Advanced Practice Registered Nurse - Primary Care

<p>Functions as a Nurse Practitioner (APRN) within the Patient Aligned Care Team (PACT) under Ambulatory Care Services at the Sioux Falls VA Health Care System (SFVAHCS). This position provides comprehensive primary care, advanced clinical management. The position is located at the Spirit Lake CBOC, IA and may provide support to other sites virtually or in-person as needed. Qualified applicants will be considered and referred every 2 days until filled.</p><h3>Major Duties</h3><p>The APRN independently evaluates and manages adult and geriatric Veterans with complex medical needs using advanced clinical judgment. Duties are performed using evidence-based practice, preventive medicine principles, and VA electronic health record systems. The position generally: 1. Provides total care of Veterans' medical needs by performing histories and physical examinations, ordering and interpreting diagnostic studies, developing treatment plans, prescribing medications within scope, and coordinating follow up care. Manages patients with acute, chronic, and multi system conditions requiring advanced clinical reasoning. 2. Conducts outpatient follow up visits, acute care visits, chronic disease management, transition of care/post discharge visits, same day access encounters, and virtual visits through approved modalities (telephone, video, secure messaging, etc.). 3. Assists in preparing patients and families through education, counseling, developing patient centered care plans, and coordinating with appropriate services. Initiates health promotion and disease prevention strategies consistent with VHA guidelines. 4. Coordinates specialty consultations and provides expert guidance regarding appropriate specialty utilization. 5. Supports cross site telehealth coverage for other CBOCs and primary care locations within SFVAHCS, with an anticipated 50% of clinical time dedicated to cross-site coverage (subject to operational need). 6. Collaborates with telehealth clinical technicians and other team members to ensure smooth and effective virtual clinical operations. 7. Assists with additional Primary Care Department duties such as data assimilation for reports, participating in quality assurance programs, or other tasks determined by the Chief of Primary Care or Chief of Staff. 8. Participates in primary care Quality Improvement (QI) initiatives, peer review activities, policy/SOP development, guideline review, and committee or workgroup assignments. Provides onboarding, mentorship, or training for new APRN staff and may serve as a preceptor for Nurse Practitioner residents/students and other learners. 9. Completes all patient encounter documentation, coding, clinical reminders, and administrative requirements within established timelines. Ensures compliance with VATAS, TMS, CME, mandatory training, and all credentialing/privileging requirements. 10. Demonstrates knowledge and skills necessary to provide appropriate care for adult and geriatric Veterans. Incorporates physical, psychosocial, cultural, safety, and developmental considerations into care delivery. 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: Mon - Fri 8:00am - 4:30pm Virtual: This is not a virtual position. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact vhaedrpprogramsupport@va.gov the EDRP Coordinator for questions/assistance. Learn more 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. Preferred Experience: Primary Care and/or Internal Medicine experience preferred.</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.