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Advanced Practice Registered Nurse - Hospice Palliative Care

Department of Veterans Affairs
Veterans Health Administration
VA Caribbean Healthcare System

Summary

San Juan Puerto Rico VA Healthcare System's Geriatrics and Extended Care Service is seeking an experienced and dynamic. Licensed Independent Provider-Nurse Practitioner Ideal applicants are those who want to contribute to the achievement of quality care standards, as well as the growth and development of a VA academic hospital program. You must be an excellent communicator and team player who is adaptable to the needs of a growing medical center.



Overview

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Accepting applications
Open & closing dates
05/19/2026 to 06/01/2026
Salary
$113,086 - $168,300 per year

A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.

Pay scale & grade
VN 00
Location
1 vacancy in the following location:
San Juan, PR
1 vacancy
Remote job
No
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Excepted
Promotion potential
3
Job family (Series)
Supervisory status
No
Security clearance
Not Required
Drug test
Yes
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Financial disclosure
No
Bargaining unit status
Yes
Announcement number
CBTC-12946172-26-TF
Control number
869847000

This job is open to

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Clarification from the agency

All qualified candidates encouraged to apply. Open to current employees of San Juan VA Medical Center.

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Duties

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As a Licensed Independent Provider, the Nurse Practitioner practices autonomously providing a full range of services utilizing treatment
guidelines in the delivery of high-quality care. The incumbent provides a wide range of health care services, including providing care and counseling of persons, promoting maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment and evaluation of human responses to actual or potential health problems through services such as: health education counseling, provision of care supportive to or restorative of life and well- being and prescribing treatment.

Other duties and responsibilities include, but are not limited to:

  • Serves as Hospice/Palliative Nurse Practitioner in Geriatrics and Extended Car (GEC) Service working in the following areas: Community Living Center (CLC), Hospice and Palliative Care Unit, Acute Care Units, ICU units, ABIHCU units, Rehabilitation unit and outpatient for Palliative care clinics. 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.
  • Collaborates with the Palliative Care Coordinator and Palliative care Team to identify and solve clinical and administrative challenges in the care of all Veterans with serious illness seeking care.
  • Demonstrates leadership and works collaboratively with Palliative Care Team and other interdisciplinary team members.
  • Orders and interprets labs, tests, and diagnostic studies.
  • Prescribes pharmacologic and non-pharmacologic interventions.
  • Initiates referrals and consults to specialty services.
  • 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: Monday - Friday, 8:00 am - 4:30 pm(Note: Work schedules are determined and approved by the supervisor. The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs).
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required.

Requirements

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Conditions of employment

  • U.S. Citizenship; 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.
  • English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • 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).
  • You may be required to serve a probationary period.
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.

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.

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements

  • United States Citizenship: Must be a US Citizen.
  • 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.
  • Education: 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)- formerly known as the National League for Nursing Accrediting Commission (NLNAC) -OR-
    • The Commission on Collegiate Nursing Education (CCNE). -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. -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). (Transcripts Required)
  • Registration: 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 Practitioner (NP) Certification in Adult or Family: Must be licensed or otherwise recognized as a NP in a State and maintain full and current certification as a NP from the American Nurses Association or another nationally recognized certifying body. The certification must be in Hematology/Oncology for this position. (Copy of NP Certification Required)
.Preferred Experience and Certification:
  • Hospice/Palliative Care experience.
Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
  • Nurse II: Master's degree in nursing or related field with a BSN or bachelor's degree in a related field 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 or bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience. -OR- a Doctoral degree in nursing or related field and approximately 2-3 years 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. The full performance level of this vacancy is Nurse III. The actual grade at which an applicant may be selected for this vacancy is in the range of Nurse I/Level to Nurse III.

Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching above shoulder, use of fingers, hands and legs, use of cranes and motor vehicles, walking & standing up to 8 hours, bending and climbing and able to hear whisper. The incumbent must be physically, emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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.

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.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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 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.

Veterans Health Administration

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?

Come work for the VA Caribbean Healthcare System where we provide services to veterans in Puerto Rico and the U.S. Virgin Islands. These islands enjoy year-round summer, and you can experience Caribbean culture, history and diverse activities. As a territory of the United States, Puerto Rico offers the conveniences of the mainland and a trip to the U.S. Virgin Islands is only 30 minutes away. Join us to experience the wonders of working and living in a tropical paradise.

Agency contact information

Tamica Frazier-Henry
Phone
7062317350
Email
Tamica.Frazier-Henry@va.gov
Address
San Juan VA Medical Center
10 Calle Casia
San Juan, PR 921
US

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