SummaryFunctions as a Nurse Practitioner (APRN) within the Patient Aligned Care Team (PACT) under Ambulatory Care Services at the Sioux Falls VA Health Care System (SFVAHCS). This position provides comprehensive primary care, advanced clinical management. The position is located at the Spirit Lake CBOC, IA and may provide support to other sites virtually or in-person as needed.
Qualified applicants will be considered and referred every 2 days until filled.
Learn more about this agencyDutiesHelp
The APRN independently evaluates and manages adult and geriatric Veterans with complex medical needs using advanced clinical judgment. Duties are performed using evidence-based practice, preventive medicine principles, and VA electronic health record systems. The position generally:
1. Provides total care of Veterans' medical needs by performing histories and physical examinations, ordering and interpreting diagnostic studies, developing treatment plans, prescribing medications within scope, and coordinating follow up care. Manages patients with acute, chronic, and multi system conditions requiring advanced clinical reasoning.
2. Conducts outpatient follow up visits, acute care visits, chronic disease management, transition of care/post discharge visits, same day access encounters, and virtual visits through approved modalities (telephone, video, secure messaging, etc.).
3. Assists in preparing patients and families through education, counseling, developing patient centered care plans, and coordinating with appropriate services. Initiates health promotion and disease prevention strategies consistent with VHA guidelines.
4. Coordinates specialty consultations and provides expert guidance regarding appropriate specialty utilization.
5. Supports cross site telehealth coverage for other CBOCs and primary care locations within SFVAHCS, with an anticipated 50% of clinical time dedicated to cross-site coverage (subject to operational need).
6. Collaborates with telehealth clinical technicians and other team members to ensure smooth and effective virtual clinical operations.
7. Assists with additional Primary Care Department duties such as data assimilation for reports, participating in quality assurance programs, or other tasks determined by the Chief of Primary Care or Chief of Staff.
8. Participates in primary care Quality Improvement (QI) initiatives, peer review activities, policy/SOP development, guideline review, and committee or workgroup assignments. Provides onboarding, mentorship, or training for new APRN staff and may serve as a preceptor for Nurse Practitioner residents/students and other learners.
9. Completes all patient encounter documentation, coding, clinical reminders, and administrative requirements within established timelines. Ensures compliance with VATAS, TMS, CME, mandatory training, and all credentialing/privileging requirements.
10. Demonstrates knowledge and skills necessary to provide appropriate care for adult and geriatric Veterans. Incorporates physical, psychosocial, cultural, safety, and developmental considerations into care delivery.
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: Mon - Fri 8:00am - 4:30pm
Virtual: This is not a virtual position.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact vhaedrpprogramsupport@va.gov
the EDRP Coordinator for questions/assistance. Learn more
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.
Preferred Experience: Primary Care and/or Internal Medicine experience preferred.
RequirementsHelp
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.
- 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 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.
QualificationsAdvanced Practice Nurse (Nurse Practitioner) Basic Requirements- Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate 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).
- NOTE: Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment.
- License - All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia.
- Basic Board Certification - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP), Adult Nurse Practitioner (ANP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), or Gerontology Nurse Practitioner (GNP) from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared.
NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.
The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II:Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B).
- Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
- Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required.
- Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements:
- Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program.
- Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care.
- Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care.
- Professional Development. Acquires knowledge and skills to develop expertise in area of practice.
- Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes.
The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III:- Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
- Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level.
- Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements:
- Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population, or program.
- Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations.
- Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population, or program.
- Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility.
- Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork.
Additional informationReference: 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.
Expand Hide additional information
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
BenefitsHelp
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or int...
