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Advance Practice Nurse (Nurse Practitioner)-Primary Care

Department of Veterans Affairs
Veterans Health Administration
Veterans Health Administration, Primary Care Service

Summary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Overview

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Accepting applications
Location
3 vacancies in the following locations:
Work site options
Telework eligible
Yes—as determined by the agency policy, Ad- hoc only
Remote job
No
Relocation expenses reimbursed
No
Salary
$135,453 - $208,110 per year

Pay set in accordance to location selected.

Pay scale & grade
VN 00
Promotion potential
3
Pay scale and grade determines the salary of the job.
Work schedule
Full-time
Travel Required
Not required
Appointment type
Permanent
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Excepted Service
Represented by a union
Yes
Drug test
Yes
Security clearance
Other
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Jobs require a background check and some require a security clearance. The type depends on the job.
Background check type
Financial disclosure required
No
Some jobs require financial disclosure to identify conflicts of interests.
Announcement number
CBSW-13055387-26-CR
Control number
883424700

This job is open to

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Clarification from the agency

NOTE: The 2-page Resume requirement does not apply to this position. All US Citizens

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Duties

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The Primary Care (PC) Nurse Practitioner (NP) is a registered nurse who utilizes critical thinking
in the application of advanced clinical health care knowledge and skills, in conducting
comprehensive history and physical examinations to Veterans. Performs medical record
reviews and clinical interviews, Performs medical assessments & evaluations, makes
diagnoses/renders medical opinions, and develops a comprehensive treatment plan to include
appropriate diagnostic testing, medication management/therapy, and specialty/subspecialty
care referral where appropriate.

Major duties and responsibilities of the position but not limited to:

  • Maintain an integrated delivery system through expansion of clinical practices. Maintain operational efficiencies through emphasis on safe practices and national safety.
  • Implements Lean principles, supports quality improvement projects and promotes a culture of continuous quality improvement.
  • Identifies symptoms and classifies them by acuity based upon collected data.
  • Demonstrates basic triage knowledge in making appropriate clinical assessments.
  • Relies on intuitive and systematic approaches (protocols) to make health assessments.
  • Demonstrates knowledge regarding VA Administrative regulations such as entitlements, healthcare access points and local policies and procedures related to these elements.
  • Educates and instructs clients on how symptoms can be treated.
  • Contracts verbally with the client to carry out the treatment plan recommended and or
  • advised within set limits.
  • Provides health teaching to clients as appropriate.
  • Provide information about desired outcomes.
  • Performs documentation on all visits in accordance with VA policies and procedures.
  • Demonstrates flexibility with job assignments in order to meet patient care needs within the settings of Primary Care.
  • Evaluates Veterans physical and mental health, family and social history to identify health care needs.
  • Orders and interprets diagnostic tests.
  • Prescribes medications in accordance with scope of practice.
  • Maintains expected workload panel of patients, assuring their continuity of care, health maintenance, and meeting performance measures area priority
  • Completes all relevant clinical reminders and participates in performance and quality improvement activities
  • Uses the Telephone Record Manager Plus (TRM+) and the electronic health record "CPRS" to document all patient triage, visits, evaluations, assessments, care plans; and orders, drugs and devices
  • Collaborates with team members to provide continuity of clinical care and implements a treatment plan.
  • Participates In medical and/or nursing research and quality improvement
  • Fosters the practice of nursing triage by using sound clinical judgment, patient teaching activities, addressing ethical issues that impact clients and staff and will demonstrate leadership and mentoring of staff, which may include ethics consultations.
  • Coordinate and implement patient care specific to the age of the patient population served (adult and geriatric).
  • Evaluates and uses analysis findings of group process to identify, analyze and resolve care
  • problems.
  • Practice according to established policies, standards of care, and standards of practice, and is responsible to ensure that patient care and operations are compliant with all applicable local, V1SN, or National Standards, policies, statutes and regulations.
  • Initiate interdisciplinary projects to improve organizational performance.
  • Clinical expert and consultant: reviews quality of care for documentation, phone activity, case reviews, chart reviews, etc.
  • Identifies educational needs of staff and ensures that these needs are addressed.
  • Encourages staff in team building.
  • Makes sustained contributions to health care by sharing expertise within and/or outside the medical facility.
  • Engages in implementing an educational plan to meet changing program or service needs for self and others.
  • Participates in nursing, medical center or Health Care System committees promoting task accomplishment through interaction and problem solving with group members and other stakeholders.
  • Provide leadership in identifying and addressing ethical issues that impact veterans and staff including initiating and participating in ethics consultations.

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

Pay: Competitive salary, regular salary increases, potential for performance awards

Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: M - F 7:30- 4:00

Telework: Ad- hoc only

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 identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical evaluation/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

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements

  • Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate 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).
    • NOTE: Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment.
  • License - All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia.
  • Basic Board Certification - All APN (NPs) must maintain full and current basic board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared.
NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II:
Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. ยง 405(c)(2)(B).
  • Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
  • Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required.
  • Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements:
    • Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program.
    • 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.
    • Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care.
    • Professional Development. Acquires knowledge and skills to develop expertise in area of practice.
    • Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes.
The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III:
  • Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
  • Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level.
  • Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements:
    • 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.
    • 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.
    • 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.
    • Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility.
    • 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
Physical Requirements: This position includes a level of physicality normally associated with duties performed by advanced practice nurses such as physical assessment, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling.
Examples may include but are not limited to:
  • Significant amounts of time standing assisting patients
  • Utilization of safe patient handling and mobility protocols
  • This position potentially requires flexibility in schedule.

Additional information

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

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

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.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. 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 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 and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

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?

VA Northern California Health Care System (VANCHCS) is an integrated health care delivery system, offering a comprehensive array of medical, surgical, rehabilitative, mental health and extended care to Veterans in Northern California.

The city of Sacramento has evolved over recent years and features two large universities, a thriving riverfront area with harbor, a number of notable museums, top restaurants, jazz nightspots, impressive theaters, more than 100 parks, scenic trails by the American River Parkway, and some striking architecture, including the magnificent California State Capitol building. Home to the River Cats, Triple AAA affiliate for the San Francisco Giants and Major League Soccer awarded an expansion team in Sacramento.

Located near San Francisco, one of America's favorite cities, Sacramento, is not far from the world class ski attractions at Lake Tahoe and the beautiful Napa Valley.

More History can be found here: https://www.northerncalifornia.va.gov/about/index.asp

Agency contact information

Charmaine Runne
Phone
000-000-0000
Email
Charmaine.Runne@va.gov
Address
VA Northern California Health Care System
10535 Hospital Way
Mather, CA 95655
US

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