Nurse Practitioner / Physician Assistant
Location: Rutland Vermont
Description: Department of Veterans Affairs is currently seeking to employ Nurse Practitioner / Physician Assistant right now, this career will be placed in Vermont. Detailed specification about this career opportunity kindly see the descriptions. Vacancy Identification Number (VIN):
844581
To fulfill President Lincoln's promise - "To care for him who shall have borne the ! battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans.
How would you like to become a part of a team providing compassionate care to Veterans?
These vacancies are advertised at the range of grades covered by the VA qualifications standard.
As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.
VA encourages persons with disabilities to apply.
KEY REQUIREMENTS
U. S. Citizenship
Must pass pre-employment examination
English Language Proficiency required
Designated and-or Random Drug Testing required
Backg! round and-or Security Investigation required
DUTIE! S:
Duties:
The position is located in Primary Care.
The incumbent will assess and provide treatment to general medical patients.
Duties include but are not limited to:
Performing initial histories and physical examinations on outpatients.
Providing ongoing outpatient care for assigned panel of patients.
Prescribe, administer, and evaluate pharmacotherapeutics and non-pharmacotherapeutic regimens.
Assist patients to maximize their abilities to cope with states of health and illness.
Assess, diagnose, treat, and evaluate care that promotes wellness and prevents disease.
Consult and collaborate with physicians and other health care professionals to manage complex health problems.
Develop outcome measures and monitor the quality of care and effectiveness of service.
Conduct and utilize research that contributes to the improvement of patient and/or family outcomes.
!
Initiate and participate in interdisciplinary development of clinical pathways.
Serves as a mentor and consultant for nurses, physicians and other health care professionals.
Identify and collaborate in the resolution of system issues which influence the provision of patient care.
Direct care or manage systems of care for complex client and/or family and/or community population.
Participate in the development of health policy.
Facilitate access to VA health care and ensure the appropriate utilization of resources.
QUALIFICATIONS REQUIRED:
NURSE QUALIFICATION STANDARD
a.
Basic Requirements
(1)
Citizenship.
Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
(2)
Graduation from School of Nursing
(a) Graduate of! a school of professional nursing approved by the appropriate State age! ncy, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant.
1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006 or call (800) 669-1656 extension 153
.
The NLNAC accredits all levels of nursing programs. Additional information may be obtained from the NLNAC web site;
or
2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site.
(b) [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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. A copy of the MSN transcript must be provided to VA. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded.
(c)] In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of graduation from an approved school of professional nursing.
(3)
Registration
(a)
Condition of Employment.
A registered nurse (RN) will have a current, full, active and unrestricted registration as a grad! uate professional nurse in a State, Territory, or Commonwealth (i.e., P! uerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines).
The RN must maintain a current, full, active and unrestricted registration to continue employment with VA.
(b)
Impaired Registration.
An impaired registration is any registration(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status. A registered nurse who has or ever had any such impairment to their registration as listed above may be appointed only in accordance with the provisions of chapter 3, section B, paragraph 15 of this part.
(4)
Physical Standards.
See VA Directive and Handbook 5019.
(5)
English Language Proficiency.
RNs appointed to direct patient care positions must be proficient in spoken and written English a! s required by 38 U.S.C. 7402(d) and 7407(d).
(6)
Nurse Practitioners and Clinical Nurse Specialists
. On and after [March 17, 2009], registered nurses appointed or otherwise moving into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before [March 17, 2009], who obtain such qualifications on or after [March 17, 2009.]
(a)
Nurse Practitioners.
A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. [The certification must be in the specialty to which the individual is being appointed or selected.]
PHYSICIAN ASSISTANT QUALIFICATION STANDARD
1. COVERAGE.
Following ! are the overall requirements for appointment as a Physician Assistant (! PA) in Veterans Health Administration (VHA).
2. SECTION A. BASIC REQUIREMENTS
a.
Citizenship.
Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
b.
Education or Training.
The candidate must meet one of the following:
(1) A bachelor's degree from a PA training program which is certified by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA); or
(2) Graduation from a PA training program of at least 12 months duration which is certified by the ARC-PA and a bachelor's degree in a health care occupation or a health-related science; or
(3) Graduation from a PA training program of at least 12 months duration which is certified by the ARC-PA and a period of progressively responsible health care experience such as an independent dut! y medical corpsman, licensed practical nurse, registered nurse, medical technologist, or medical technician. The duration of approved academic training and health care experience must total at least 5 years.
c.
Certification.
As of March 12, 1993, certification by the National Commission on Certification of Physician's Assistants (NCCPA) is a requirement for employment. This requirement does not apply to non-certified PAs on VA rolls as of that date.
d.
Physical Standards.
See VA Directive and Handbook 5019.
e.
English Language Proficiency.
PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
f.
Restriction.
Under no circumstances may this occupation be used to employ physicians or other health care providers who do not meet the applicable qualification standards for their occupa! tion. All physician assistants must meet the requirements in subparagra! phs a through e above.
3. SECTION B. GRADE REQUIREMENTS.
In addition to the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates.
a.
Associate Grade.
None beyond basic requirements.
b.
Full Grade.
Completion of one of the following requirements:
(1) Successful practice as a PA which demonstrates the abilities in subparagraphs (a) and (b) below. Generally, individuals meeting the education requirements in paragraph 2c of section A can demonstrate these skills after approximately 2 years of practice as a PA. The complexity of diagnostic and therapeutic procedures which the candidate is capable of performing, as a result of experience as a PA, have expanded significantly beyond those required of employees meeting the minimum requirements for entry into the occupation.
(a) Ability to work effectiv! ely with patients, families or significant others, with professional and supportive personnel who provide patient care, and with members of other services;
and
(b) Ability to provide effective care to patients; i.e. assesses, plans, implements, documents, evaluates patient care; manages care for assigned patients; initiates effective actions in emergencies; or
(2) A Bachelor's degree from a PA training program which is certified by the ARC-PA
and
practice as a PA which demonstrates abilities such as those described in paragraph (1) above. Generally, individuals attaining the education level specified in this subparagraph can demonstrate the abilities described in subparagraphs (a) and (b) above after approximately 1 year of practice as a PA; or
(3) Master's degree in a health care occupation or a health-related science and a baccalaureate degree from a PA training program which is certified by the ARC-PA; or
(4)! Master's degree from a PA training program which is certified by the A! RC-PA.
c.
Intermediate Grade.
Completion of requirements in
one
of the following paragraphs:
(1) PA practice characterized by leadership in improving patient care; demonstrated ability to work effectively with others; and proficiency in one of the following four groups of behaviors (subparagraphs (a), (b), (c), or (d) below). The PA is able to perform more complex diagnostic and therapeutic procedures than PAs at Full grade and seeks guidance from the supervising physician less frequently than PAs at lower grade levels and more readily identifies complex patient care situations where referral to the supervising physician is required. Generally, individuals meeting the education requirements in section A of this appendix can successfully demonstrate one of these groups of behaviors after approximately 4 years of practice.
(a)
Clinical Skills.
Uses sound judgment in assessing, planning, impleme! nting, documenting and evaluating patient care; applies current concepts and findings from research and/or studies to practice; shares clinical expertise with professional and supportive personnel; accurately documents and reports care; identifies, analyzes and resolves patient care problems whose resolution results in the significant improvement of care to patients; demonstrates such expertise in patient care so as to be recognized by others.
(b)
Managerial Skills.
Assesses, plans, implements and evaluates the delivery of patient care; applies current concepts and findings from research and/or studies to practice; uses sound judgment in making decisions; is timely and accurate in corresponding and reporting; analyzes and resolves problems that impede the delivery of patient care and services.
(c)
Instructional Skills.
Assesses, plans, implements, documents and evaluates educational activities; applies current concepts a! nd findings from research and/or studies to practice; uses effective an! d creative teaching methods; encourages active participation of learners in meeting their own needs.
(d)
Research Skills.
Under supervisory guidance of the managing physician, accepts professional responsibility for a scientific investigation expected to result in a publishable addition to scientific knowledge; resolves problems ordinarily entailed in the accomplishment of a project; interprets findings; prepares reports and papers; or
(2) A bachelor's degree from a PA training program which is certified by the ARC-PA
and
practice as a PA which demonstrates behaviors such as those described in paragraph (1) above. Generally, an individual with the education in this paragraph can demonstrate these behaviors after approximately 3 years of practice as a PA; or
(3) Master's degree in a health care occupation or a health-related science and a baccalaureate degree from a PA training program which is certified by the A! RC-PA;
and
practice as a PA which demonstrates behaviors such as those described in paragraph (1) above. Generally, an individual with the education described in this paragraph can demonstrate these behaviors after approximately 2 years of practice as a PA; or
(4) Master's degree from a PA training program which is certified by the ARC-PA;
and
practice as a PA which demonstrates behaviors such as those described in paragraph (1) above. Generally, an individual with the education described in this paragraph can demonstrate these behaviors after approximately 2 years of practice as a PA; or
(5) Doctoral degree in a health care occupation or a health-related science and a baccalaureate or masters degree from a PA training program which is certified by the ARC-PA.
d.
Senior Grade.
Completion of the requirements in
one
of the following paragraphs:
(1) Practice as a PA wh! ich demonstrates the behaviors described below. Generally, individuals ! with the education in section A of this appendix can demonstrate these behaviors after approximately 6 years of practice as a PA.
(a) Working effectively with others on a consistent basis and establishing relationships with professional and/or other health care related groups in the community,
and
(b) Significant and sustained contributions to the PA profession which may include publication or publishable works, membership on task forces, intramural or extramural committees, consulting, development of educational media, scientific inquiry, or use of creative approaches to enhance quality of patient care and productivity of providers,
and
(c) Practice as a PA characterized by leadership and accomplishments in developing and implementing programs to improve the delivery of patient care, and by proficiency in one of the following areas:
1.
Clinical Practice.
Systematically evaluates current clinical practi! ce; initiates change in clinical practice based on current concepts and findings from research and/or studies; demonstrates such expertise in patient care that advice is sought by others. PAs involved in surgical procedures perform as first or second assistant to the surgeon in charge. Assesses, plans, implements and evaluates patient care programs;
(3)
Experience.
Professional practice characterized by progressively more responsible leadership assignments in clinical, administrative, educational and/or research areas. An individual can demonstrate these abilities after approximately 8 years of practice as a PA. Practice must have consistently demonstrated all of the following behaviors (if applicable to the assignment):
(a) Establishes and maintains relationships within the service, with facility management and other services that result in improved patient care.
(b) Accepts substantial and continuing responsibility and accounta! bility for planning, organizing, coordinating and controlling a complex! integrated health care program.
(c) Makes decisions which serve to enhance the distinctive and contributory role of PAs within the local institution and the total health care system.
(d) Participates in long range program planning and model development for effective delivery of health services.
(e) Facilitates the delivery of patient care in collaboration with health professionals, health managers and other health care personnel.
(f) Assures implementation, maintenance and compliance with standards of professional practice of all health care personnel within the program.
(4)
Scope and Complexity of Assignment
(a)
PA Assignments.
Examples of assignments which may justify Chief grade include coordinators or others in leadership roles in such areas as quality assurance, ambulatory care, nursing home care, domiciliary, cardiac catheterization, organ transplant, surgery, or spinal cord injury. Thes! e assignments are typically located in settings requiring extensive coordination with a wide variety of specialties/subspecialties and other special programs. The complexity of the assignment must also be such that leadership and an exceptional degree of competence are required.
(b)
Complexity Determinations.
Factors to be considered in evaluating the scope and complexity of an assignment in one or more of the following areas are as follows:
1.
Clinical Practice
a. Systematically evaluates patient care program; and
b. Exhibits leadership in initiating changes in patient care programs based on current concepts and findings from research and/or studies; and,
c. Successfully integrates the activities of the employee's assignment with other patient care programs at the facility and with similar programs on a broader geographic basis; and
d. Consistently demonstrates expertise in diagnosing and trea! ting seriously ill multi-symptomatic patients.
APPLICANTS P! LEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website:
http://www.ed.gov/admins/finaid/accred/index.html
All education claimed by applicants will be verified by the appointing agency accordingly. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
Veterans' Preference:
When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming pr! eference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit
http://www.fedshirevets.gov/job/veterans.aspx
.
HOW YOU WILL BE EVALUATED:
Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of ! experience, explain exactly what you did, and the outcome.
! BENEFITS:
Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at
http://www.va.gov/JOBS/Job_Benefits/benefits.asp
.
This job opportunity announcement may be used to fill additional vacancies.
OTHER INFORMATION:
This position is in the Excepted Service and does not confer competitive status.
Receiving Service Credit for Earning Annual (Vacation) Leave:
Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal! employees credit for their active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.
- .
If you were eligible to this career, please email us your resume, with salary requirements and a resume to Department of Veterans Affairs.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Thu, 07 Mar 2013 02:32:35 GMT