Advance Practice Nurse (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

The Primary Care (PC) Nurse Practitioner (NP) is a registered nurse who utilizes critical thinking in the application of advanced clinical health care knowledge and skills, in conducting comprehensive history and physical examinations to Veterans. Performs medical record reviews and clinical interviews, Performs medical assessments & evaluations, makes diagnoses/renders medical opinions, and develops a comprehensive treatment plan to include appropriate diagnostic testing, medication management/therapy, and specialty/subspecialty care referral where appropriate. Major duties and responsibilities of the position but not limited to: Maintain an integrated delivery system through expansion of clinical practices. Maintain operational efficiencies through emphasis on safe practices and national safety. Implements Lean principles, supports quality improvement projects and promotes a culture of continuous quality improvement. Identifies symptoms and classifies them by acuity based upon collected data. Demonstrates basic triage knowledge in making appropriate clinical assessments. Relies on intuitive and systematic approaches (protocols) to make health assessments. Demonstrates knowledge regarding VA Administrative regulations such as entitlements, healthcare access points and local policies and procedures related to these elements. Educates and instructs clients on how symptoms can be treated. Contracts verbally with the client to carry out the treatment plan recommended and or advised within set limits. Provides health teaching to clients as appropriate. Provide information about desired outcomes. Performs documentation on all visits in accordance with VA policies and procedures. Demonstrates flexibility with job assignments in order to meet patient care needs within the settings of Primary Care. Evaluates Veterans physical and mental health, family and social history to identify health care needs. Orders and interprets diagnostic tests. Prescribes medications in accordance with scope of practice. Maintains expected workload panel of patients, assuring their continuity of care, health maintenance, and meeting performance measures area priority Completes all relevant clinical reminders and participates in performance and quality improvement activities Uses the Telephone Record Manager Plus (TRM+) and the electronic health record "CPRS" to document all patient triage, visits, evaluations, assessments, care plans; and orders, drugs and devices Collaborates with team members to provide continuity of clinical care and implements a treatment plan. Participates In medical and/or nursing research and quality improvement Fosters the practice of nursing triage by using sound clinical judgment, patient teaching activities, addressing ethical issues that impact clients and staff and will demonstrate leadership and mentoring of staff, which may include ethics consultations. Coordinate and implement patient care specific to the age of the patient population served (adult and geriatric). Evaluates and uses analysis findings of group process to identify, analyze and resolve care problems. Practice according to established policies, standards of care, and standards of practice, and is responsible to ensure that patient care and operations are compliant with all applicable local, V1SN, or National Standards, policies, statutes and regulations. Initiate interdisciplinary projects to improve organizational performance. Clinical expert and consultant: reviews quality of care for documentation, phone activity, case reviews, chart reviews, etc. Identifies educational needs of staff and ensures that these needs are addressed. Encourages staff in team building. Makes sustained contributions to health care by sharing expertise within and/or outside the medical facility. Engages in implementing an educational plan to meet changing program or service needs for self and others. Participates in nursing, medical center or Health Care System committees promoting task accomplishment through interaction and problem solving with group members and other stakeholders. Provide leadership in identifying and addressing ethical issues that impact veterans and staff including initiating and participating in ethics consultations. 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: M - F 7:30- 4:00 Telework: Ad- hoc only

Requirements

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. 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. 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 identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation/examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications and evaluation

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

How to apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 09/11/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/13055387. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Required documents

To apply for this position, you must provide a complete Application Package which includes: License Long-form resume/Curriculum vitae (CV) Professional Certification Transcript 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 (VA) License Long-form resume/Curriculum vitae (CV) Professional Certification SF-15 SF-50/ Notification of Personnel Action Transcript Veterans' Preference Note: 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 - Veterans - Job Seekers - Veterans' Preference.

Additional information

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.