidence based practices.
• Demonstrates accountability to established VA policies, procedures, and standards of care.
• Utilizes advanced skills in assessment, diagnosis, clinical decision making, treatment planning and implementation of the patient's care plan.

Delivers patient centered care to a diverse veteran population (ages 18 through geriatric) incorporating medical, psychosocial, spiritual, and cultural consideration. Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes Collaborates with other members of the health care team to design and/or continuously improve the quality of care delivered to Veterans. Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence.

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 Notifications: This position is in the Excepted Service Veterans' preference does not apply for internal or other current permanent Federal agency employees.

Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.

Work Schedule: Tour of Duty is based on team: (1) Direct Care Team: These include weekends and holidays; or (2) Resident-Led Team: - Monday - Friday do not work holidays, 7:00 am - 3:30 pm EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Karen Chapman [email protected], the EDRP Coordinator for questions/assistance. Learn more Assignment Code: N5 Permanent Change of Station (PCS): Not Authorized