Summary

Northern Arizona VA Health Care System is looking for a Nurse Practitioner - Patient Aligned Care Team to join the Primary Care team!

Duties

• Duties include - but are not limited to: Ongoing - continuous care of one or more assigned panel(s) of Veterans
• Utilizing all available tools to enable effective and efficient identification and interventions of individual patients
• Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel
• Functioning at the full extent of the team member's relevant clinical privileges - credentials - scopes of practice - elements of practice - certification - or other facility approved documentation of competency
• Participating in team performance improvements and sustainment activities to optimize team efficiency and care delivery to patients
• Implementing primary care operations management processes - as appropriate
• Managing communications and facilitating safe transitions of patients between PACT's site of care and other health care settings - using informal and formal communication methods - as appropriate
• Providing health education - and health coaching on wellness - disease prevention - chronic care management - and self-management skills to patients and personal supports persons
• Engaging patient in using health care - encouraging patients to engage personal support persons - receiving input from patient and personal support persons regarding VA care
• Using formal and informal communicators that are respectful - effective - timely - an bidirectional with all team members (including patient and personal support persons) to convey significant - clinically relevant information for the care of the patient
• Collaborating with informatics technology staff to develop and implement systematized - electronically supported tools to support PACT care delivery process (e.g
• pre-visit reminder calls - post-hospitalization follow-up up calls - recall scheduling procedures - new patient orientation - disease registries and primary care protocols for chronic disease management
• Ensuring patient's care plan contains medical recommendations for clinically indicated care
• Offering clinically indicated health care services to patients assigned to PACT - and providing or arranging for care to which patients' consent
• Providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members
• Reviewing available clinical and performance data with team - focusing on continuous improvement of critical team processes
• Evaluations and treatment - including face to face - telephone - and/or video to home clinics
• Initial and ongoing assessment of patient's medical - physical - and psychosocial status
• Obtain and document a comprehensive medical/physical history and physical examination
• Order and follow-up on appropriate diagnostic tests
• Review and interpret laboratory tests and take appropriate action
• Refer patients to consultations with specialty clinics
• Provide medical advice to patients - families - and community health providers by telephone
• Manage chronic and acute medical problems
• Enter orders into VA Electronic Medical records for medications - consults - testing - etc
• Women's Health examinations and counseling - including preventive care services such as but not limited to breast and cervical cancer screening - osteoporosis screening - intimate partner violence screening and military sexual trauma screening
• Communicate with patients via secure email
• Timely completion of peer reviews
• 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: Full-time
• Monday - Friday - 8:00 am to 4:30 pm Telework: Not available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized