Nurse Practitioner - Pain Team (Clinical Resource Hub)

Summary

The Nurse Practitioner - Pain Team (Clinical Resource Hub) practices in the Legacy VISN 12 Clinical Resource Hub to provide a full range of pain services emphasizing quality, timeliness, and the advancement of the Veteran Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. This position requires 8a-430p CST availability and is only open to current, permanent employees of the VHA. The selection will maintain their current Grade and Step for salary.

Duties

The VHA Nationally Designated-Clinical Resource Hub (CRH) is a strategic program designed to provide Team Based Primary Care, Specialty Mental Health, and other specialty services in each VISN across the Enterprise, utilizing existing and emerging technologies. The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a Veterans Integrated System Network (VISN). Staff within the CRH are expected to provide inter-professional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand. Services provided by CRH staff are conducted via multiple modalities, including virtual and in-person care. Clinical Video Telehealth (CVT), VA Video Connect (VVC) and Telephone modalities are all utilized. This position requires the incumbent to provide direct outpatient care as a member of a virtual inter-professional Specialty Pain Care team. Provider will oversee and coordinate medical care for Veterans in a group practice setting utilizing the "Biopsychosocial Model of Pain Care" and "VA Stepped Care Model of Pain Care." Most care will be provided virtually to Spoke sites, using telehealth equipment, however, face-to-face care may be required. Major duties and responsibilities of the position: - Provide ongoing chronic pain care for assigned patients. - Screen patients to determine need for further care. - Prescribe medications, including controlled substances within defined scope of practice. - Perform initial history and physical examinations. Completing history and physical examinations will typically occur using telehealth, but direct face-to-face visits may also be required. - Utilizes evidence-based approach to medication management for chronic and acute pain. - Provides evidence-based approach to medication management for Veterans with Opioid Use Disorder (OUD). - Order and interpretation of diagnostic studies such as laboratory tests, x-rays, magnetic resonance imaging (MRIs). - Review opioid safety metrics (e.g., PDMP, drug screening, STORM reviews). - Initiate, respond, and expedite request for consultations, special tests, and studies. - Provide education and counseling for patients and families in chronic pain care, medical conditions, and use of prescribed treatments and drugs. - As appropriate, participate in inter-professional focused patient chart reviews, team meetings, team huddles, and shared medical appointments. - Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. - Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence. 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: Full Time, Monday-Friday 8:00am-4:30pm CST (Non-negotiable). Telework: Not applicable, although currently remote due to Return to Office exemption extension. This may be subject to change Virtual: This is currently a virtual/remote position due to Return to Office exemption extension. This may be subject to change. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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 and Certification: 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 Certification. All APN (NPs) must maintain full and current board certification in an area of clinical specialty 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. Ac