Nurse Practitioner – Primary Care

Summary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Duties

• 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 AM
• 4:30 PM Compressed/Flexible: Not Authorized Telework: Ad hoc
• As determined by the agency policy.
• Requires supervisory approval.
• Virtual: This is not a virtual position.
• Relocation/Recruitment Incentives: Not Authorized.
• EDRP Authorized: Former EDRP participants ineligible to apply for incentive.
• Contact, the EDRP Coordinator for questions/assistance.
• Learn more FUNCTIONS OF ASSIGNED DUTIES: The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients.
• Major duties and responsibilities of the position: Primary focus of practice is the independent clinical evaluation of Veterans through their panel of patients including prevention and patient self -management.
• Comprehensive primary care will be provided to male and female Veterans.
• Comprehensive primary care includes but is not limited to evaluating patients in an outpatient clinical setting to diagnose and treat acute and or chronic diseases, educating on health promotion and disease prevention and ensuring that health maintenance is up to date.
• Completes physical examinations, which may be comprehensive, or focused to formulate treatment plans.
• Treatment plans are evidence based and engages in shared medical decision making of treatment plans.
• Care may be provided in many modalities, from direct face to face care, virtual care (including telephonic, video, secured messaging and others) Orders and interprets labs, tests, and diagnostic studies Prescribes pharmacologic and non-pharmacologic interventions Initiates referrals and consults to specialty services
• Provides education to patients and their families Functions as a member of a Patient Aligned Care Team, collaborating with clinical and administrative support to provide timely, quality, coordinated care for
• Participates in continuous medical education as per requirements with topics included but not limited to opioid prescribing and trainings to fulfill and maintain designated women's health primary care provider
• May provide coverage for other providers in clinic or other primary care clinics if needed or assigned
• Participation in clinical education as appropriate License and DEA requirements: The NP practices to the full extent of their education, training, and certification.
• However, per the
• Act, 21 U.S.C. 801 et seq., which is enforced by the
• Administration (DEA), NPs prescribing controlled substances will need to meet
• Carolina (NC) rules regarding prescribing controlled substances if working under a license (approval to practice) in NC..
• The NP will be required to have a collaborative practice agreement with a physician ONLY as it pertains to prescribing controlled substances.
• Such agreement is embedded in the NP's privileging forms.
• It is a preferred qualification of the DVAHCS for all NPs to obtain a DEA (even if he/she is not prescribing controlled substances).
• The DVAHCS cannot mandate that an NP obtain a North Carolina NP approval to practice (aka NP license).
• However; if an NP requests to maintain an NP license in a Non-FPA state, and that state's regulation requires that all NPs must collaborate with a physician who also holds a license in that same non FPA state,
• Then the NP must abide by that state's practice act/ state's regulation.
• If there is NOT a physician collaborator at the DVAHCS who holds a matching state license in the
• Non-FPA state, and if it is a condition of the NP's employment to order/ prescribe controlled substances in primary care, then the NP will need to consider applying for a
• Carolina NP approval to practice in order to fulfill his/her commitment to the assigned job duties.
• NPs maintaining a license in a Full Practice Authority (FPA) State while working at the DVAHCS must be aware of and must abide by that state board's regulation and practice act.
• It is the NP's responsibility to provide information regarding his/her state's practice act/state's regulation to members of the Durham VA Health Care System when requested.

Requirements

• Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.
• Applicants who refuse to be tested will be denied employment with VA.
• English Language Proficiency.
• In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Selective Service Registration is required for males born after 12/31/1959.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
• Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

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: http://ope.ed.gov/accreditation/. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Required Documents

• To apply for this position, you must provide a complete Application Package which includes:
• Resume Special Note for
• Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume
• This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.
• Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.
• The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position.
• Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former
• Federal employees), etc. Cover Letter
• DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) License
• Greater than 2 Page resume PCS Orders Performance Appraisal Professional Certification Resume Separation Notice (RIF)
• SF-15 SF-50/ Notification of Personnel Action Transcript Veterans' Preference
• Preference eligible candidates and other
• Veterans will be given preference when qualification of candidates are approximately equal for
• Title 38 positions in
• VHA. When applying for Federal Jobs, eligible
• Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor
• Preference (SSP) in the questionnaire. You must provide a legible copy of your
• DD214(s) which shows dates and character of service (honorable, general, etc.).
• If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable,
• General, etc.), and dates of impending separation.
• Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible
• Veterans) must also submit an
• SF-15 "Application for 10 Point Veteran
• Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on
• Veterans' Preference, please visit Feds Hire Vets