The CRH Mobile Deployment Team (MDT) provides care through on-site patient care and is a Mission Act 402 requirement. In-person deployments of clinical staff for short-term assignments (typically 3-6 months) will be at the VISN CRH Associate Director of Primary Care discretion. They will depend upon clinical needs and available resources. Executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient care. The Advanced Practice Registered Nurse (APRN) Nurse Practitioner (NP) demonstrates (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning; (b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes, (c) Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities, (d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within an area of expertise, (e) Guiding, developing, and supporting staff from a leadership perspective, and (f) Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities. (VA Handbook 5005, Part II,Appendix G6). The Nurse Practitioner (NP) is an expert clinician who demonstrates expertise in leadership at the systems level that is sustainable and experience and creative approaches to management of complex situations. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a program, service, facility level, VISN, or VACO. The focus must be broad and complex and must be demonstrated at the macrosystem level. The expert NP incorporates professional standards and implements broad-reaching evidence-based change. Leads and organizes delivery of services at the to assure continuity and peer accountability for practice. The Nurse Practitioner (NP) practices in an expanded role for VISN Clinical Resource Hubs providing Primary Care services to individuals, families, and/or groups either in a virtual setting with telehealth technologies and/or in person care. Each VISN will determine where the Primary Care NP will perform his/her duties. Care will be provided virtually to Spoke sites, using telehealth equipment, however, face-to-face care will be provided at least quarterly at the Spoke site. Episodic care may be provided in conjunction with Clinical Contact/Call Centers or other programs. The NP is a member of the Telehealth Emergency Management (TEM) group and is a virtual first responder for all TEM activations during a disaster. The incumbent functions as a key member of the CRH in support of the MISSION Act. Core functions include, but are not limited to, diagnosing and treating acute and chronic healthcare problems based on primary care focused services, performing adult care check-ups, screening assessments and prescribing medication and treatment. NPs may diagnose and manage minor trauma, including suturing and other approved procedures when providing in person care. The NP will provide care including health promotion, screening and the Whole Health Model of care and disease prevention to patients, families, and caregivers. Note: All CRH Primary Care NPs assigned to a PACT team will be required to travel to the VA Medical Center every 90 days for face-to-face encounters. If hired for locums-type services, in-person care at the patient site will be required for extended periods Work Schedule: Monday through Friday, 8:00am to 4:30pm, specific tour to be determined. Financial Disclosure Report: Not required
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.