Nurse Practitioner-Primary Care

Summary

**This position is open to physician, physician assistant, or nurse practitioner applicants**

Applicants will be referred as applications are received. This Open Continuous Ad can be used for multiple vacancies/hires.

Responsibilities

Primary care providers will be responsible for the delivery of primary care to patients enrolled in their panels at the Fargo VA Healthcare System. The provider will manage scheduled and unscheduled patients in the outpatient clinic setting.

Primary care providers in the outpatient setting are typically assigned a panel of patients to manage. Panel size is determined by utilizing VHA PCMM software. Panel size is determined at the National level, through a complex formula which extracts local information regarding acuity of assigned patients, available support staff, number of exam rooms, etc. Each provider's panel size is specific to their practice and setting.

Alternative or collateral duties may include management of a subsection of primary care patients. The subsection may be defined either by a disease status (e.g. spinal cord injury patients), or demographic status (women veterans etc). Typically these duties are designated at the time of joining but occasionally during the course of employment, participation in special projects pertinent to the assigned section may be necessary.

Providers are expected to act as "surrogates" for the patients of their colleagues, when one or more of their colleagues are on leave.

Physicians will be assigned duty as a supervising or collaborating physician for a Physician Assistant and will provide clinical oversight and review.

Quality of care should be able to meet professional standards at all times.

All providers will work within their privileges at all times, unless necessitated by an emergency.

All providers need to follow departmental and VHA policies for leave and attendance and will work within Title 38 appointment guidelines. Leaves should be requested in as much advance as possible to minimize disruption to patient care services. All unscheduled absences must be properly communicated.

Work Schedule: Monday to Friday, 8am - 4:30 pm. Each full time provider is required to work a minimum of 80 hrs per pay period (every two weeks) unless on leave status.

Requirements Conditions of Employment

• United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Designated and/or random drug testing required
• Selective Service Registration is required for males born after 12/31/1959
• Must be proficient in written and spoken English
• You may be required to serve a probationary period
• Subject to a background/security investigation
• Selected applicants will be required to complete an online onboarding process
• Must pass pre-employment physical examination

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/01/2019.
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.
• 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: Board Certification

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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree.

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: Heavy lifting, 45 pounds and over; heavy carrying, 45 pounds and over; straight pulling intermittent hours; pushing; reaching above shoulder; use of fingers; both hands required; walking 3 hours; standing 3 hours; kneeling 1/4 hour; repeated bending; both legs required; ability for rapid mental and muscular coordination simultaneously; far vision correctable in one eye to 20/20 and to 20/40 in the other; specific visual correction to read fine print; ability to distinguish basic colors; ability to distinguish shades of color; hearing (aid permitted); mental/emotional stability; and no skin allergies preventing use of protective equipment.

Equal Employment Opportunity Policy

The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.