Veterans Affairs, Veterans Health Administration Nurse Practitioner (Mental Health) in North Bend, Oregon
Summary The Nurse Practitioner (NP) functions as an independent provider and oversees care provided to patients in the Acute Psychiatric Unit (APU), Residential Rehabilitation Treatment Program (RRTP), Mental Health Outpatient Clinic setting at the North Bend Community Based Outpatient Clinic (CBOC). This includes identifying the patient's biopsychosocial concerns, defining the management of these problems, and determining the need for treatment, consultation, or referral. Responsibilities Specific activities will include (but are not limited to): Complete History and Physical Evaluations on both the Acute Psychiatric Unit (APU) and the Residential Rehabilitative Treatment Program (RRTP) for all new admissions. Prescribe psychiatric medications on both units Write orders for necessary medications, laboratory studies, imaging, and discharge orders Request consults for medical and psychiatric services as needed for continuity of care Provide pre-admission mental health screenings of Veterans admitting to the APU programs and consult with admission team Remain available to address mental health concerns for Veterans on the APU and RRTP units and consult with unit staff Manage the safe medication management program, collaborating with the pharmacy and nursing Serve as reference to Patient Aligned Care Team (PACT) teams / specialty teams / Primary Care Mental Health Integration (PCMHI) teams to facilitate timely, appropriate work-up in collaboration with specialist(s) optimizing VA resources and facilitating community care as needed Serve as the point of contact for any work-up related questions from patient/family, staff (local and/or other facility), community providers Inform patient/family of process, general disease education Assure 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 and PCMHI teams 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 address discharge/continuity of care needs (home care, supplies, medications, etc.). Work collaboratively with the Centralized Consult Center for internal and external referrals Provide 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 Serve 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 Ensure provision of biopsychosocial support to patient/family Participate in quantitative and qualitative data collection to support evaluation efforts of the client population served 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 RVAHCS, VISN or regulatory agencies for timely resolution Partner with the Leadership on Regional and VISN-wide process improvement strategies Serves on local and VISN committees Work Schedule: Monday - Friday, 8:00am - 4:30pm; Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Must possess a Master's Degree in Nursing with an emphasis as a Nurse Practitioner from a school of professional nursing that was accredited by the State agency, and accredited by the Accreditation Commission for Education in Nursing (ACEN; http://www.acenursing.org) formally, the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE; http://www.aacn.nche.edu) at the time you completed the program 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. Must possess a current, full, active and unrestricted certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. Preferred Experience: Prior Mental Health Experience 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 - 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 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: Light to moderate lifting 0-44 pounds; Light carrying under 15 pounds; Straight pulling 0.5 hours; Reaching above shoulder; Use of fingers; Both hands required; Walking 1 hour; Standing 2 hours; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors and shades of colors. Environmental Factors: Working closely with others; Working alone. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. 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. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.