Overview

Summary

The Advanced Practice Registered Nurse in Primary Care Mental Health Integration provides support for PACT members to assure that the mental and behavioral health needs of the primary care population are addressed. Often, this means that the PCMHI APRN will take the lead in providing mental health care for individuals identified with mental health conditions or need assistance in making health-related behavioral changes

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Duties

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Functions of Assigned Duties: (Major Duties) Including but not limited to:

  • Provides ongoing support to other PACT members. While primary care providers often provide routine medication initiation and management, in many instances it may be preferable for the psychiatric APRN to initiate medication and either treat to target or support PCP continuation of medication, either directly or by supervision of care management.
  • Performs direct in-person or virtual face to face assessment and treatment when indicated. This assessment includes a mental status examination and DSM diagnosis
  • Communicates frequent with other primary care staff and attends primary care service meetings
  • Provides chart-based consultation, including E-consults as needed/requested.
  • Maintains availability for informal and “curbside” consults as needed by PACT members. Ensures ongoing availability for urgent or emergent situations.- Provides diagnostic clarification when needed.
  • Routinely attends PACT huddles for informal consultation and education of the team.
  • Offers and provides formal education sessions as desired by other team members.
  • Serves as a liaison between PACT providers and other mental health providers working with PACT patients who are receiving ongoing services in general and specialty mental health clinics.
  • Provides ongoing training, supervision, and backup for care management. This generally includes at least weekly meetings to discuss all patients receiving care management services. The psychiatric APRN must also be readily available for consultation in urgent situations that may develop during a care management visit.
  • Provides consultation to co-located collaborative psychologists, social workers, nurses, clinical pharmacists and other disciplines as needed. *Psychiatric APRNs are expected to be able to assist with understanding the often complex interaction resulting from comorbid psychiatric and medical conditions, as well as identify psychiatric symptoms induced by other illnesses or medications. Assures that the medical workup ordered by the primary care provider is sufficient and adds to that work up if indicated
  • May initiate and manage medication assisted treatment (MAT) for substance use disorders (SUDs) for patients whose care can be managed in PACT with PCMHI support. In general, these are individuals with lower severity of illness who do not require the intensive outpatient support typically available in higher levels of care. MAT interventions commonly include buprenorphine, acamprosate, naltrexone, disulfiram, and other less specific medications often used for SUDs
  • May provide brief forms of psychotherapy and psychoeducation groups consistent with education and training.
  • Orders laboratory, radiologic, and diagnostic tests on patient and provide initial interpretation of results, with consultation as appropriate
  • Orders diets, nutritional supplements, and nutritional consults as necessary
  • Screens patients to determine the need for hospital admission and may admit patients when indicated*Initiates and/or expedites requests for consultations/referrals to other services, inter and intra VAMC, as well as non-VA consultations if necessary
  • Completes required documentation in the clinical record

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 8:00am-4:30pm

Telework: Available (ad hoc with the potential for regular and recurring)

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not authorized

Permanent Change of Station (PCS): Not Authorized

Financial Disclosure Report: Not required

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Requirements

Conditions of Employment

  • U.S. 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.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • 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.
  • 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).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) – See “Additional Information” below for details.

Qualifications

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 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.

  • 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.

Preferred Experience:

Experience providing behavioral health services with adult populations

Experience providing behavioral health services through telehealth modalities

Experience working as a member of a collaborative multidisciplinary care team

Experience implementing evidence-based assessment and intervention practices

Licensure as a Nurse Practitioner or Clinical Nurse Specialist

Certification as a Psychiatric/Mental Health Nurse Practitioner or Clinical Nurse Specialist

Prescriptive authority in state of licensure

Nurse Practitioners: 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 I Level I – An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
  • Nurse I Level II – An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor’s degree in a related field with no additional nursing practice/experience; OR a Bachelor’s of Science in Nursing (BSN) with no additional nursing practice/experience.
  • 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 years of nursing practice/experience; OR a Master’s degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years 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: Eligible applicants must be physically and mentally able to perform the following: Heavy lifting, 45 pounds and over; heavy carrying, 45 pounds and over; straight pulling one (1) hour; pushing; reaching above shoulder; use of fingers; both hands required; walking seven (7) hours; standing seven (7) hours.

Education


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: 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

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.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

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Fayetteville AR VA Medical Center

1100 North College Avenue

Fayetteville, AR 72703

US