Nurse Practitioner (Behavioral Health Integrated Program (BHIP))
Veterans Affairs, Veterans Health Administration
Location: Roseburg, Oregon, Oregon
Internal Number: 722736500
The incumbent assigned to the Mental Health Service. The section, care line, or department description and patient population served is defined in applicable Scope of Service. An APRN independently provides theory and research-based care to clients facilitating attainment of health goals, works with nurses to advance nursing practice to improve outcomes cost-effectively, and/or provides clinical expertise to affect system-wide changes in organizations to improve programs of care. 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. 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: 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 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. ($109,882 - 130,483) 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. ($115,770 - $153, 973) 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. ($126,189 - $167,824) 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. Physical Requirements: moderate lifting (15-4lbs); light carrying (under 15lbs); straight pulling (.5hrs); reaching abo e shoulder; use of fingers; both hands required; walking (1hr); standing (2hrs); near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; ability to distinguish shades of colors. Environmental Factors: working alone; working closely with others ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The APRN cares for a specific population of patients in a variety of settings. These settings include, however are not limited to, emergency department, primary care clinics, specialty clinics/programs, extended care programs, community-based outpatient clinics, inpatient care, residential, and ambulatory surgery programs. The APRN functions as an independent provider and oversees care provided to patients within the Behavioral Health Interdisciplinary Program (BHIP) at the Roseburg VA Healthcare System. Care provided includes identifying the patient's biopsychosocial concerns, defining the management of these problems, and determining the need for treatment, consultation, or referral. The APRN consults/collaborates with healthcare clinicians and other team members. Specific activities will include (but are not limited to): - Serve as reference to PACT, PC-MHI, Mental Health teams / specialty teams to facilitate timely, appropriate work-up in collaboration with specialist(s) optimizing VA resources and facilitating community care as needed - Point of contact for any work-up related questions from patient/family, staff (local and/or other VISN20 facility), community providers - Inform patient/family of process, general disease education Assure proper follow-up of abnormal findings that are not treated during visit/stay. - Identify high risk patients by acuity and/or biopsychosocial issues for intensive case management - Monitor activities to ensure timely multidisciplinary review and coordination of activities necessary for development of a treatment plan and necessary supportive procedures - Assess and link patient to additional services when needed, i.e. alcohol treatment, nutrition, palliative care, hospice as necessary, Home Telehealth - Communicate/coordinate with Mental Health team regarding medications, patient care needs, etc. - Support patient education, treatment education, awareness of steps in care - Assess and treat patient for symptom management and/or refer to appropriate specialty for higher level care needs - Track all treatments according to care plan, communicating with appropriate service provider on any deviations/omissions from plan - Assure treatment summary and recommendations are communicated to involved services - Proactively addresses discharge/continuity of care needs (home care, supplies, medications, etc). - Provides education to patient/family for medication changes, symptom management, etc. - Ensure all mandatory reporting, documentation, coding, and encounters are completed timely and tracked, as appropriate - Serves as a point of contact for any medicine-related questions from patient/family, staff (local and/or other VISN20 facility), and community providers - Facilitate transition of care for ongoing needs - Ensures provision of biopsychosocial support to patient/family - Participate in quantitative and qualitative data collection to support evaluation efforts of the unit - Work directly with stakeholders to identify needs, systems issues, and communicate activities, treatments, and ongoing needs - Partner with local Leadership in communicating and addressing systems issues identified by VARHS, VISN, or regulatory agencies for timely resolution - Partner with the Leadership on regional and VISN-wide process improvement strategies - Serves on local and VISN committees 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; 8am - 4:30pm; compressed tour may be considered Telework: Available; may consider 1-2 days per week Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized EDRP Authorized: Contact V20CompensationTeam@va.gov, the EDRP Coordinator for questions/assistance. Learn more Financial Disclosure Report: Not required This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application."]
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?Readying Warriors and Caring for Heroes! This position is located within Surgical Services at the CAPT James A. Lovell Federal Health Care Center (FHCC) in North Chicago, IL. The FHCC is a first-of-its-kind partnership between the Department of Veterans Affairs (DVA), and Department of Navy (DoN)/Department of Defense (DoD). It is larger than just a single facility, but rather it is a fully-integrated medical care facility with a single combined VA and Navy mission. The combined mission of the FHCC means active duty military and their family members, military retirees, and eligible veterans receive health care at this facility.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. Join the FHCC team of energetic, career-minded professionals! For additional information, click onhttp://www.lovell.fhcc.va.gov/index.asp.