This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more
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This APRN-Clinical Director position is located in Primary Care Service at the New London location. The positions are full-time at 40 hours per week.
The Nurse Practitioner (NP) Clinic Director is a professional nurse with advanced clinical knowledge and competence to provide professional assessment, coordination, and planning of multiple health care services. S/he is accountable for the management and evaluation of patients under his/her care. S/he holds clinical privileges and practices in collaboration with the Primary Care and Community Clinics Service (PCCCS). Clinical core privileges include: the management, treatment, and ordering, performing, and interpreting labs, radiography, and other diagnostic tests for acute and chronic medical conditions of adult outpatient primary care population. The NP Clinic Director manages a panel of patients from young adult through the elderly throughout the continuum of primary care; acute, chronic, and preventative care. S/he and works seamlessly with the Patient Aligned Care Team (PACT) comprised of a registered nurse, licensed practical nurse and a medical support assistant to provide team-based care to the patient allowing each team member to work at the top of their license or job scope. The NP Clinic Director also utilizes ancillary staff to address patients' needs including the assigned pharmacist, social worker, and mental health professional. Patients may be new or established patients and are seen by appointment or by unscheduled visits, as triaged by the RN or VISN Nurse Advice Call Center. The NP Clinic Director may also care for patients through MyHealtheVet web site secure messaging or by telephone communication. The NP Clinic Director follows national guidelines and processes to execute core clinical privileges. Responsibilities include; but are not limited to:
Conducts a comprehensive assessment to determine patient's nature and degree of acute health problems;
Develops or updates patient status by performance of health history, physical assessment, and diagnostic testing;
Assesses and interprets patient data, differentiating between normal and abnormal findings, formulating differential diagnoses;
Develops appropriate diagnosis and treatment plans;
Prescribes and performs selected laboratory and other diagnostic tests, treatments, referrals, and consultations deemed pertinent as defined in individual clinical privileges;
Participates in management of patients with acute and chronic disease and injuries or other health problems;
Through health teaching, increases patient and family understanding of acute and chronic disease processes, self-care and treatment plan;
Reviews patient management with physician preceptors as appropriate;
Collaborates with other disciplines and community resources to ensure continuity of care;
Maintains up-to-date records of all patient interactions to document care provided and facilitates intervention of various other health care providers;
Demonstrates the skills and knowledge necessary to provide care appropriate to the adult patients served, including the ability to obtain and interpret information to identify patient needs and to provide the care needed. 12. Demonstrated competency in and advanced knowledge of all aspects of primary care including Infection Prevention, Safety, Human Resource policies and relevant VA, The Joint Commission, National Patient Safety Goals, federal, state and local regulations and requirements.
Work Schedule: Monday through Friday, 8:00 am-4:30 pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: F2147
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Contact Sean Moser at Sean.Moser@va.gov, the EDRP Coordinator for questions/assistance
Financial Disclosure Report: Not required
This position is an AFGE Bargaining Unit position.
May be required to attend conference at other facilities or other VA sites on occasion.
The incumbent may be required to travel to other VA campuses and CBOC's.
This position is in the Excepted Service.
The Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments based on the candidate's education and experience. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy.
Occasional travel - May be required to travel to the other 5 CBOCs when needed for urgent provider coverage and/or Newington and West Haven for trainings and meetings.
Family Practice Nurse Practitioners
Practitioners, Family Practice Nurse
Conditions of Employment
You must be a U.S. Citizen to apply for this job
All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
Must pass pre-employment physical examination
Participation in the seasonal influenza and Coronavirus Disease 2019 (COVID-19) Vaccination programs are requirements for all Department of Veterans Affairs Health Care Personnel (HCP)
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.
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. 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.
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.
English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
Nurse Practitioners: A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the ACEN or CCNE, 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.)
Master's degree in nursing required;
Certification as a Family Nurse Practitioner and/or Adult Geriatric;
Excellent assessment skills and priority setting ability;
Good interpersonal and leadership skills;
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 I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a 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.
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:This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.
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.
Department Of Veterans Affairs