Home Based Primary Care Nurse Practitioner

2 days left

Location
Yreka, CA
Salary
Competitive
Posted
Jan 26, 2018
Closes
Feb 26, 2018
Specialty
Hospice
Contract Type
Permanent
Hours
Full Time
  • Independently obtaining medical histories and performing examinations, making diagnoses, establishing and enacting treatment plans, and performing minor procedures.
  • Make arrangements for further care if appropriate (e.g. by entering consults), ordering and interpreting lab and diagnostic tests, prescribing medication, and serving as a consultant to other providers.
  • Provides primary home care with the care with the cognizance of the HBPC Medical Director.
  • Provide services by collecting data required for diagnosis and performing procedures and services.
  • Obtains and evaluated medical histories, performs physical examinations, performs therapeutic and diagnostic procedures, and orders laboratory studies, radiographs, electrocardiograms, and other special examinations.
  • Analyzes and interprets data, formulates problem lists, and establishes plans for solution of clinical problems.
  • Counsels patients or care givers on medical problems, use of drugs, expected effects of treatment, diet, and other therapeutic health maintenance matters.
  • Coordinate patient care with other members of health care team.
  • Initiates consultation request to other health care professionals to provide specialty patient management.
  • Documents outpatient encounters in VA electronic medical record in a timely basis (per facility policy).
  • Accomplishes other documentation (e.g., disability claims) on a timely basis.
  • Instruct other members of health care team. Instruct personnel assigned to the health care team on preventive medicine programs and other appropriate medical activities and functions, or as directed by medical and program directors.
  • Instruct medical/nursing students, residents, and other learners that rotate through the HBPC Division.
  • Incumbent will provide will provide education, counseling and emotional support for patients and families receiving care.
  • Demonstrated clinical competencies in such areas as age-specific care, cultural assessment, and health education.
  • An ability to effectively function autonomously, as well as a member of an interdisciplinary team
  • Respect for cultural and spiritual values.
  • A commitment to discipline-specific standards of practice, including: ethical conduct, the primary care delivery model, chronic disease management, palliative care, principles of care management, a holistic framework of practice, and geriatric care skills (including infection control, equipment and environmental safety).
  • Determine the appropriateness of patients for admission into the HBPC Program.
  • Help develop and approve patient treatment plans based on a comprehensive interdisciplinary assessment of the patient and the caregiver.
  • Implement the patient's treatment plan through home visits, as needed.
  • Review the patient's progress as a team at regular intervals, at least every 90 days, or when there is a change in the patient's condition.
  • Assess and support the caregiver's capability to continue to provide care.
  • Coordinate the process of care with the other team members to maximize efficiency.
  • Assess the patient's continuing need for HBPC care, and plan for HBPC discharge when indicated.
  • Identify areas for continuing education and participate in in-service training (including staying current with all required education).
  • Participate in developing and implementing the performance improvement plan (including quality monitors).
  • Participate in the development and periodic review of the local HBPC Policy and Procedure Manual.
  • Utilize VHA and community resources as appropriate.
  • Participate in HBPC team meetings.
  • Provide Primary Care for between 70-90 patients or if in a dual roll management of 30-35 patients.
Work Schedule: Monday thru Friday, 8am - 4:30pm
Financial Disclosure Report: Not RequiredBasic 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:
  • Three (3) years of increasingly complex Nurse Practitioner practice; have evidence of leadership, motivation, and self-direction; have a comprehensive understanding of the assessment and evaluation requirements including palliative care of complex frail older adults; have excellent communication and interpersonal skills; be able to utilize databases to acquire clinical information, and work effectively with an interdisciplinary team.
  • Previous Home Health/Hospice in the last five (5) years.
  • Current proficiency in Basic Life Support (BLS) through the American Heart Association (Required prior to assuming clinical duties and must remain current -VHA Directive 11-77)
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:
  • Involves considerable amount of standing, walking, stooping, bending, reaching, lifting and turning.
  • Requires carrying or lifting of objects weighing up to 25 lbs., but occasionally may require work that involves pushing or lifting in excess of 25 lbs. and going up and down flights of stairs.
  • The position requires visual and auditory acuity at a level to provide safe care.
  • The position requires long periods of driving, with varying road conditions, as well as weather conditions.
  • Requires use of hands for actions such as typing, simple grasping, fine manipulation and repetitive actions.
  • Requires the ability to frequently respond to multiple demands and priorities.
  • Has potential for exposure to infectious diseases, hazardous waste and chemicals.
  • Ability to distinguish shades of colors.
  • Ability to effectively utilize a stethoscope and distinguish breath and heart, and bowel sounds.
  • Emotional and mental stability.
  • Represent department or division at external meetings as directed by Program/Medical Directors.
  • Serve as subject matter expert during internal/external training events as directed.
  • Performs minor administrative functions as directed by Program/Medical Directors.
  • Ability to effectively perform the essential functions of the position and respond appropriately in emergency situations.
  • The incumbent is subject to the provisions set by the Nurse Professional Standards Board in areas of probationary period, promotion and other actions requiring board approval.
  • The performance component consist of four dimensions of Nursing practice:
  • Nursing Practice: Practice, Ethics, Resource Utilization
  • Professional Development; Education/Career Development, Performance
  • Collaboration: Collegiality, Collaboration
  • Scientific Inquiry: Quality of Care, Research
Selected applicants will be required to complete an online onboarding process.

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

  • Resume
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search. REQUIRED

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, etc.
  • Resume

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