[Hiring] Advanced Practice Nurse @San Francisco VA Medical Center

Role Description

The Clinical Resource Hub (CRH) Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in Urgent Care (UC) Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management.

Location Clarification: This job is open to candidates who reside and/or intend to reside within a 50-mile radius of a facility located within the VISN 5 catchment area: Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Montana, Nevada, New Mexico, Northern Marina Islands, Oregon, and Washington.

Responsibilities

• Responsible for managing patients with acute and/or chronic illness in the Clinical Video Telehealth setting as part of the VISN Clinical Resource Hub.
• Provides clinical management for a variety of complex health conditions.
• Serves all Veterans Affairs facilities within a Veterans Integrated System Network (VISN).
• Provides interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand.
• Practices to the full extent of their education, training, and certification.
• Prescriptive authority for a panel of patients or program as indicated by their position.

Functions or Scope of Assigned Duties

• Supports the VISN CRH under the guidance of the Veterans Health Administration (VHA) which provides health care services to Veteran patients across the continuum of care in both institutional and non-institutional settings.
• Provides Telehealth not only to clinical areas within the VISN CRH but also other VISN CRHs throughout the nation. Services provided by CRH staff are conducted via multiple modalities.

Major Duties and Responsibilities

• Develops and implements an individualized plan to achieve optimal population health and disease management.
• Demonstrates leadership and works collaboratively with Urgent Care Team members, Primary Care Teams and other interdisciplinary team members.
• Orders and interprets labs, tests, and diagnostic studies.
• Prescribes pharmacologic and non-pharmacologic interventions.
• Initiates referrals and consults to specialty services.
• Provides education to patients and their families.
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.
• Exemplifies the ICARE core values of Integrity, Commitment, Advocacy, Respect, and Excellence.
• Is proactive in identifying potential emergency/crisis situations and providing appropriate interventions.
• Documents in Computerized Patient Record System (CPRS).
• Performs additional duties as assigned to meet the needs of CRH.

Qualifications

• A post-master's certificate or master's or doctoral degree as a Nurse Practitioner.
• Must be a graduate of a school of professional nursing approved by the appropriate accrediting agency.
• 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.
• 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), Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), or Gerontology Nurse Practitioner (GNP).

Requirements

• Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.
• Meets basic education requirement for APN (NP).
• APNs (NPs) at level II are expected to meet dimension requirements including clinical practice, outcome focus, leadership, professional development, and professionalism/collegiality.
• APNs (NPs) at grade III are expected to execute responsibilities demonstrating leadership, experience, and creative approaches to management of complex client care.

Benefits

• Competitive salary, regular salary increases, potential for performance awards.
• 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year).
• Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA.
• Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement).
• Variable work schedule includes evenings, weekends, and holidays; subject to change to meet the needs of the Agency.
• Telework available, but this is not a virtual position.