This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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. 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: Pulmonary Sleep APP 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 I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse IV - Master's degree in nursing or related field with BSN and approximately 4-5 years of nursing practice/experience; OR a Doctoral degree in nursing or related field and appropriate basic or advanced certification desired, and approximately 3-4 years of nursing practice/experience. Nurse V - Master's degree in nursing or related field with BSN (or a Bachelor's degree in a related field) and approximately 5-6 years of nursing practice/experience; OR a Doctoral degree (preferred) in nursing or related field and appropriate basic or advanced certification desired, and approximately 4-5 years 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: The incumbent must have the physical ability to perform job-related duties which require lifting, standing, bending, transferring, stooping, stretching, walking, pushing, or pulling without assistance from another patient care provider or significant other. A health examining must be successfully completed prior to this assignment and periodically thereafter as required by the Employee Health Clinic policy. There will be intermittent exposure to blood and body fluids. ["The Pulmonary / Critical Care / Sleep (Pm/CC/Sleep) Nurse Practitioner will provide health care treatment to Veterans in accordance with individual patient needs determined by standards of adult health care practice, hospital policy and procedures, and in collaboration with other members of the Pm/CC/Sleep team, Medical Service at the Ralph H. Johnson VA Medical Center (RHJ VA). The NP works closely with the Pm/CC/Sleep Section, Pm/CC/Sleep Lab RN's, fellows, clinic staff, and staff physicians. S/he is responsible for screening and assuring that all Pm/CC/Sleep consults are appropriately processed to include both VA and Non VA care. As an NP you will provide prescribed medical treatments and personal care service to ill and injured veterans. Duties include documenting observations, assessments, and changes in patient's condition; manage patient care in an astute manner which promotes positive patient care outcomes; providing a full range of care to patients with a variety of physical and/or behavior problems; and be accountable for meeting and maintaining the qualification standards and functional statements of your assigned position. Our facility is seeking individuals who possess good organizational skills, a demonstrated ability to assume leadership, and the ability to establish effective communication with patients, families, visitors, and members of the interdisciplinary team.\nDuties include, but are not limited to: Perform inpatient, outpatient, and case management duties with an emphasis on inpatient care both in the Critical Care unit and with Ward patients. Inpatient services will be as part of a Pm/CC team or at times, part of an Internal Medicine Hospitalist team. Performs consult management Uses sound clinical judgement in assessing, planning, implementing, documenting, and evaluating care. Prescribe and/or recommend laboratory tests, diagnostic studies, and/or medications based on current Medical Center, VHA, and DEA policy. Assume a leadership role in utilizing problem-solving methodologies to resolve system and/or process problems that impact patient care, staff performance, and/or system improvements. Identify opportunities for improvement and initiate performance improvement processes. Guides, develops, and supports staff from a leadership prospective and collaborates with other clinicians. Maintain current knowledge of clinical practice guidelines, preventive measures, and other standards of practice, and apply evidence to practice to improve the quality of care. Effectively manage Pm/CC/Sleep Service resources to increase efficiency, cost effectiveness, and maintenance of a safe environment. Identify potential/actual problems and select courses of action which will result in the most favorable patient and organizational outcomes. Perform clinic procedures appropriate to Pm/CC/Sleep services. Provide direct patient care and facilitates patient care plan within the Pm/CC/Sleep and Hospitalist inpatient and possibly outpatient setting. Other duties as deemed appropriate to provide high-quality patient-centered care including possible cross-coverage with other services. The Nurse Practitioner is also responsible and accountable for maintaining training required and may be assigned additional duties that reflect the educational, experiential and competency requirements outlined in the four (4) Dimensions of Practice: Nursing Practice, Scientific Inquiry, Professional Development, Collaboration. Work Schedule: Full time (40 hours per week), Work Schedule will vary based on needs of the Pm/CC/Sleep Section. Applicant may need to work non-day shifts including weekends and holidays.\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nEDRP Authorized: Contact Jacob.Towner@va.gov, the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]