Summary The NP practices in Palliative Care, to provide a full range of services in outpatient/inpatient settings emphasizing quality, timeliness & the advancement of the mission. The NP provides advanced clinical practice, consultation & management. The NP practices to the full extent of their education, training, & certification. The NP has prescriptive authority for a panel of patients or program as indicated by their position or assigned by their supervisor. Responsibilities The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients. Independently manages or in collaboration with attending physician(s), a panel of patients with acute and chronic health conditions with emphasis on health promotion and disease prevention using evidence-based practice. Develops and implements an individualized plan to achieve optimal population health and disease management. Demonstrates leadership and works collaboratively with the interdisciplinary team. Initiates referrals and consults to specialty services. Provide End-Of-Life care and symptom management to all patients in an inpatient and outpatient setting. Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. Provider is committed to delivering compassionate, timely and Veteran-centered care through multidisciplinary palliative care teams. These teams support Veterans in VA hospitals, community living centers (CLCs) and even remotely via telehealth services. Provides medical services to veterans on an Outpatient, Inpatient or assigned by the supervisor as needed at the John D Dingell VAMC under GEC service. 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. Expectations: 1. Independently practices as a NP providing a full range of care utilizing treatment guidelines in the delivery of high-quality care. 2. Collaborates with patients, families, and health care practitioners to develop, implement treatment plans, and evaluate health outcomes. 3. Demonstrates critical thinking in assessing and managing complex clinical situations. 4. Leads the delivery of care to assure continuity of care and peer accountability for practice, improving outcomes of panel/program. 5. Care is provided in outpatient clinics, inpatient CLC, impatient consult service or as assigned by the supervisor under Geriatric & Extended care service. 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. Expectations: 1. Leads performance improvement initiatives that improves care or processes. 2. Engages in evidence-based practice and the application of clinical practice guidelines. 3. Implements quality improvement initiatives that lead to outcomes at the panel/program level. 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. Expectations: 1. Demonstrates positive effective communication skills and professionalism that promote cooperation and teamwork with internal and external customers. 2. Works effectively as a leader in planning and facilitating systematic change to improve outcomes. 3. Collaborates with stakeholders to improve patient care, staff development, and performance measures. 4. Participates as a member or leader in formal/informal workgroups or interdisciplinary teams. 5. Leads within a High Reliability Organization framework. PROFESSIONAL DEVELOPMENT: Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. Expectations: 1. Acquires and disseminates knowledge that impacts patient outcomes. 2. Educates and/or mentors' colleagues and/or students. 3. Assumes responsibility and accountability for evaluating progress toward professional career goals. PROFESSIONALISM/COLLEGIALITY: Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Expectations: 1. Utilizes cultural sensitivity, listening and communication skills in leading team(s). 2. Role models high standards of professional and ethical conduct. 3. Initiates and leads interdisciplinary teams. 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: Monday-Friday, 8:00a-4:30p Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment 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. You may be required to serve a probationary period. 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 dentification 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). Qualifications Preferred Experience: minimum 3-5 years Inpatient and Outpatient Hospice and Palliative Care experience. 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 cert
