Advanced Practice Registered Nurse - Psychiatric/Mental Health

Full Job Description

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.

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 as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) 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: At least one year of clinical experience as a licensed Psychiatric/Mental Health Nurse Practitioner.

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. Transferring patients and objects may be required.

May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures.

May occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

Must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Major Duties:

The Advanced Practice Registered Nurse, Psychiatric/Mental Health Nurse Practitioner, demonstrates performance and leadership that is broad enough to improve the care for a group of patients.

He/she is responsible for the documented outcomes at the program or service level.

Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility, Veterans Integrated Service Network (VISN), or Veterans Administration Central Office (VACO).

Major duties/ responsibilities will include but may not be limited to the following: Demonstrates Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning; Using advanced clinical knowledge judgment to promote staff involvement in planning, decision-making, and evaluating outcomes, Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities, Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within an area of expertise Guiding, developing, and supporting staff from a leadership perspective Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities Considers all characteristics of the individual, including gender and role identification, age, life stage, state of health, race, culture, socio-economic status, values and beliefs in order to assist each patient with the improvement of his/her health status to the maximum potential.

Utilizes core elements of performance including knowledge and active participation in unit/service/program/VISN level quality improvement processes, such as the customer service program.

Promotes the medical center mission, vision and values; complies with Equal Employment Opportunity programs, partnerships, customer service standards and Veterans Affairs policies and procedures Has advanced knowledge and skills in the assessment and management of the psychiatric/mental health and psychosocial problems of individuals and their families.

Scope of practice includes health promotion and maintenance, disease prevention, crisis intervention, management of psychiatric illnesses, patient/family and staff education, community referrals and the interdisciplinary coordination of care.

Is a clinical expert in psychiatric/mental health interventions including the prescription, renewal and modification of psychiatric medications.

Participates in ongoing collaboration across healthcare settings with peers, physicians and appropriate others on the health team.

He/she provides psychiatric-mental health care to the veteran patients at the VA Community CBOC;'s and Mental Health Clinic Leads and organizes delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning Uses sound clinical judgment in assessing, planning, implementing, documenting, and evaluating nursing care, based on the American Nurses Association (ANA) Standards of Nursing Practice Guides staff in the application of critical thinking and process improvement to improve patient care Anticipates and recognizes medical/surgical/psychiatric emergencies and initiates or leads others to implement appropriate and timely actions.

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, 8:00 AM to 4:30 PM Telework: Available: AD-HOC as determined by the agency policy Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact visn5hredrpcoordinators@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized