Nurse Practitioner Home Based Primary Care

Job Title

Nurse Practitioner

Duties

The Nurse Practitioner (NP) is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients. Primary focus of practice is independent comprehensive clinical evaluation and assessment of assigned panel of patients enrolled in the Home Based Primary Care (HBPC) program. Care may be provided in different modalities in accordance with program, facility and national policies (face to face, phone, video). Major duties and responsibilities of the position:

• Conduct in-home comprehensive medical evaluations, including history, physical examination, and functional assessments for Veterans with chronic, acute, and complex conditions.
• Diagnose and manage acute and chronic illnesses, including multimorbidity commonly seen in geriatric and medically fragile populations.
• Develop, implement, and adjust individualized treatment plans in collaboration with the interdisciplinary HBPC team (e.g. social work, rehabilitation therapists, dietitians, and psychology).
• Ensures accurate, timely, and complete documentation of clinical encounters, and alerts in the electronic health record. Tracks, and follows up on orders for consult services and diagnostic testing, with timely communication of test results in accordance with VHA policies.
• Completes administrative requirements related to workload capture, encounter coding, clinical reminders, and other documentation necessary to support accurate reporting and program metrics.
• Participates in quality management and performance improvement activities and adherence to HBPC and VHA clinical performance measures.
• Performs infection prevention and control activities within scope of practice, including appropriate use of personal protective equipment (PPE), hand hygiene, and cleaning/disinfection of reusable equipment in the home setting in accordance with VHA policy and national standards.
• Complies with VA travel and safety requirements, including operation of government owned or approved vehicles, completion of required driver safety training, and submission of mileage and travel documentation as applicable.
• Ensures proper accountability, maintenance, and secure handling of government-issued equipment and supplies used in the home-based care environment.

License and DEA requirements: The NP practices to the full extent of their education, training, and certification. However, per the Controlled Substances Act, 21 U.S.C. 801 et seq., which is enforced by the Drug Enforcement Administration (DEA), NPs prescribing controlled substances will need to meet North Carolina (NC) rules regarding prescribing. The NP will be required to have a collaborative practice agreement with a physician ONLY as it pertains to prescribing controlled substances. It is a preferred qualification of the DVAHCS for all NPs to obtain. The DVAHCS cannot mandate that an NP obtain a North Carolina NP approval to practice (aka NP license). However; if an NP requests to maintain an NP license in a Non-FPA state, and that state's regulation requires that all NPs must collaborate with a physician who also holds a license in that same non FPA state, then the NP must abide by that state's practice act/ state's regulation. If there is NOT a physician collaborator at the DVAHCS who holds a matching state license in the Non-FPA state, and if it is a condition of the NP's employment to order/ prescribe controlled substances in primary care, then the NP will need to consider applying for a North Carolina NP approval to practice in order to fulfill his/her commitment to the assigned job duties. NPs maintaining a license in a Full Practice Authority (FPA) State while working at the DVAHCS must be aware of and must abide by that state board's regulation and practice act.

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: Monday-Friday 8:00am-4:30pm

Telework: Ad-hoc with supervisor approval per VA policy.

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Bryon Collins, View email address on click.appcast.io, the EDRP Coordinator for questions/assistance. Learn more

Permanent Change of Station (PCS): Not Authorized