INTRODUCTION The Nurse Practitioner (NP) will be an Advanced Practice Provider (APP) for the Durham VA Health Care System (DVAHCS). The primary area of responsibility will be in the Office of Community Care. The NP will be fully qualified and certified to function in both a clinical and administrative role and in accordance with the guidelines and policies of the DVAHCS. This individual is delegated the authority and responsibility in his/her area of expertise to assume clinical, consultative, educational, and administrative duties and assignments to facilitate the care coordination of DVAHCS patients receiving services from our Community Care partners. Functions or Scope of Assigned Duties: The following description covers the most significant duties performed but does not exclude other responsibilities which may be assigned. Clinical (approximately 65%): Primary focus is clinical care coordination for patients in the DVAHCS Transplant Program. Assists with the coordination of transplant care, in collaboration with DVAHCS Medicine Service Transplant Coordinators and the Community Care Transplant Coordinator RN, for patients who are either: undergoing transplant work-up, currently listed for transplant, or are status posttransplant. Participates as a member of the multidisciplinary team to facilitate transplant services for Veterans throughout the DVAHCS. Facilitates patient's entry and exit from various health care systems by establishing and maintaining liaison with a variety of medical specialists and associated staff within this facility, other VA facilities, VA Transplant Centers and non-VA transplant facilities. Collaborates and coordinates with other health care resources to ensure continuity of care. Keeps abreast of the latest VHA Transplant Program policies and procedures and serves as a resource person for medical center staff. Follows the Office of Community Care policies and procedures for transplant referrals sent to DVAHCS Community Partners. Utilize the Transplant Referral and Cost Evaluation/Reimbursement (TRACER) system for initial review of transplant candidates. Monitor and capture transplant related care and events for Veterans completion of clinical requirements for TRACER submissions and Community Care referrals. Administrative (approximately 30%): DVAHCS Transplant Program liaison to the National Transplant Program Office, VISN Office, DVAHCS Executive Leadership Team, DVAHCS Service Chiefs, and Service Line Transplant Coordinators regarding all DVAHCS transplant issues. Creates and maintains a database to track all DVAHCS transplant cases, following the Veterans from initial evaluation, TRACER submission, in conjunction with the Community Care Transplant Coordinator Education/Research (approximately 5%): Promotes and participates in the delivery of patient and family transplant education related to the coordination of transplant services and community care services. Participates, directs, and provides opportunities for staff development through in-service education as needed. Assures self-development responsibilities and maintains current knowledge of VHA transplant services and Office of Community Care services. The Scope of Practice of all registered nurses in all areas of clinical practice is defined in the four (4) dimensions outlined in the Nurse Qualification Standard, and is specific to the Grade: Nurse II/III: Demonstrates leadership in delivering and improving holistic care utilizing collaborative strategies with patients, family members/significant others and members of the interdisciplinary team. 1. PRACTICE (Practice, Ethics, Resource Utilization) PRACTICE: Provides leadership in the application of the nursing process to patient care, organizational processes and/or systems, improving outcomes at the program or service level. ETHICS: Provides leadership in identifying and addressing ethical issues which impact patients, staff, including initiating and participating in ethics consultations. RESOURCE UTILIZATION: Manages program resources (financial, human, material or informational) to facilitate safe, effective, efficient care. 2. PROFESSIONAL DEVELOPMENT (Education/Career Development, Performance) EDUCATION/CAREER DEVELOPMENT: Implements an educational plan to meet changing program or service needs for self and others. PERFORMANCE: Uses professional standards of care and practice to evaluate programs and/or service activities. 3. COLLABORATION (Collaboration, Collegiality) COLLABORATION: Uses group process to identify, analyze and resolve problems. COLLEGIALITY: Makes sustained contributions to healthcare by sharing knowledge and advanced skills internal and external to the healthcare system. The NP will coach colleagues in team building. 4. SCIENTIFIC INQUIRY (Quality of Care, Research) QUALITY OF CARE: Initiates interdisciplinary projects to improve organizational performance. RESEARCH: Collaborates with others in research activities to validate and/or improve care Work Schedule: Monday-Friday, 0800- 1630, No Call Coverage Financial Disclosure Report: Not required
Internal Number: 599356500
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.