Nurse Practitioner- Primary Care
Veterans Health Administration
Wichita Falls, Texas
Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.
Posted Sep 24 · New grads welcomed
- Shift and hours
- Monday-Friday, 0800-1630
- Unit and setting
- Primary Care · Military Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.
- License
- NP license active, current, full, and unrestricted APN license to practice as an NP
- Term
- Permanent
Do you qualify?
- New grads
- Welcomed Nurse II is considered the entry grade level for APN (NPs); no experience is required.
- License
- active, current, full, and unrestricted APN license to practice as an NP
- Education
- post-master's certificate or master's or doctoral degree as Nurse Practitioner Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner.
- Education
- graduate of professional nursing school accredited by ACEN or CCNE
- Experience
- one year of specialized APN (NP) experience equivalent to Nurse II for Nurse III appointment 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.
- Also asks
- US Citizenship
- Also asks
- urinalysis drug screen prior to appointment 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.
- Also asks
- English language proficiency
- Also asks
- Selective Service registration for males born after 12/31/1959 Selective Service Registration is required for males born after 12/31/1959.
- Also asks
- pass pre-employment physical evaluation/examination Must pass pre-employment physical evaluation/examination.
- Also asks
- participation in seasonal influenza vaccination program Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Preferred
- Experience
- clinical experience in Primary Care Preferred Experience: Clinical experience in Primary Care.
What it pays
- Loan repayment
- Might be 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.
- Bonus
- Relocation/Recruitment Incentives Relocation/Recruitment Incentives: May be AuthorizedMay be Authorized
- Bonus
- potential for performance awards Pay: Competitive salary, regular salary increases, potential for performance awards
Benefits
- BenefitsEducation Debt Reduction Program (EDRP) up to $200,000
- Benefits50 days of paid time off per year (26 days annual leave, 13 days sick leave, 11 paid Federal holidays)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)
- BenefitsTraditional federal pension (5 years vesting) and federal 401K with up to 5% matchRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
- BenefitsFederal health/vision/dental/term life/long-term care insuranceInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
- Education Debt Reduction Program (EDRP)
- Paid Time Off (50 days)
More benefits (2)
- Traditional federal pension
- Federal 401K with up to 5% match
The role and schedule
- Patients
- Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice. Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.
- Day to day
- manages panel of acute and chronic patients
- Day to day
- develops and implements individualized health and disease management plan Develops and implements an individualized plan to achieve optimal population health and disease management.
- Day to day
- collaborates with Primary Care Team and interdisciplinary members Demonstrates leadership and works collaboratively with Primary Care Team and other interdisciplinary team members.
- Day to day
- orders and interprets labs, tests, and diagnostics Orders and interprets labs, tests, and diagnostics studies.
- Day to day
- prescribes pharmacologic and non-pharmacologic interventions Prescribes pharmacologic and non-pharmacologic interventions.
- Day to day
- initiates specialty referrals and consults Initiates referrals and consults to specialty services.
- Day to day
- provides patient and family education Provides education to patients and their families.
- Day to day
- assesses and adjusts care plans Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.
- Travel
- driving and travel up to 75% of the time to clinics throughout the health care system Driving and travel may be up to 75% of the time.
- Details
- no telework available Telework: Not Available
- Details
- not a virtual position Virtual: This is not a virtual position.
- Details
- Permanent Change of Station (PCS) not authorized Permanent Change of Station (PCS): Not Authorized
The workplace
Worth asking
- How does the productivity or RVU formula work?
- Are there differentials or other recurring incentives?
More questions to askFewer questions
- Does the employer cover malpractice and tail coverage, plus CME, licensing, and DEA support?
- What should I expect for weekly hours, weekend, holiday, call, and rotation?
Your fit
On your path
Nurse Practitioner is advanced-practice territory. The long route; independence depends on your state.
Original listing
Posted on Veterans Health Administration’s careers page.
Read full text
Might be 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.
Major Duties include, but are not limited to: Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice. Develops and implements an individualized plan to achieve optimal population health and disease management. Demonstrates leadership and works collaboratively with Primary Care Team and other interdisciplinary team members.
Orders and interprets labs, tests, and diagnostics studies. Prescribes pharmacologic and non-pharmacologic interventions. Initiates referrals and consults to specialty services.
Provides education to patients and their families. Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. Exemplifies the ICARE core values of-integrity, Commitment, Advocacy, Respect, and Excellence.
This position potentially requires flexibility in schedule. Driving and travel for Primary Care patient care coverage purposes will be required for this position to clinics throughout the health care system. Driving and travel may be up to 75% of the time.
All other duties as assigned. 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: Monday-Friday, 0800-1630 Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May be Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact SHELLY. MURDOCK@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized
Advanced 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 Preferred
Experience
Clinical experience in Primary Care. Physical
Requirements
This position includes a level of physicality normally associated with duties performed by advanced practice nurses such as physical assessment, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling. Examples may include but are not limited to: - Significant amounts of time standing assisting patients - Utilization of safe patient handling and mobility protocols.
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.
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.
To apply for this position, you must provide a complete Application Package which includes: Long-form resume/Curriculum vitae (CV) 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…
What's around it?
Wichita Falls, TXFrom Census ACS 2024.
Living costs about 11% below the US average
- Median rent
- $1,022/mo
- Household income
- $60,177/yr, all local households, not nurse pay