The incumbent practices as a Lung Cancer Screening Pulmonary Nurse Practitioner (NP) in an advanced practice role in collaboration with Pulmonary Physicians. The NP demonstrates advanced competencies in assessing, treating, and coordinating care for the physical and psychosocial status of individual, families, and population group. The NP will also collaborate with other members of the health care team when appropriate to ensure comprehensive quality patient care. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Preferred Experience: Preferred experience to be proficient with telehealth medicine to assist with interfacility communications. Preferred 2 to 3 years' experience with a Pulmonary and Critical Care background. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Nurse Practitioners: A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. [The certification must be in the specialty to which the individual is being appointed or selected.] Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. 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. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. 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. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. Telework maybe offered on a situational basis possible 25% of time. The incumbent will have near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, both eyes required, ability to distinguish shades of colors, hearing (aid permitted), transferring patients & objects may be required, do protective clothing in isolation situation or operative/ invasive procedures, may occasionally be exposed to patients who are combative secondary to delirium. ["Nurse Practitioner (NP) assumes patient care and care coordination responsibility for patients in the Lung Cancer Screening (LCS) and Nodule Program under the supervision of the Director of the Program. The NP will lead the collection and submission of data from a variety of sources as it related to the Lung Cancer Screening Program. This includes but is not limited to: Identifies health care needs and assesses health status of patient/family during outpatient encounters, including initial evaluation and subsequent outpatient care follow-up, as well as inpatient hospitalization if appropriate. Monitors patients across the health care continuum and develops strategies to maximize compliance with recommended interventions. Prescreens patients for appropriateness of lung cancer screening and discusses rationale and options with patients. Obtains comprehensive health complete histories and performs complete physical exams during initial evaluation as well as subsequent follow up. Documents in medical record, orders required testing, manages test findings, and communicates results with patient, primary care physician/NP and others as appropriate. Identifies and collaborates with the specialty interdisciplinary team in the design of patient treatment plans. Enters diagnostic imaging and laboratory orders, orders appropriate tests and therapy; interprets results and outcomes; discusses appropriate plan and interventions with the physicians. Organize and lead in-services to share information and updates about the Lung Cancer Screening program with clinical staff. Assess current and former tobacco use as it relates to lung cancer risk, as well as conduct formal smoking cessation counselling with knowledge of all available behavioral and pharmacologic therapies. The NP should follow up referrals to smoking cessation care. Identifies and prescribes appropriate pharmacological and non-pharmacological agents. Identifies needs of the individual and family as a result of the evaluation of collected data. Provides relevant patient/family education. Makes appropriate referrals to both health professionals and community agencies. Determines the effectiveness of the plan of care through documentation of patient care outcomes. Reassesses and modifies the plan as necessary to achieve medical and health goals. Participates in the Ongoing Professional Practice Evaluation of his/her practice in partnership with the collaborating physician per medical staff bylaws. Demonstrates clinical knowledge with evidence-based practice and documentation. Keep collaborating physician apprised of test results and patient progress. Initiate and/or expedite requests for consultations, special tests, or studies on assigned patients. Coordinate and participate in implementation of clinical practice guidelines used within the Pulmonary and Critical Care Medicine or across departmental, divisional, or section times. Ensure appropriate case management of pulmonary and critical care disorder workups to ensure the patients get routed to the proper tests and prescribed medication and equipment and follow-up, making use of the assistance of administrative support person(s) to help with record keeping and case tracking and non-clinical communications. Management and problem solving of Pulmonary and Critical Care Medicine processes and patient flows, which may include taking the lead in negotiations and discussions and devising procedures with both internal as well as external parties. Proficient in ordering and setting up durable medical equipment specific to the diagnosis of pulmonary and sleep disorders and determines the correct prescription for the patient. Also provides education and instructions on the set up and use of the durable medical equipment. Trouble shoots issues and concerns and provides feedback to support the healthcare plan. Screens patients to determine the need for hospital admission and accordingly admit patients when indicated after discussing the pulmonary and critical care provider in-charge. 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 a.m. - 4:30 p.m. Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized. Financial Disclosure Report: Not required."]

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