Summary

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.

Duties

• 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.