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Remote Nurse Practitioner (Home Based Primary Care)
Location: US-OR-White City
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Located in the Rogue Valley, White City allows easy access to Metro-area of Medford while remaining engrossed with nature. White City is an unincorporated community in Jackson County, Oregon, in the Rogue Valley. It is about nine miles north of Medford and 34 miles north of the California border. Enjoy the scenic drives to either Crater Lake, Oregon's only National Park, and to the mountain resort Lake of the Woods. Take a family-friendly hike to a waterfall or ride the only section of the Pacific Crest Trail that's open to mountain bikers.
The primary purpose of the Home-Based Primary Care nurse practitioner (NP) is to practice to the full extent of their education, training, and certification, without the clinical supervision or mandatory collaboration of physicians, as a licensed independent practitioner to provide specified medical or other patient care service. They are responsible for providing comprehensive care to an established panel of male and female Veteran patients of adult through geriatric age groups. The incumbent functions as a member of an interdisciplinary health care team. Core functions include but are not restricted to: - Performing history and physical examinations, diagnosing, treating, and managing acute and chronic health care problems, ordering appropriate testing and consults, performing adult care check-ups, prescribing medication and treatments, and teaching health promotion and disease prevention to patients.
- Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.
- Assesses, plans, implements, and evaluates care based on age specific components.
- Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction.
- Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences.
- Administers and/or orders medications and procedures per established policies and guidelines.
- Influences care outcomes by collaborating with members of the interdisciplinary team.
- Obtains and document informed consent for the treatment or procedure for which the NP is responsible.
- Responsible for counseling patients and their families on life-sustaining treatment (LST) options, document discussions, and sign LST orders to include, but not limited to, DNAR/DNR.
Core elements of performance include but are not limited to: - Knowledge of and active participation in quality improvement processes and initiatives as well as customer service programs.
- Panel management, care of patients, triage patient phone calls, secure messaging, knowledge and active participation in clinic/program level quality improvement processes and initiatives as well as customer service programs.
- Influence care outcomes by providing expert consultation and guidance to nursing staff within the field of his/her specialty and by implementing improvements in health care delivery systems.
- Assess, plan, implement, and evaluate the total health care of a specialized patient population.
- Resolves unusual or unique care problems or situations for the panel, program, or service which require analytical, interpretive, and constructive thinking.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: 8am- 4:30pm PST, Monday- Friday Telework: Available, Ad-Hoc only. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May be Authorized for highly qualified candidates EDRP Authorized: Contact V20CompensationTeam@va.gov and VHAEDRPProgramSupport@VA.gov, the EDRP Coordinator for questions/assistance. Learn more. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required. - 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.
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. Basic Requirements: - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
- Graduate of a school of professional nursing approved 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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.
- Master's or Doctoral Degree from a program accredited by the Accreditation Commission for Education in Nursing or the Commission (ACEN-Formerly NCLAC) or the Collegiate Nursing Education (CCNE).
- 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.
- Nurse Practitioners must be licensed or otherwise recognized as a nurse practitioner in a State 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.
Preferred Experience and Certifications - Minimum 3 years NP experience or at least 1 year minimum experience with a Doctoral in NP 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 III - Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
- Nurse II - 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 and approximately 2-3 year's of nursing practice/experience.
Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: Light lifting (under 15 lbs); Light carrying (under 15 lbs); Use of fingers; Both hands required; Walking (2 hours); Standing (4 hours); Repeated bending (2 hours); Operation of crane, truck, tractor, or motor vehicle; Able to operate a vehicle; Hearing (aid may be permitted) Environment
US Veterans Health Administration
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