Nurse Practitioner (Ambulatory Care)

Summary

Provide care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being.

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Overview

• Accepting applications

• Open & closing dates

03/14/2024 to 03/29/2024

• Salary

$102,110 - $174,655 per year

• Pay scale & grade

VN 00

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Location

1 vacancy in the following location:

• Oklahoma City, OK

• Remote job

No

• Telework eligible

No

• Travel Required

75% or less

• Driving Requirements

• This position is a float Primary Care Nurse Practitioner. Travel will be required to various Community Based Outpatient Clinics (CBOCs).

• Relocation expenses reimbursed

No

• Appointment type

Permanent -

• Work schedule

Full-time -

• Service

Excepted

• Promotion potential

None

• Job family (Series)

0610 Nurse

• Supervisory status

No

• Security clearance

Other

• Drug test

Yes

• Position sensitivity and risk

Non-sensitive (NS)/Low Risk

• Trust determination process

Credentialing

Suitability/Fitness

• Announcement number

CBSU-12330273-24-ES

• Control number

781535600

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This job is open to

• Internal to an agency

Current federal employees of this agency.

• The public

U.S. Citizens, Nationals or those who owe allegiance to the U.S.

• Federal employees

• Competitive service

Current or former competitive service federal employees.

• Federal employees

• Excepted service

Current excepted service federal employees.

Clarification from the agency

Open to U.S. Citizens. First consideration will be given to current permanent employees of the Oklahoma City VA Health Care System and associated Community Based Outpatient Clinics (CBOCs). Current permanent VHA or Federal employees provide your most recent SF-50 with your application.

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Duties

Major duties include, but are not limited to the following:

• Manage medical care for a panel of Veterans enrolled in Primary Care

• Timely entry and use of the electronic medical record system for documentation, workload capture, alert management, and for review of Veterans' current and future medical care needs

• Serve as the leader of the Patient Aligned Care Team (PACT)

• Cross-cover for other medical providers as needed throughout the health care system

• Work in collaboration with PACT members to ensure the overall safety and quality of each Veteran's care

• Responsible for all performance metrics related to patient quality of care

• Responsible for positive customer service in all aspects of care

• Participate in quality improvement, quality assurance, continuous survey readiness, and committee/work groups in collaboration with others

• Maintain licensures and certifications requisite for credentials and privileges at the OKC VAHCS

• Meet ethical and professional standards as written in the Medical Staff Bylaws and ensure that work relations are in compliance with facility standards and expectations as written and communicated

• Driving and travel for Primary Care patient care coverage purposes will be required for this position to clinics throughout the health care system. Driving and travel may be up to 75% of the time.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Work Schedule: M-F, 8:00 a.m.

• 4:30 p.m.

Telework: Not Available

Virtual: This is not a virtual position

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

Financial Disclosure Report: Not required.

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Requirements

Conditions of Employment

• You must be a U.S. Citizen to apply for this job. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

• 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.

• Must be proficient in written and spoken English.

• You may be required to serve a probationary period.

• Subject to background/security investigation.

• Selected applicants will be required to complete an online onboarding process.

• Must pass pre-employment physical examination.

• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications

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).

1.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.

(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.

2.Foreign Education. Graduates of foreign schools of professional nursing program may be used to qualify however MUST be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD).

Must meet one of the Education requirements:

• Post-master's certificate, OR, master's OR doctorate from a school of professional nursing accredited by either ACEN or CCNE at the time of program completion. (Required)
• As a graduate of a foreign school of professional nursing program, I possess a nurse practitioner degree equivalency validated through an Agency recognized degree equivalency evaluation agency. (Required)

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. (a) All APNs (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following:

i The American Nurses Credentialing Center (ANCC);

ii The American Academy of Nurse Practitioners Certification Board (AANPCB); or

iii Other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared.

(b) The required basic certification as a Nurse Practitioner 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.

(c) Basic certification as a nurse practitioner is a condition of employment and qualifying factor for the specific assignment.

(d) 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 Nurse Practitioner 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 nurse practitioner certification.

(e) The APNs (NPs) may also hold a specialty certification which in many cases is not specific to a Nurse Practitioner 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.

Required Certification: Adult-Gerontology Primary Care Nurse Practitioner and Family Nurse Practitioner.

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

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. 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.

APN (Nurse Practitioner) III

Meets basic education requirement for an APN (NP). AND One year of specialized APN (NP) experience equivalent to the Nurse II grade level.

Reference: VA Regulations, specifically VA HANDBOOK 5005/160 PART II APPENDIX G6a January 29, 2024 II-G6a-1

Nurse Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements: The position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused patients, repositioning patients, assisting with transferring patients to Wheelchairs/stretchers/cars, and transporting them to other departments or facilities. Mechanical devices available and are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. 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. This position requires visual acuity, good hearing, distinctive speech and manual dexterity. The position requires the nurse to work for periods of time with arms above shoulder level with neck in a fully flexed or extended position and the ability to physically control.

Education

This job does not have an education qualification requirement.

Additional information

Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

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• Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets

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• Veterans' Preference.