The Gastroenterology/Hepatology provider will be establishing a hepatology clinic and managing a panel of Veterans assessed as needing hepatology care and follow-up visits, managing Veteran's needs for follow up (including imaging, tests, paracentesis, and clinic visits), managing inpatient liver and GI consults, referrals to liver transplant centers and seeking consultations for liver mass treatment, follow up with Veterans who have received their hepatology care. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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: Experience in GI Outpatient setting 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 III - Master's degree in nursing (MSN) and no additional nursing practice/experience. Nurse II - Master's degree in nursing 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 and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. 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: Lifting up to 35 pounds for 8-12 hours, intermittently; moderate carrying (15-35 pounds) for 8 to 12 hours, intermittently; lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care; pulling for 8 to 12 hours, intermittently; pushing for 8-12 hours, intermittently; reaching above the shoulders for 8-12 hours, intermittently, both hands required; walking 8-12 hours, intermittently; standing 8-12 hours intermittently; kneeling 8 to 12 hours, intermittently; repeated bending for 8-12 hours, intermittently; climbing and use of both legs and arms for 8-12 hours, intermittently, both legs required; near vision at 13 to 16" Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other eye; ability to distinguish basic colors; hearing aid permitted; twisting, simply grasp and fine manipulation. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The incumbent must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 29, 2023, or until all positions are filled. The first group of eligible applicants will be reviewed March 18, 2023. Subsequent reviews will be conducted biweekly until position is filled. Major Duties Include but are Not Limited To: Performing history and physicals, ordering and interpreting diagnostic and therapeutic test/studies, initiating consults and referrals, prescribing medications and supplies in accordance with VA policy, VA formulary and State regulations, and formulating, initiating, and evaluating healthcare teaching for primary care patients and their families. Responsible for documented clinical performance outcomes at the primary care service level. Will triage consult, perform e-consults, learn to perform telehealth visits and VVC visits. Develop plans of gastroenterology/hepatology care for patients with recommendation of further diagnostic evaluations including laboratory and pathology evaluations to facilitate care. Communicate with PCP related to the care plan. Manage hepatology clinic needs including: urgent liver clinic visits, twice yearly screenings to include radiology, ultrasounds, CT, MRIs, and lab work, manage inpatient liver and GI consults. Manage referrals to liver transplant centers and seek consultation for liver mass management, follow up with liver patients. Order and prescribe treatments and medications aimed at preventing health problems or maintaining health. Will make informed decisions of therapeutic intervention based on patient information and preferences, up-to-date scientific evidence, and clinical judgement and consult with the gastroenterologist when needed. Systematically evaluate current clinical practice, initiate changes 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. Participate in long range program planning and model development for effective delivery of health services. Make decisions which serve to enhance the distinctive and contributory role of NPs within the local institution and the total healthcare system. Work Schedule: Monday to Friday, 8:00am-4:30pm Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
