Veterans Affairs, Veterans Health Administration Nurse Practitioner - (Gastroenterology) in Detroit, Michigan

Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
  • Detroit, MI
Work Schedule is Full Time - Excepted Service Permanent

Opened Tuesday 10/11/2016 (8 day(s) ago)

** Closes Monday 10/24/2016 (5 day(s) away)

Job Overview


Vacancy Identification Number (VIN): 1784602

OUR MISSION: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

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.

The Nurse Practitioner (NP) in an advanced practice role in collaboration with Gastroenterology (GI) physicians in the GI clinic and endoscopy suite. This individual will practice in an autonomous role, under the regulation of the Nurse Practice Act in the State of Michigan. The NP demonstrates advanced competencies in assessing, treating and coordinating care for the physical and psychosocial status of individuals, families and population group. This NP collaborated with physicians where appropriate and other members of the health care team when appropriate to ensure comprehensive quality patient care.

*The NP will evaluate and manage GI and Hepatology clinic patients independently in accordance his/her scope of practice. The treatment of hepatitis C infection will be a major focus of this position. Hepatitis C treatment at this facility is coordinated through a multidisciplinary team including clinicians, a clinical pharmacist and mental health providers.

*The NP fulfills the requirements of the Dimensions of Practice defined in the Nurse Standards (VA Handbook 5005/27, Part II, Appendix G6, 2009) for assigned grade, including leading evidence based practice initiatives, participation in health service education and research, and providing leadership in the monitoring and evaluation of the quality of care delivered to veterans. The NP's overall practice is characterized by leadership in initiating and implementing programs to improve patient care, and serves as a consultant in clinical practice. Clinical privileging is outlined in the Medical Center Credentialing and Privileging Policy.

*NP may also be asked to perform administrative tasks/duties related to departmental activities and to actively participate in quality improvement projects.


*Demonstrates advanced clinical knowledge in assessing, planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care including recognition the age related cognitive, physical, emotional, and chronological maturation needs of the adult and geriatric.

*Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. *Collaborates with patients to assess and identify needs, issues, care goals, and resources in critical factors for achieving desired outcomes for discharge, post hospital recovery and health maintenance/wellness.

*Maintains current knowledge of multidisciplinary resources, programs and services, referring patients for

community resources as appropriate.

*Demonstrates ability to collaborate with all levels of services and disciplines. Collaborates with patient, family and care providers in any and all settings where care is being provided to evaluate and update changes in the patient driven life plan and patient management

*Advocates fiscal responsibility through monitoring utilization of resources.

*Assists with the navigation of health care systems and intervenes or refers as needed to facilitative the achievement of patient outcomes

*Enhances patient self-management by providing information regarding all options. choices, and resources. Provides care, respecting patient's personal values, cultural. and belief system.

*Actively participates in care delivery with priority attention to patient preference.

*Provides and promotes patient driven care in a safe, efficient, and cost effective manner using evidence principles

*Utilizes approved protocols and guidelines to facilitate autonomy in providing care.

*Promotes cost effective use of resources ,effective least expensive strategies expected in non-face to face

approaches (including telehealth)

*Maintains privacy and confidentiality of all patient information including electronic, print, and conversations. Serves as a resource for patient and family rights, responsibilities, and decision making information and processes.

*Applies skills, such as motivational interviewing to promote self-management toward patient driven holistic care plan for life

*Supports the facility's EEO affirmative action program by executing assigned duties and responsibilities in a professional manner

*Provides age and population specific care and education. Promotes health promotion and risk reduction strategies

*Guides others in the recognition of and participates in the resolution of ethical issues

*Maintains professional knowledge and skills based on current evidence based

*Demonstrates leadership be sharing knowledge with colleagues or students to enhance professional development and practice.

*Formally shares information gained from continuing education experiences within or across units and or the medical center

*Acts as a role model in fulfilling work commitments, seeking out and assuming additional responsibilities and

assisting others with career development

*Promotes wellness by empowering the patient to self-management through education and patient driven health care delivery

*Works effectively with the patient family to respect and support their values, preferences, needs and goals. Collaborates and develops relationships both internally and externally to better meet the patient's needs. Completes mandatory reviews, including motivational interviewing, in order to promote patient self-management toward individualized life plan of care

*Demonstrates professional behavior (respect, civility, ability to accept constructive criticism) effective communication and interpersonal skills

*Promotes patient, family and team interactions and problem solving by actively participating in interdisciplinary meetings to facilitate collaboration and the achievement of identified goals. Maintains a work environment

honors diversity

*Facilitates an integrated patient driven life plan of care.

*Maintains effective working relations with professionals and support personnel within the medical center and the


*Initiates actively participates in interdisciplinary opportunities to improve patient care at the program level.

*Applies critical thinking and analytical skills to identify barriers for optimal patient care

*Utilizes creativity and innovation and recommends changes that will improve patient care or clinical

*Stays current with VA goals, objectives, and initiatives

*Initiates participates in quality improvement activities that result in improved

*Use a body of research to validate and or change work group practice through data driven evidence based practices and implement changes to improve efficiency and effectiveness through Systems redesign approaches. Promotes patient and personnel safety.

*Supports others conducting research

Work Schedule: 8:00 am to 4:30 pm Monday thru Friday

Functional Statement Title/#: *NP (Gastroenterology)*

Travel Required
  • Not Required
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • Must be proficient in written and spoken English.
  • Selective Service Registration is required for males born after 12/31/1959.


  • U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing.
  • The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6)
  • Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. *Grade Determinations: *The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:

  • Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.

  • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
  • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; ORa Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
  • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; ORa Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
  • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree in nursing or related field and approximately 2-3 year's of nursing practice/experience.

Nurse Practitioners and Clinical Nurse Specialists

On and after [March 17, 2009], registered nurses appointed or otherwise moving into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before March 17, 2009, who obtain such qualifications on or after March 17, 2009. *Nurse Practitioners. A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected.***

Preferred Experience: ?

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.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Physical Requirements:

Heavy lifting, 45 pounds and of carrying, 45 pounds and over, straight pulling (4 hours), pushing (4 hours), reaching above should, both hands required, walking 98-12 hours), standing (8-12 hours), repeated bending (8 hours), both legs required, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13' to 16' to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and 20/40 in the other, both eyes required, ability to distinguish shades of colors, hearing (aid permitted), transferring patients and objects may be required, do protective clothing in isolation situation or operative/invasive procedures, may occasionally be exposed to patients who are combative secondary to delirium.

Security Clearance

Not Applicable

Additional Information
What To Expect Next

After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USAJOBS account and clicking on “Application Status.” For a more detailed update of your status, click on “more information.” Information regarding applicant notification points can be found in the USAJobs Resource Center.


VA offers a comprehensive benefits package. This link provides an overview of the benefits currently offered:

Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

Other Information

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

Salary Range: $60,678.00 to $122,519.00 / Per Year

Series & Grade: VN-0610-00/00

Supervisory Status: No

Who May Apply: United States Citizens

Control Number: 448534800

Job Announcement Number: VHA-553-16-1784602-MAJ-bu