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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. 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. Education: Graduate from a Nurse Practitioner master's degree program (or higher) accredited by the National League of Nursing Accreditation Commission (NLNAC) which changed to the Accreditation Commission for Education in Nursing (ACEN; http://www.acenursing.org or The Commission on Collegiate Nursing Education (CCNE; (CCNE; http://www.aacn.nche.edu/) at the time the program was completed License: Current, full, active and unrestricted licensure as a graduate professional Registered Nurse with approval to practice as a Nurse Practitioner in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. Graduates of foreign schools of professional nursing programs must be in possession of current, full active and unrestricted licensure, and must meet the requirement of graduation from an approved school of professional nursing. Certification: Full and current national certification as a Acute Care Nurse Practitioner (ACCNP) from the American Nurses Credentialing Center (AACN) or another nationally recognized certifying body as an Acute Care Nurse Practitioner (ACCNP)? [The certification must be in the specialty to which the individual is being appointed or selected.] Preferred Experience: Current BLS provider card Valid Driver's license Possess (1) year RN/RNP experience in community setting Prescriptive privileges (Nurse Practitioner Furnishing Number) 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. 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: This position requires potentially long periods of continued walking, standing, and sitting. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. In the performance of duties, the incumbent may be required to drive and/or ride in GSA-vehicles. ["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: 8:00am - 4:30pm, Monday - Friday Telework: May be authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May be authorized EDRP Authorized: Contact Susan.Bringel@va.gov, EDRP Coordinator, for questions/assistance. Learn more Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required Home Based Primary Care (HBPC) is an interdisciplinary program that provides short term and longterm health care services to patients who are homebound. The HBPC Nurse Practitioner provides and coordinates comprehensive, interdisciplinary, primary medical care & case management in the homes of veterans with complex medical, social, and behavioral conditions. Population served includes those patients with multiple chronically active medical problems, impairment in self care, non-ambulatory, cognitive impairment, frequent use of the ER / hospital, terminally ill, no caregiver/support network; no other accessible primary care provider. The HBPC Nurse Practitioner works at the Palo Alto Division of Veterans Affairs Palo Alto Health Care System (VAPAHCS). The major duties and responsibilities for this position include, but are not limited to: Provides oversight when consulting & collaborating with interdisciplinary team members to develop strategies / plan of care for handling specific patient needs. - Develops and updates, with the collaboration of the interdisciplinary team, patient treatment plans and ensures care coordination by involving the patient, caregiver(s), family, VA and community programs. Provides and/or coordinates skilled nursing services which includes but not limited to: monitoring and management of chronic and acute illnesses, medication management, wound care, lab tests, catheter care, injections, electrocardiograms, promotion of health, wellness, and independence. Coordinates and participates in implementation of clinical practice guidelines. Participates in QA activities and utilizes an ethical code of conduct and continuing education to promote and maintain high standards of professionalism and leadership. Supports the mission of HBPC to provide comprehensive primary care and case management to veterans in the home. Facilitates interdisciplinary academic and clinical training in geriatrics/gerontology to students in the health professions of medicine, nursing, pharmacy, psychology, occupational therapy, and social work. Supports the services offered by HBPC that include short-term transitional care, palliative care, facilitate the transition from an institutional setting to the community, and chronic disease management. Work effectively with others to initiate and lead interdisciplinary groups and establish relationships with professional and/or other health related groups within the community."]

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