Supervisory Nurse Practitioner- Mental Health

Full Job Description

This is a supervisory position within the Psychiatry Section and functions as the primary supervisor for assigned medical staff prescribers (psychiatrists, advanced practice registered nurses, and physician assistants).

Supervises the prescribers working on Behavioral Health Interdisciplinary Program (BHIP) teams, Primary Care Mental Health Integration (PCMHI) teams, and outpatient interventional psychiatry teams as applicable.

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) 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: Training and certification in providing interventional modalities to include ECT, rTMS, and esketamine.

Prior VA Leadership/supervisory experience preferred. Physical Requirements: This position requires potentially long periods of continued walking, standing, and sitting.

The position requires the ability to cover clinical nursing services and meet physical demands found in the patient care environment.

The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing.

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

The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations. able to shift priorities based on patient needs.

Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment Initiates Basic Life Support (BLS) in accordance with current BLS standards to include automatic defibrillation in life-threatening situations.

Major Duties:

Start, continue, or finish your career here | VA Eastern Colorado Health Care System(youtube.com) VA offers a comprehensive total rewards package: VA Nurse Total Rewards Major duties and responsibilities of the position - 50% Clinical/50% Administrative: Deliver rTMS and esketamine treatments.

Develops, implements, and documents treatment of an outpatient panel of patients. Provides medical support and at times cross coverage for assigned outpatient medical staff.

Prescribe medications according to their scope of practice, and with appropriate training and certification provide interventional modalities to include rTMS, and esketamine.

Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. Counsels and treats patients with substance use disorders.

Orders and interprets labs, tests, and diagnostic studies. Initiates referrals and consults to specialty services.

Complies with national and local performance measures, including timely health care screening and completion of clinical reminders for all patients.

Assumes complete professional responsibility for his/her clinical assessment findings, patient care decisions, and documentation.

Complies with all CPRS documentation procedures, including timeliness standards for documentation and properly entering diagnostic and procedure codes.

Adheres to operational policies and procedures for the treatment teams in both BHIP and PCMHI. Gap coverage and provision of triage care as required.

Coordination with any clinical pharmacists in their area as needed. Supports site directors for academic affiliates in their coordination of trainees.

Clinically supervises assigned trainees and provides clinical coverage for trainees as needed.

General supervisory duties of assigned staff, to include ePerformance reviews, maintaining eCompetency folders, monitoring required trainings as TMS supervisor, addressing FMLA/RA requests as indicated.

Coordinates coverage and leave planning among direct reports and between sections as applicable with appropriate input from team leads. Addressing leave requests and timecards in VATAS/GovTA.

Tracking educational leave for each staff member reporting to them in real time. Routine clinic cancellation LEAFs first approval. Callouts/Unplanned Sick Leave LEAFs clinical review.

Monitors individual labor mapping, grid management, scheduled clinic utilization, bookability, productivity/RVU targets, and other critical metrics for direct reports, with periodic updates reflecting adjustments to maximize patient access.

Addresses change of provider requests and open encounter follow up of assigned staff.. Participates in leadership meetings, serves on committees and/or workgroups as assigned.

Responds to customer service concerns (PATS-R), patient safety reports (JPSR), and associated required reporting as assigned.

Uses advanced clinical judgment to independently provide evidence-based treatment to Veterans with acute or chronic mental illness including use of psychotropic medications, psychotherapy, and other modalities.

Provides patient and family education on medical/MH conditions, preventive measures, and prescribed treatments.

Demonstrates leadership and engages in collaboration with other MH and specialty care professionals while involving Veterans and their families (as appropriate), in treatment plan development.

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 Education Debt Reduction Program (EDRP) : This position is eligible for 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 your start date.

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.

Former EDRP Participants are ineligible to apply for the program. Contact vhaedrpprogramsupport@va.gov for questions/assistance. Work Schedule: Monday-Friday 8:00am - 4:30pm