Advanced Practice Nurse (NP)- Gastroenterology

The W.G. (Bill) Hefner Salisbury VA Medical Center is seeking a Certified Mid-level Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) within the Specialty Care- Gastroenterology section of Medicine Service for treatment of patients with Gastroenterology conditions. The incumbent will evaluate and diagnose common Gastrointestinal conditions to develop effective treatment strategies in accordance with accepted societal and VA guidelines.

Major Duties:

The W.G. (Bill) Hefner Veterans Affairs Medical Center is seeking a Certified Mid-level Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) in Gastroenterology for the Specialty Care section within Medicine Service in Salisbury, North Carolina. The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) will assist the Advanced Endoscopy faculty in expanding the ERCP /EUS/ program as well as Interventional Endoscopy services. The Advanced Practice Nurse (NP) will establish and maintain professional relationships within Medicine Service, and with other services and facility management which result in improved patient care. Duties include but are not limited to the following: Clinical: Evaluate and manage patients with pancreaticobiliary disease and GI cancers Record detailed history, interpret diagnostic and lab results, perform physical exams and explain complex diagnosis and treatment plans. Familiarity with advanced procedures like Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) and assisting in pre and post procedure care Maintain predominantly outpatient clinics in advanced GI (pancreaticobiliary disease) with some general GI clinics. Drive additional volumes and off load follow up patient care. Shared advanced GI clinics and supervision for the first year or until needed. Rounding on inpatient pancreaticobiliary patients or post procedure admissions. Recognizes and treats common gastrointestinal conditions and develops effective treatment strategies Recognize differences between acute and chronic conditions and with a specialized skill set, when something is NOT attributable to gastrointestinal dysfunction. Analyze results of specific serologic tests, imaging and ancillary testing specific to gastrointestinal problems. Distinguish patients based on history, physical findings, objective testing, Vets needing care and follow up vs. those who can be set back to Primary Care for management. Facilitates patient's entry and exit from various health care systems by establishing and maintaining liaison with a variety of medical specialists and associated staff. Utilizes and promotes approved standards of care, procedures, methods and techniques, safety precautions and protocols in their application to the gastroenterology patient population in all settings. Collaborates with other health care resources to ensure continuity of care. Keeps abreast of latest trends, skills, and protocols relevant in the area of specialty and serves as a resource person for the medical center staff Administrative: Serve as the primary resource for outpatient hepatology consults, assessing patient acuity and appropriately schedules evaluations. Monitors and maintains consult tracking package. Maintains hepatology database and monitors laboratory evaluations for the outpatient gastroenterology population. Completes patient's disability and insurance forms as needed. Arranges for gastroenterology procedures and interventions with the Radiology and Surgery services. Oversees scheduling to the outpatient gastroenterology clinics with resolution of scheduling conflicts. Education/Research: Promotes and participates in the delivery of patient and family health and gastroenterology education. Participates, directs, and provides opportunities for staff development through in-service education as needed. Assures self-development responsibilities and maintains current knowledge of trends in gastroenterology and clinical medicine Participates in Gastroenterology Section's clinical research programs when appropriate. 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 Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Compressed/Flexible: May be available at supervisory discretion Telework: Not available Virtual: This is not a virtual position. Work Schedule: Mon -Fri 8:00am -4:30pm (No night or weekend calls)

Qualifications:

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 certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. License - All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Basic Board Certification - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP), Adult Nurse Practitioner (ANP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), or Gerontology Nurse Practitioner (GNP) from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II: Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B). Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required. Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements: Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program. Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care. Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care. Professional Development. Acquires knowledge and skills to develop expertise in area of practice. Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III: Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level. Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements: 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. 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. 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. Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork Preferred Experience: Managing patients with pancreaticobiliary disease and knowledge in advanced GI procedures (EUS , ERCP). Physical Requirements: This position requires visual acuity, keen hearing; clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. The incumbent must be able to perform all activities of the position without restriction in accordance with VA Directive and Handbook 5019.

Requirements:

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 evaluation. 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.

Evaluations:

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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.