The Nurse Practitioner works as a member of a multi-disciplinary health care team, collaborating with other members of the team to provide Primary Care to Veterans enrolled on the team. The Primary Care Nurse Practitioner is accountable to the Outpatient Clinic Chief Medical Officer, ACOS/Ambulatory Care, or designee. 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 the appropriate State-accrediting agency and accredited 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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. 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. 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. Preferred Experience: Two (2) years of specialized experience working in a Patient Care Aligned Team type clinic. 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 I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. 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: Moderate lifting, pulling, and carrying. Must be able to walk, stand, and bend for 2-4 hours per day. Able to distinguish between basic colors. Hearing (aid permitted). Good interpersonal skills, working closely with others. Use of fingers for 6-7 hours per day ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The nurse practitioner is expected to demonstrate advanced competencies and skills in assessing the physical and psychosocial status of patients and family members, play an active role in the multi-disciplinary health care team, promote preventive health measures, manage the acute and chronic conditions of his/her assigned panel of patients and those patients assigned to other team members when circumstances require. Responsibilities include, but are not limited to: Primary Care of a panel of primary care patients (male and female) Provide comprehensive assessment, diagnostic work-up and clinic intervention, including comprehensive patient assessment, health history, physical examination, and patient education to Veterans in the Primary Care team setting; outpatients include both scheduled and unscheduled Veterans; Function as an integral part of a Primary Care multi-disciplinary team to coordinate, facilitate, and provide patient care and services; Discriminate between normal and abnormal findings to establish a diagnosis and initiate appropriate response to emergency health problems; Initiate appropriate referrals and consultations to other clinical services; Order and evaluate diagnostic tests as appropriate, recommend treatment and/or referral; Validate the effectiveness of previously implemented medical treatment; Initiate, evaluate, and change orders for medications; Include patient and family in planning care and establishing realistic measurable goals for health maintenance/improvement. Record/document health appraisal information, clinical assessments, treatment decisions, plan of care, ongoing management and therapeutic outcomes, order medications, diagnostic tests and referral consultations where needed for every patient encounter; recording will be accomplished using the electronic comprehensive patient record system (CPRS), and will be completed on the day of the encounter; Respond to computerized \"alerts\" indicating diagnostic test abnormalities and to health line requests from Veterans/family members on the day of receipt (weekends excepted); Follow Performance Measure guidelines, including completion of clinical reminders in CPRS; access and timeliness standards; prescription order entry, National VA formulary requirements, and customer service standards; Work effectively with patients, families, members of the multi-disciplinary team, and other CAVHCS staff Demonstrates flexibility in responding to clinic demands, adhere to personal and professional obligations and responsibilities, practice and maintain ethical standards, and sustain a work environment that is harmonious and customer service oriented. Providers will act as surrogates for the patients of their colleagues when their colleagues are on leave/travel. Work Schedule: Monday through Friday, 8:00 a.m. - 4:30 p.m. Subject to change based on agency needs.\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]