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Veterans Affairs, Veterans Health Administration Nurse Practitioner in Location Negotiable After Selection, United States


The incumbent is assigned to the VISN 7 Caregiver Support Program Centralized Eligibility and Appeals Team (CEAT), which provides a state-of-the art continuum of services, education and resources to caregivers of Veterans with complex needs. As a member of the VISN CEAT, the incumbent has the responsibility for expert knowledge of eligibility criteria for the Program of Comprehensive Assistance for Family Caregivers, operation of the program, and reporting requirements within the assigned VISN.


The incumbent performs a wide range of services, collaborating with inter-professional Centralized Eligibility and Appeals Team (CEAT) members to make eligibility determinations, tier level determinations, discharges, and appeals for the PCAFC. Uses clinical judgment in the interpretation of trends and patterns; application of regulation, policy, guidelines; and the recommendation of program enhancements. The Nurse Practitioner (NP) uses clinical judgment in the interpretation of trends and patterns; application of regulation, policy, guidelines; and the recommendation of program enhancements. The role of the NP is significant to the success of a high-performing, high reliability CEAT, as the NP plays a crucial role in the facilitation of prescribed medication and treatment, care coordination, advocacy, and education. The NPS' training in assessment and monitoring, diagnosing, treating, health restoration, wellness promotion, illness prevention, and coping facilitation are crucial to the CEAT's case review. The NPS' knowledge of disease management, special diet plans and medical conditions, medication prescription and administration, self-care completion, and caregiver education helps ensure CEAT clinical determinations are accompanied by comprehensive, whole health care plan recommendations, for the Veteran's facility healthcare team to consider for safe and quality care continuity. Uses knowledge of the CSP to matrix Veteran level of functioning with the appropriate CSP services (i.e., Program of General Caregiver Support Services [PGCSSI; PCAFC; and/or Veteran entitlements and benefits) in order to ensure patient safety, recovery, and program stewardship. end organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning. Applies advanced nursing clinical knowledge/ judgment to promote staff involvement in planning, decision making, and evaluating PCAFC eligibility. Evaluates, systematically, current practice and formulates outcomes for groups of patients and/or organizational processes within area of expertise. Works with interprofessional team members at Regional, VISN and facility levels to ensure PCAFC eligibility determinations PCAFC are delivered objectively with strong, consistent inter-rater reliability with documentation and communication of outcomes in a direct and coordinated manner. Coordinates with other Regional CEATs and VACO CSP to develop and implement strategies for PCAFC eligibility, tier level, discharge, and appeals process and performance improvement. Leads a team in review of application and appeals. Conducts comprehensive clinical review of patient records to identify the presence of Veteran need for assistance with personal care services and/or the presence of supervision or protection needs on a daily basis, Documents information utilized in clinical eligibility determination and eligibility assessment tools. Assists the VISN with MISSION Act implementation, as it relates to CSP and PCAFC expansion. Receives, reviews and dispositions PCAFC initial eligibility decisions; reassessments; and appeal decisions for clinical eligibly determinations, Anticipated process: Reviews packets with eligibility documents submitted, by facilities, to VISN within 45 days, Renders reassessment decisions to include: ongoing program eligibility, tier changes, and discharges. (Notifications of rendered decisions are communicated, by VISN, back to the CSC, et referring facility.) Adjudicates first-level appeals for alternate VISN CEATs and second-level appeals for one of the other three CEAT Regions. Executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient care. Maintains full clinical privileges as a member of the Medical Staff. Work Schedule: Monday - Friday, 8:00AM-4:30PM EST

Financial Discloser Report: Not required


Conditions of Employment


Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Education: 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. Licensure/Certification: 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse II - A Master's degree in nursing approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. References: 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, stPang.d4ing, 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.


IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit:

Additional Information

This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.