Nurse Practitioner-Outpatient Specialty Clinics

Salem, Virginia
Jun 05, 2021
Jun 11, 2021
Full Time


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. Learn more

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Definition: The Advanced Practice Nurse (APN) is a registered nurse who has a graduate degree in nursing. The APN roles include clinical nurse specialist and nurse practitioner. The APN provides direct and indirect patient care that includes assessment, diagnosis, planning, and treatment of health problems. In addition to clinical practice, the APN role includes education, research, and consultation. The APN functions within a scope of practice commensurate with training, demonstrated expertise, and licensure.

Relationships: The APN is accountable for the care of designated patients and/or clinical programs. The APN functions autonomously, as guided by functional statement/scope of practice, and collaboratively with other health care providers to manage patient care needs. The APN serves as a liaison throughout the continuum of care between clinical and administrative services and other health care facilities within the VHA and the community.
Credentialing: The APN scope of practice statement will identify the individual's prescriptive authority as well as description of routine and non-routine professional duties and the general areas of responsibility to be performed. The relevant credentials of each APN will be verified and the scope of practice will be approved by the appropriate facility-based authorizing body or Chief of Staff.
Scope of Practice: The scope of practice of all nurse practitioners in all areas of clinical practice is defined in the four (4) dimensions outlined in the Nurse Qualification Standards, dated 03/17/2009. Within the four dimensions of nursing, nine criteria define the performance requirements for nurse practitioners and is specific to the Grade.

Nurse Ill: Executes position responsibilities that demonstrate leadership, experience, and creative approaches in the management of complex patient care.
Nurse Practitioner Ill: Executes position responsibilities that demonstrate leadership, experience, and creative approaches in delivering primary and comprehensive health care, incorporating selected medical services into the management of individual, families, and group with an emphasis on the promotion of health and prevention of disease.

Functional Statement Title: Advanced Practice Nurse Practitioner
  • Selected candidates shall provide clinical services in the Surgical Care Service Line at the VA Medical Center, Salem, VA. The successful candidate will be responsible for performing duties to include, but not limited to the following:
  • Evaluates, screens, and counsels patients on health maintenance and promotes utilization of community resources
  • Performs complete pre-operation history & physicals on surgical patients, identifying and alerting Residents/Attending Surgeons and surgeon to any disqualifying conditions that present
  • Assists surgical residents and attending in performing complete evaluations on patients in outpatient settings, to include establishing a working diagnosis, developing a treatment plan, implementing therapeutic intervention and providing appropriate follow-up care from a pre-admission clinic point of view ( medical history and physical & clearance only)
  • Designs conducts, and/or participates in research studies, manages databases, and performs quality assurance, as applicable
  • Certified Family or Adult Nurse Practitioner
  • MUST have two years of minimum experience working as a clinical nurse practitioner and preferably in surgery. Proven strong internal medicine specialty / primary care knowledge and/or experience required if no surgery experience.
  • Anti-coagulation management in conjunction with supervising physician or surgeon or pharmacist
  • Participate in the data collection or research for the medical center as required.
  • Performs additional related duties within the Department of Surgery, as required

  • Work Schedule: Day Tour 0745-1630, Monday thru Friday
    Financial Disclosure Report: Not required

    Travel Required

    Not required

    Supervisory status

    Promotion Potential


    Conditions of Employment

    • You must be a U.S. Citizen to apply for this job
    • Designated and/or random drug testing required
    • Selective Service Registration is required for males born after 12/31/1959
    • You may be required to serve a probationary period
    • Subject to a background/security investigation
    • Must be proficient in written and spoken English
    • Selected applicants will be required to complete an online onboarding process
    • Must pass pre-employment physical examination


    Basic Required Qualifications (Per Handbook 5005) Nurse Practitioner
    • U.S. Citizenship, Birth or Naturalized (appropriate documentation required)
    • Master's degree from an NLN or CCNE accredited Nurse Practitioner program
    • National Certification as a Nurse Practitioner
    • Current, full, unrestricted license as a Registered Nurse
    • State approval to practice as an NP
    • At least one year of successful medical practice with demonstrated knowledge and awareness of health needs of patients in Internal Medicine and/or Primary Care
    • Health care professional or other allied health professional who provides health care services to Internal Medicine and/or Primary Care patients as part of their regular responsibilities
    Must be proficient in spoken and written English as required by 38 USC 7402(d), 7407(d). Preferred Qualifications
    • Minimum of at least two-three years of successful practice as a Nurse Practitioner providing medical care to patients especially surgical specialty
    • Experience interpreting EKG and basic radiology film independently. Applicants need knowledge and skills to order and interpret diagnostic studies and coordinate the care for the medical-surgical clearance ( i.e., Nuclear stress study, TTE/TEE, EKG, radiology, PFT, routine and specialized laboratory testing, pathology results, etc).
    • Demonstrated ability to work effectively with other disciplines
    • Demonstrated excellence in written/verbal communication and time management
    • Demonstrated ability to use computer systems in support of patient care delivery
    • At least five years' experience of outpatient/bedside nursing or medical practice with demonstrated knowledge and awareness of health needs of patients in Internal Medicine /Surgery and/or Primary Care
    Preferred Level of Education Nurse Practitioner
    MSN with Adult, Family or Primary NP or DNP
    ++++++++++++++++++++++++++++++++++++ Preferred Certification(s) BLS, ACLS
    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 I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
    · Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
    · 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.
    · 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.
    · 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.

    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: The position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring Veterans and objects may be required. May be required to don protective equipment in isolation situations or operative/invasive procedures. Responsible for the reprocessing of reusable medical equipment, according to the medical center policies. Required to use available safe patient handling lifting devices in all clinical areas. May also be exposed to Veterans who are combative, secondary to delirium, dementia, or psychiatric disorders.


    IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: . 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: .

    Additional information

    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.

    It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

    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.

    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.

    If you are unable to apply online view the following link for information regarding an Alternate Application .

    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, résumé, 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 and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board 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.

    Background checks and security clearance

    Security clearance

    Drug test required

    Position sensitivity and risk
    Non-sensitive (NS)/Low Risk

    Trust determination process
    Credentialing , Suitability/Fitness

    Required Documents

    To apply for this position, you must provide a complete Application Package which includes:

    • VA Form 10-2850a
    • Resume

    VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: .

    The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.
    • Cover Letter
    • DD-214/ Statement of Service
    • Disability Letter (VA)
    • VA Form 10-2850a
    • Resume

    If you are relying on your education to meet qualification requirements:

    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

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