The Burlington Lakeside VA Clinic in Vermont is seeking a Primary Care Nurse Practitioner/Physician Assistant.

The incumbent is accountable for providing primary care and follow-up care for a prescribed number of patients with an emphasis on maintenance and promotion of optimal wellness and the coordination of care across the continuum of health care.

He/she will be accountable for adhering to the established policies, standards of care and practice and achieving the goals for the Clinical Guidelines and Prevention Indicators. He/she utilizes advanced skills in assessment, problem identification and clarification, treatment , planning and implementation of the patient's treatment plan. He/she will have prescription authority with a scope of practice. He/she provides care for Veterans ranging in age from 18 through the geriatric years, taking into consideration diagnosis, psychosocial, spiritual and cultural issues. Works in collaboration with other members of the health care team to improve the quality of care delivered to Veterans.

Routine duties may include all or some of the following:

a. Performing initial history and physical examinations and assessing health status on outpatients. Documenting all visits in the electronic medical record is required.  Regular review of the care rendered to outpatients will also be accomplished by the supervising physician.

b. Screening outpatients to determine need for further follow-up outpatient care. May also screen patients to determine the need for hospital admission, however, concurrence must be made by supervising physician or alternate.

c. Providing ongoing outpatient care for assigned patients.

d. Screening outpatients to determine the need for further heath care including appropriate consultations where such need is apparent.

e. Ordering and interpreting when appropriate diagnostic studies such as laboratory tests, xrays, electrocardiograms, and other specialized tests or studies to detect abnormalities and/or screening.

f. Carrying out health promotion and disease prevention activities.

g. Initiating and expediting requests for consultations and scheduling special tests and studies.

h.. May counsel patients on VA policy of living wills, Do Not Resuscitate, and Do Not Incubate.

Work Schedule: Monday - Friday; 8:00 a.m. - 4:30 p.m.
Functional Statement Title/Number: 000000

Applications will be reviewed and considered after thirty days, but the announcement will remain open until the positon has been filled.

Conditions of employment

• U. S. Citizenship
• Must pass pre-employment examination
• English Language Proficiency required
• Designated and-or Random Drug Testing required
• Background and-or Security Investigation required
• Selective Service Registration is required for males born after 12/31/1959

Veterans' Preference:

When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference.  For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/veterans.aspx.

Qualifications

Nurse Practitioner Qualifications:
Citizenship:  Citizen of the United States.
English Language Proficiency:  No person shall be appointed to direct patient-care position unless you are proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
Physical Requirements: Must pass a pre-employment physical.
Education or Training:  Applicants must be graduates of a school of professional nursing approved by the appropriate state agency accredited by National League for Nursing Accrediting Commission (NLNAC) or Commission on Collegiate Nursing Education (CCNE) and possess a current, full, active, and unrestricted registration as a professional Nurse Practitioner in any state, territory, or commonwealth.   Additionally, successful completion of formal education program which prepares nurses to function in an advanced practice setting is required.  Certification by a national certifying organization (ANA, etc.) as an advanced practice nurse is also required.
Nurse Practitioner (NP): A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master’s degree from a program accredited by the NLNAC or CCNE, 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.]
VA HANDBOOK 5005/27, PART II, Appendix G6. http://vaww1.va.gov/ohrm/Directives-Handbooks/Documents/5005.pdf
Physician Assistant Qualifications:
Basic Qualification Requirements:
Citizenship:  Citizen of the United States.
English Language Proficiency:  No person shall be appointed to direct patient-care position unless you are proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
Physical Requirements:  Must pass a pre-employment physical.
Education or Training: The candidate must meet the following:
(1) Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; and
(2) A Bachelor’s degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.
Certification: 
(1) Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA.
(2) Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years, as provided in VA Handbook 5005, Part II, Chapter 3, Section G, Paragraph 5.
(3) If a PA’s NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment.
VA HANDBOOK 5005/78, PART II, APPENDIX G8. http://vaww1.va.gov/ohrm/Directives-Handbooks/Documents/5005.pdf
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.   You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.