Summary

The Advanced Practice Nurse (APN) III Certified Nurse Practitioner (NP) practices in Urgent Care Clinic to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice - consultation - and management.

Duties

• The Advanced Practice Registered Nurse functions as an independent provider and oversees care provided to patients in the Urgent Care Clinic at the Roseburg VA Health Care System Duties include but are not limited to: Independently manages patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice
• Develops and implements an individualized plan to achieve optimal population health and disease management
• Demonstrates leadership and works collaboratively with the interdisciplinary team
• Orders and interprets labs - tests - and diagnostic studies
• Prescribes pharmacologic and non-pharmacologic interventions
• Initiates referrals and consults to specialty services
• Provides education to patients and their families
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes
• Serves as resource to PACT 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
• Assures 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 PACT team as needed 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.)
• Works collaboratively with Patient Flow and the Centralized Consult Center for internal and external referrals
• 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
• Exemplifies the ICARE core values of-Integrity - Commitment - Advocacy - Respect - and Excellence
• 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: Variable - Monday through Friday 0800-1800 Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized