Nurse Practitioner-Gastroenterology - Johnson City, TN, United States - Department of Veterans Affairs

Description

Summary

The Certified Nurse Practitioner (NP) practices in the Gastroenterology section in Medicine 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. The NP practices to the full extent of their education, training, and certification. The NP has prescriptive authority for a panel of patients or program as indicated by their position.

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Overview

• Accepting applications
• Open & closing dates

05/14/2024 to 05/21/2024

• Salary

$88,098 - $146,861 per year

• Pay scale & grade

VN 00

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Location

1 vacancy in the following location:

• Johnson City, TN 1 vacancy
• Remote job

No

• Telework eligible

Yes-as determined by the agency policy.

• Travel Required

Not required

• 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

CBTG SA

• Control number

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This job is open to

• Internal to an agency

Current federal employees of this agency.

Clarification from the agency

This announcement is open only to facility employees of Mtn Home, TN.

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Duties

Major duties and responsibilities of the position:

• Independently manages a panel of patients with acute and chronic health conditions

with an emphasis on health promotion and disease prevention using evidence-based

practice.

• Develops and implements an individualized plan to achieve optimal population health

and disease management.

• Demonstrates leadership and works collaboratively with the interdisciplinary team.
• Orders and interprets labs, tests, and diagnostic studies.
• Conducts outpatient general Gastroenterology evaluations.
• Processes Gastroenterology consultations.
• Prescribes pharmacologic and non-pharmacologic interventions.
• 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.

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

Work Schedule: 7:30am to 4:00p.m.


Telework:
Manager's discretion


Virtual:
This is not a virtual position.


Financial Disclosure Report:
Not required.


Payscale:
NG43

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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

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.
• GRADE REQUIREMENTS.

a. Recency and Quality of Experience. Recency or quality of training and experience as a Nurse/APN should be carefully reviewed when determining the appropriate grade. To be creditable, specialized experience requirements must be met for each level and/or grade.

b. Experience.

To be creditable, experience must demonstrate possession of the following dimensions of practice requirements identified for each grade level:

(1) Research. At any grade, an APN (NP) may conduct, collaborate or assist with approved research or scholarly projects that enhance their knowledge and skills in the profession and advance the missions of VA.

c. 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.

(1) APN (Nurse Practitioner) II.

(a) Scope. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.

(b) 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.

(c) Dimension Requirement.

APNs (NPs) at level II are expected to meet the following dimension requirements:

i Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population or program.

ii Outcome Focus.

Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care.

iii Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care.

iv Professional Development. Acquires knowledge and skills to develop expertise in area of practice.

v Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes.

(2) APN (Nurse Practitioner) III.

(a) Scope. Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care.

(b) Education and Experience Requirement.

i Meets basic education requirement for an APN (NP).


AND
ii One year of specialized APN (NP) experience equivalent to the Nurse II grade level.

(c) Dimension Requirement.

APNs (Nurse Practitioners) at grade III are expected to meet the following dimension requirements:

i Clinical Practice. Influences and models the delivery of evidence- based health care,

demonstrating expertise in the ability to manage a patient panel, population or program.

ii Outcome Focus.

Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations.

iii Leadership.

Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population or program.

iv Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility.

v Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork.

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.

Preferred Experience:

Must have a minimum of five years as a APN (NP) with at least two years of Gastroenterology experience.

Physical Requirements:

The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over.

James H Quillen Veterans Affairs Medical Center (JHQVAMC) is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients.

There is a large outpatient psychiatric population, with admissions for medical co-morbidities. 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, lifting more than 10 pounds, and pushing. Transferring

patients and objects may be required. The RN 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 RN may occasionally be exposed to patients who are

combative secondary to delirium, dementia, or psychiatric disorders. The RN must be a mature,

flexible, sensible individual capable of working effectively in stressful situations, able to shift

priorities based on patient needs.

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 , 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.

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Review our benefits

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 - Veterans - Job Seekers - Veterans' Preference.