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    Geriatrics & Extended Care Outpatient APN (NP) Program Coordinator - Richmond, United States - Veterans Health Administration

    Veterans Health Administration
    Veterans Health Administration Richmond, United States

    3 weeks ago

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    Description

    Summary Full Position Title:
    APN (Nurse Practitioner) Geriatrics & Extended Care Outpatient APN (NP) Program Coordinator Qualifications 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
    VAPolicy

    • 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

    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:

    VARegulations, specifically
    VAHandbook 5005, Part II, Appendix G-6 Nurse Qualification Standard

    • This can be found in the local Human Resources Office

    Physical Requirements:
    See
    VADirective and Handbook 5019

    • This position requires potentially long periods of continued walking, standing, and sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs and repeated bending while wearing protective lead
    • Heavy lifting (45 lbs
    • and over); Heavy Carrying (45 lbs
    • and over); Straight Pulling (up to 4 hours); Pushing (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 8 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision :20/40 in one eye; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted)
    • The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders; Emotional and

    Mental Stability:
    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

    Work Environment:
    Work is performed primarily in a patient care setting; adequately lighted, temperature controlled, and ventilated

    • Office temperatures fluctuate periodically; involves everyday risks or discomforts which require normal safety precautions typical of such places as clinics, offices, meeting and training rooms or libraries; exposure to noise and dust on occasion
    • The work area is adequately lighted, heated, and ventilated
    • 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

    Reference:

    VARegulations, specifically
    VAHandbook 5005, Part II, Appendix G-6 Nurse Qualification Standard

    • This can be found in the local Human Resources Office

    Duties "Brief summary:

    The APN will provide program-level leadership for outpatient geriatric programs including developing best practices and standard operating procedures, leading quality and program improvement practices, ensuring adherence to local and national directives and presenting data to
    VAleadership about geriatric programs.

    Clinically, the APN (NP) engages in primary health care decision-making and obtains advanced competencies and skills for assessing the physical and psychosocial health/illness status of individuals, families, and groups.

    The APN (NP) will evaluate and manage the care of patients with complex co-morbid illnesses, geriatric syndromes, and medical and psychiatric comorbidities, including rehabilitation needs, care transitions, referral to community resources, and pharmacologic treatments.

    The APN (NP) will provide primary and specialty-level geriatric care, consultation, co-management, and management of comorbidities including primary palliative care.


    Duties:
    Collaborates and leads the review and triage of consult referrals to the GEC service outpatient clinics.

    Performs comprehensive history and physical examinations in inpatient and outpatient geriatric consultations in the facility, including the use of phone and video technology for patient evaluations.

    Completes e-consults when a full evaluation is unnecessary or not feasible.

    Addresses the needs for primary and specialty levels of geriatric care to achieve the best possible quality of life through relief of suffering, control of symptoms, caregiver support, and restoration of functional capacity.

    Serves as the APN (NP) in the outpatient GEC programs including but not limited to Geriatric Evaluation, Transitional Care Team, and Pre-Operative Optimization.

    Serves as the APN (NP) in the GEC Community Care Programs including guidance, care coordination, new authorization and renewal of community care services, and clinical oversight for contract community nursing homes.

    Provides primary or backup to the CVHCS State Veterans Home Medical Facility Representative. Works with clerical and administrative staff to ensure clinically appropriate triage, access, and appointment completion for outpatient geriatric consultation. Coordinates the GEC outpatient programs including leading program quality assurance, quality improvement, process improvement, and program evaluation.

    VA offers a comprehensive total rewards package:

    VA

    Nurse Total Rewards Work Schedule:
    Monday - Friday: 8:00 am-4:30 pm


    Telework:

    Not Available Virtual:
    This is not a virtual position


    EDRP Authorized:
    Former EDRP participants ineligible to apply for incentive. Contact , the EDRP Coordinator for questions/assistance. Learn more. 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.

    Program 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.


    Permanent Change of Station (PCS):

    Not Authorized Financial Disclosure Report:
    Not required."
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