Advanced Practice Nurse (Nurse Practitioner) - Compensation and Pension

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Qualifications:

Advanced Practice Nurse (Nurse Practitioner) Basic Requirements

• Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate 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).
  • NOTE: Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment.
• License - All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia.
• Basic Board Certification - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP), Adult Nurse Practitioner (ANP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), or Gerontology Nurse Practitioner (GNP) from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared.

NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II:
Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B).

• Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required.
• Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements:
  • Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program.
  • Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care.
  • Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care.
  • Professional Development. Acquires knowledge and skills to develop expertise in area of practice.
  • Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes.

The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III:

• Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
• Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level.
• Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements:
  • Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population, or program.
  • Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations.
  • Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population, or program.
  • Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility.
  • Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork

Physical Requirements: This position includes a level of physicality normally associated with duties performed by advanced practice nurses such as physical assessment, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling. Examples may include but are not limited to: Significant amounts of time standing assisting patients; Utilization of safe patient handling and mobility protocols.

The work of the C&P CNP is primarily indoors, in a typical clinical office/setting environment. Work is a mixture of sedentary and mild-moderate activity, requiring moving around in the work space area, walking to other buildings, and moving/driving to other locations of the NCHCS facility at times for meetings and/or training, occasionally, as needed. Work requires use of hands for actions such as typing, simple grasping, fine manipulation and repetitive actions. The work requires showing flexibility, demonstrating excellent communication skills to work with others in a variety of circumstances, working professionally and, communicating with various groups, adapting to frequently changing work priorities; displaying mechanical aptitude in a multitask environment, ability to frequently respond to multiple demands and priorities, meeting deadlines and schedules; and working as part of a team. The individual must show ability to work efficiently under conditions of time pressure.

Responsibilities:

The Advanced Practice Nurse (Nurse Practitioner) - Compensation and Pension is a registered nurse who utilizes critical thinking in the application of advanced clinical health care knowledge and skills, in conducting comprehensive history and physical examinations to Veterans and separating/retiring Service Members. Performs medical record reviews and clinical interviews, provides diagnosis/ evaluation, makes medical assessments, renders medical opinion(s) as to the likelihood that presenting medical condition(s) are related to military service and acts within the guidelines and quality indicators set forth by the Compensation and Pension (C&P) Service at the VA Northern California Health Care System and the Office of Disability and Medical Assessment (DMA).

Major duties and responsibilities include, but are not limited to:

• Performs examinations for registry purposes for the facility Environmental Health Registry (EHR) Programs within the guidelines of the Health Outcomes Military Exposures (HOME) Office.
• Provides support through the application of clinical expertise/ leadership by working with clinical and administrative services to achieve facility C&P and EHR program goals throughout the VA NCHCS.
• Generates exam reports utilizing Disability Benefit Questionnaires (DBQs) in the Compensation and Pension Record Interchange (CAPRI) for the official documentation of the Veteran's or Service Member's C&P examination, and pertinent forms for the official documentation of Environmental Health Registry (EHR) Exams.
• Carries out a full range of histories, physical examination, and assessments of the Veterans'/Service Members' known as well as unexpected or previously unknown medical conditions and other clinical findings in the context of the C&P evaluation for disability and fitness for duty determination, and the Environmental Health Registry (EHR) Examination for registry purposes.
• Initiates and/or recommends laboratory tests, diagnostic studies and/or specialty referrals in the context of the C&P evaluation based on current VA Medical Center and Service policies, and ensuring service is delivered appropriately in a cost effective and financially responsible manner.
• Demonstrates leadership in the C&P Service and the ability to work effectively with Veterans Benefits Administration (VBA), Department of Defense (DoD) and Environmental Health Registry Program (EHR) Program.
• Functions as a resource person to other C&P examiners and EHR clinicians, and effectively communicates with other VHA staff and VBA personnel.
• Assists the Chief of C&P with the development and implementation of new programs, studies and policies applicable to C&P and EHR examiners.
• Formally or informally instructs staff about topics relating to both C&P and EHR.
• Educates Veterans about the C&P process and helps them better understand it.

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: Full-Time; Monday to Friday, 8:00am - 4:30pm
Telework: Available for Ad-Hoc
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact V21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized

Salary : $143,024 - $200,000