Advanced Practice Nurse (Nurse Practitioner) - Psychiatric Mental Health

The Primary Care Mental Health Integration (PCMHI) Advanced Practice Nurse (APN) - Psychiatric Mental Health Nurse Practitioner (PMHNP) is a co-located, collaborative care behavioral health provider who serves as a member of the primary care clinic's multidisciplinary health care teams, and who delivers direct care and consultation-based services to Veterans, primary care providers, and allied Patient Aligned Care Team (PACT) members to manage the overall health of the enrolled population. The PCMHI APN-PMHNP uses population-based practice management strategies, and maintains competencies in the following core domains: Clinical and Practice Management Skills Uses functional assessment, evidence-based intervention, and consultation techniques to address common behavioral health problems (e.g., depression, anxiety, sleep problems, stress) and health behavior concerns (e.g., chronic pain, obesity, diabetes, tobacco use). Routinely uses brief assessment measures to assist in intervention planning, goal setting, and outcomes monitoring.

Accepts warm handoffs and referrals from PACT members, and triages, assesses, and refers to specialty behavioral health care services appropriately and efficiently in accordance with principles of stepped care (i.e., delivery of most effective, least resource intensive treatment appropriate for patients' individual needs, preferences, and resources). Conducts risk assessments and safety planning as clinically indicated and in accordance with VA policy and clinical practice standards. Documentation Skills Writes assessment, intervention, and consultation notes that include all required elements and that are brief, clear, concise, and readable.

Uses diagnosis and procedure codes that are accurate and appropriate for the setting and the service provided. Consultation and Multidisciplinary Teamwork Skills Functions as subject matter expert in providing consultation and education to PACTs on assessment, intervention, referrals, and resources for behavioral health and health behavior concerns. Maintains regular communication and effective collaboration with PACT members during episodes of direct care.

Routinely attends regularly scheduled PACT huddles or team meetings or conducts rounding or other proactive outreach to PACTs. Administration Consistently meets performance metrics related to productivity, same day access, brief encounter fidelity, and timeliness of documentation and clinical communication. Participates in development, implementation, and evaluation of the PCMHI program to optimize the delivery of behavioral health services and improve access, utilization, and outcomes of care as well as patient satisfaction.

Regularly attends PCMHI Community of Practice and Integrated Care Monthly Education conference calls. Attends Mental Health Service meetings as schedule permits. Participates in Medical/Dental Staff meetings as a non-voting member in accordance with medical staff by-laws.

Consistently follows VA, VHSO, Mental Health Service, and program administrative policies and supervisory guidance. Adheres to relevant professional ethical codes; local, state; and federal laws; compliance and accreditation standards; and safety, privacy, and information security policies and protocols. Teaching and Training Teaches and mentors staff and trainees to enhance their professional growth, development, and competence.

Provides supervision for licensure or specialty certifications as needed. Provides education to Veterans, their families and caregivers, VA staff, and other relevant stakeholders about behavioral health issues, services, and resources. Communicates effectively, both orally and in writing, with people from varied backgrounds.

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, 8:00am-4:30pm, subject to change based on the needs of service. Telework: Available (ad-hoc) Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Lashala. Goodman@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 as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) 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

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 Physical

Requirements

Light lifting and carrying under 15lbs, use of fingers, both hands required, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, hearing (aid may be permitted), specific hearing requirements (ability to hear conversational voice (aid permitted), mental and emotional stability.

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…