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This position is eligible for the Education Debt Reduction Program (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 appointment. 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. Learn more 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. 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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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. Master's or Doctoral Degree from a program accredited by the Accreditation Commission for Education in Nursing or the Commission (ACEN-Formerly NCLAC) or the Collegiate Nursing Education (CCNE). 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. Nurse Practitioners must be licensed or otherwise recognized as a nurse practitioner in a State 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. Preferred experience: Geriatric experience is preferred, experience related to home health care, skilled nursing facilities, and program development. 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 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and 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. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: The position will require walking, standing or sitting for periods of up to 4-6 hours each day and delivering care, providing holistic care, and case management in the home of the veteran. This may require excessive bending, lifting, twisting, and driving in inclement weather. You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. The Iowa City VA Health Care System is recruiting for a Home Based Primary Care (HBPC) Provider for the Davenport, IA Community Based Outpatient Clinic (CBOC). This provider is the senior clinician and is responsible for the overall medical care delivered by the HBPC team. He/she works in collaboration with the HBPC Medical Director to meet the requirements of the program. The Home Based Primary Care (HBPC) program centers care in the home of Veterans with complex chronic diseases that worsen over time and put the patient at risk of frequent ER visits and prolonged hospitalizations. The physician is part of an interdisciplinary team that provides longitudinal and comprehensive care and addresses ongoing problems related to disability, aging, rehabilitation, and social and behavioral conditions for whom routine clinic-based care is insufficient to maximize function, minimize institutionalization, and maintain quality of life. General clinical privileges and responsibilities include, but are not necessarily limited to the following: Obtains a comprehensive (or otherwise appropriate) health history and physical examination on all patients seen within Home-Based Primary Care. Order lab works, x-rays, diagnostic studies, and makes referrals as needed. Interprets the history, physical examination, and test results as part of a comprehensive clinical assessment to formalize a diagnosis. Makes sound clinical judgments based on this evaluation and formulates an individual treatment plan based on patient needs. Evaluates health outcomes and implements a revised assessment and plan if indicated. Collaborates with medical director/staff physician for confirmation of diagnosis and treatment plan in complex or unstable patient care situations. Refers medical problems beyond the scope of the nurse practitioner to the medical director/staff physician for evaluation. Documents all notes for permanent chart record on all patients seen. Assesses and manages acute and stable chronic physical and/or psychiatric problems. Prescriptive authority for the ARNP falls within the ARNP's scope of practice as outlined in Prescriptive Practice Guidelines. Consults, refers, and collaborates with other disciplines involved in the delivery of total patient care. Accepts phone calls from patients, family members, Visiting Nurse Association (VNA) staff, and other outside professionals regarding patient status and/or questions regarding their care. Confers with medical director/staff physician when necessary. Patient care functions may include dispensing medications, administering IM medications, and wound care. Procedures may include venipuncture, anoscopy, urethral catheterization, pelvic examinations, diaphragm fitting, and testicular/prostate/rectal examinations. Performs activities as part of a preventive health care program; utilizes national screening guidelines to determine the need for further health care. Provides health care education and counseling for the patient and patient's family regarding medical conditions, health status, and the use of prescribed treatment and drugs. Recommends therapy measures regarding physical, social, and environmental factors. Performs health promotion and illness prevention counseling utilizing patient education, self-care, and risk reduction strategies. Incorporates developmental life stages and age-related competencies into the assessment and management treatment plans for each individual VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: The tour of duty for this position is typically Monday- Friday, 8:00am to 4:30pm. Additional information may be provided during the interview process. Virtual: This is not a virtual position. Telework: Not authorized Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact VHAVISN23EDRP@va.gov, the EDRP Coordinator for questions/assistance Financial Disclosure Report: Not required"]

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