Advanced Practice Nurse; Acute

Summary

The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in Medical Service-Acute to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice - consultation and management.

• The Department of Medicine at the VA Northeast Ohio Healthcare System is seeking a full-time Nurse Practitioner (NP) interested in an Acute Medicine position working in our Community Living Center (CLC) Admiral Point neighborhood/ unit
• The CLC is a 174-bed post-acute care facility that provides Veterans with skilled nursing care - skilled physical and/ or occupational rehabilitation - and dementia care
• The Admiral's Point unit is a 14-bed unit that provides such care for residents with advanced respiratory needs (chronic respiratory failure - excluding mechanical ventilation - tracheostomies - laryngectomies - advanced heart failure - pulmonary hypertension - etc.)
• Primary responsibilities include comprehensive medical care of residents as part of their interdisciplinary team - including but not limited to the following:
  Provide clinical care management to CLC residents through weekly visits/encounters: perform resident interviews and physical examination - obtain appropriate workup and expert consultations as needed with medical and/ or surgical subspecialists - coordinate care with other specialties and disciplines to elaborate comprehensive disease and medication management care plans - complete history and physical as well as progress notes
• Provide episodic acute care as dictated by the needs of the Veterans: identify changes in condition - complete assessment - initiate treatment - and initiate transfer and transfer documentation when a Veteran moves to a higher level of care - readmission documentation upon their return - and discharge planning and documentation
• Recognize and understand resident medical and psychosocial needs and identify resources to meet those needs and achieve desired outcomes pertinent to their CLC stay and post-CLC disposition - in collaboration with mental health specialists - case management and social work - as well as CLC leadership
• Participate in a cohesive interdisciplinary model of care through collaboration with other CLC disciplines within defined venues such as weekly interdisciplinary team rounds - discharge meetings - bioethics meetings - mental health meetings - wound care meetings etc
• Educates patients and families on numerous health care topics and issues
• Identify opportunities for improvement and initiate performance improvement processes using interdisciplinary performance approaches to improve care delivery within the CLC
• Participate in performance improvement projects as assigned - as well as cover for care planning meetings
• Assume a leadership role in utilizing problem solving methodologies to resolve system and/or process problems that impact Veteran care - staff performance - and/or systems improvements
• 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:
  
  Various tours to encompass both day and night shifts Telework:
  Not Available Virtual:
  This is not a virtual position
• Relocation/Recruitment
  
  Incentives:
  
  Not Authorized Permanent Change of Station (PCS):
  Not Authorized