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The Advanced Practice Nurse position is located in Mental Health service at the West Haven, CT campus. This position is full time at 40 hours per week.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

The incumbent practices in Mental Health (MH) Service as a Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide a full range of services emphasizing quality, timeliness, and the advancement of the VA mission. The PMHNP provides advanced clinical practice, consultation, and management.

The PMHNP practices to the full extent of their education, training, and certification. Core functions are outlined in the clinical privileges that correspond with this position. The PMHNP has prescriptive authority as indicated by their position.

The PMHNP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients.

Major duties and responsibilities of the position:

• Uses advanced clinical judgment to independently provide evidence-based treatment to Veterans with acute or chronic mental illness including use of psychotropic medications, psychotherapy, and other modalities.
• Provides patient and family education on medical/mental health conditions, preventive measures, and prescribed treatments.
• Demonstrates leadership and engages in collaboration with other mental health and specialty care professionals while involving Veterans and their families (as appropriate), in treatment plan development.
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.
• Counsels and treats patients with substance use disorders.
• Orders and interprets diagnostic studies.
• Initiates referrals/consults to specialty services.
• Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence

• This position is an AFGE Bargaining Unit position.
• May be required to attend conference at other facilities or other VA sites on occasion.
• This position is in the Excepted Service.

Duties include but are not limited to:

• Checks calibration of screening instruments.
• Obtains patient physical history, to include chief complaint; reason for visit; pertinent signs/symptoms; past history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and non-prescription medications.
• Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole.
• Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder.
• Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect.
• Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter.
• Instills eye medications (i.e., drops or ointments, including anesthetic, dye, dilation, cycloplegic, or antibiotics.
• Measures intraocular pressure of the eye utilizing techniques, including Goldmann applanation tonometry.
• Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature.
• Performs intra-ocular lens calculations using the IOL Master.
• Performs automated visual field testing using various perimetry machines.
• Performs external photographs and fundus photography.
• Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve.
• Performs patient screening and triage of potentially urgent ocular conditions.
• Assists during clinic-based ophthalmic surgery, including revision of wounds, biopsies of the eyelid lesions, cultures of conjunctiva, or cornea; reformation of anterior chamber, evacuation of hyphema, repositioning of corneal endothelial grafts, intra-vitreous injections, and laser surgical procedures.
• Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions.
• Assists in the education and training of medical students, residents and fellows in those facilities with medical school affiliations.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact , the EDRP Coordinator for questions/assistance.
Facility EDRP Coordinator: Hannah Neilson @ hannah.neilson@va.gov

Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
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
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting

A summary of the duties is mentioned below but not limited to:

• Providing occupational health services at the West Haven VA Medical Center/VA Connecticut Health Care, VHA employees.
• Assessing, diagnosing, and treating work related injury or illness with an ongoing emphasis on planning and evaluating strategies for prevention and risk reduction.
• Providing limited primary care for non-work related illnesses such as blood pressure checks, smoking cessation interventions, or brief counseling on stress management to enable the employee to remain on the job, if possible, and to reduce the risk of spreading communicable diseases to other staff and/or patients.
• Conducting pre-placement physicals to determine potential employees' fitness for duty, completing fitness for duty exams on existing employees, and making recommendations to Human Resources regarding the need for restrictions or accommodations.
• Working collaboratively with interdisciplinary team members to provide quality care, patient education, participate in research activities, and assist employees in acute and chronic rehabilitation techniques.
• Conducting comprehensive histories and physicals, ordering and interpreting diagnostic tests, initiating and adjusting therapeutic regimens, initiating consults and referrals, prescribing medications, and serving as a Medical Review Officer (MRO).
• Serving on NFSG VA HCS, VISN, and/or national committees and assisting in thedevelopment, evaluation, and communication of occupational health related policies and standards in accordance with VHA directives, NFSG VA HCS policies, Occupational Safety and Health Administration (OSHA), US Department of Labor Office of Workers' Compensation Programs (OWCP), State regulations, and any other applicable rules or regulations.

• Receives and screens incoming telephone calls and refers them to the appropriate staff when unable to resolve issue and/or concern demonstrating professional code of conduct and effective/polite communication to provide exceptional customer service.
• Maintains the Chief Nurse's schedule via outlook calendar and reschedules appointments needed/required by Chief Nurse.
• Schedules and plans meetings including space and auto-visual reservations, notifying attendees, preparing agendas, arranging meeting rooms, transcribing, and distributing minutes.
• Responsible for transcription, routing, distribution, maintaining files, and uploading to Share Drive any minutes and/or documents from designated Nursing Service and/or assigned meetings within the overall Nursing Service.
• Prepares, routes, and tracks internal and external correspondence and documents and processes incoming and outgoing correspondence.
• Tracks all proficiency/performance reports, emailing NMs reminders of upcoming due dates and reporting reminders monthly in Chief Nurse/NMs meetings. Identifies ways to streamline and improve processes related to time management and record keeping ensuring accuracy, timeliness, and compliance.

The Senior Licensed Professional Mental Health Counselor (LPMHC) is under the Mental Health & Behavioral Sciences Service and works with and clinically supports Acute Care Mental Health, which includes an inpatient psychiatric unit, inpatient medicine, and the emergency department. In addition to providing direct patient care, the Senior LPMHC functions as the facility Baker Act Coordinator and has supportive administrative duties.

Duties and responsibilities include, but are not limited to:

• Providing a full range of mental health services to patients with complex mental, medical, and psychosocial problems in Acute Care Mental Health.
• Completing Suicide Risk Identification to include CSREs, Safety Plans, and consultation with the Suicide Prevention Team as needed.
• Providing evidence-based psychotherapy services including individual, family, couples, or group psychotherapy and behavioral modification for addressing behavioral and psychological symptoms. Has advanced skills in specialized interventions and treatment modalities for Veterans with complex needs.
• Educating patients, family members, and significant others.
• Functioning as a member of an interdisciplinary treatment team by providing consultation and treatment recommendations to professional staff within the medical units, inpatient psychiatric unit, ED, and community providers, concerning clinical assessment findings and appropriate treatment plans for the patients in his/her care.
• Developing, implementing, and documenting the treatment plan for patients seen, including prompt completion of clinical reminders.
• Functioning independently as a member of the West Palm Beach VAMC Medical Staff, with full clinical privileges. The incumbent assumes complete professional responsibility for his/her clinical assessment findings, patient care decisions, and documentation.
• Appropriately referring patients to other disciplines for treatment outside purview and expertise of a LPMHC.
• Providing clinical supervision to LPMHC staff and/or LPMHC trainees.
• Developing behavioral health related training curriculum and conducting trainings for clinical staff as needed.
• Complying with all regulations of VHA and ensuring clinical documentation complies with service policies.
• Participating in ongoing performance improvement initiatives.

VA Careers - Physical Therapy: https://youtube.com/embed/Gi2hoFqIoqY

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Preferred Experience: Experience working with CITC, the Referral Coordination Team, and/or referral coordination in another capacity. Vast experience with conflict resolution.

Major Duties:

1. Performs comprehensive evaluations directed at ascertaining the patient's functional status, rehabilitation needs, goals, and rehabilitation potential.
2. Reviews patient medical records to assess appropriateness of physical therapy intervention, note any potential risks or contraindications to treatment and to assist in guiding the evaluation process.
3. Establishes therapeutic agendas that are age-appropriate and which are based on the patient's identified deficits and expressed goals.
4. Independently modifies goals and treatment based on response to care.
5. Schedules patients for evaluation in such a manner as to not negatively impact other clinical staff, yet meet the patients' needs.
6. Provides therapeutic interventions, which focus on posture, locomotion, strength, endurance, balance, coordination, joint mobility and flexibility.
7. Performs appropriate cleansing and re-processing of reusable medical equipment in compliance with VHA directives and SOPs.
8. Completes evaluations such as medical history, results and interpretation of appropriate functional tests and measurements, as well as to address rehabilitation potential, behavior, motor skills, cognition, and psychosocial development at an age appropriate level.
9. Plans and facilitates treatment programs for patients with complex impairments and providing therapeutic interventions to meet functional goals.
10. Supervises and trains students, volunteers, therapy assistants, therapists and non-PT students and support personnel.

This position is located in the Health Information Management (HIM) at the VA Healthcare System. Medical Records Administration Specialist (MRAS) in VHA perform work concerned with the management of a health record program or the provision of services related to medical record administration/health information services. MRASs manage, preserve, analyze, and supervise the use of diagnostic and therapeutic health records/health information management. They develop policies and procedures and provide advice on the use of health records and health information management.

MRAs work in day-to-day assignments, and they perform data mining; complex data analysis; and interpret and transform data into accurate, consistent, and timely information in support of the business and operational needs of the HIM department and the organization. They present findings and recommendations and facility leadership. MRAs perform workflow analyses, recommend process improvements, identify and implement best practices, and implement changes as needed to improve the productivity and quality controls of the HIM department. They prepare workload and production reports, monitor trends to identify efficiencies and outliers, and recommend appropriate actions which may involve collaborating with staff at all levels for resolution. The MRA designs and performs quality improvement projects related to health information management to identify and recommend ways of eliminating, combining, simplifying or improving procedures and processes.

Duties include but are not limited to:

• Oversees the Health Information Management (HIM) Department in identifying and setting short- and long-range goals, program objectives and tasks to meet the mission and vision of the VAMC.
• Provides subject matter expertise to Service Line Leaders, and medical center staff. Interprets and applies The Joint Commission (TJC) standards, VA regulations and medico-legal requirements; current Federal Codes pertinent to health records; Veterans Administration policy memoranda, directives and handbooks pertinent to health information management; medical coding (ICD, CPT, HCPCS) and reimbursement methodologies; medical and procedural terminology; anatomy and physiology, regulations governing confidentiality of health records; release of information laws and statutes; and all policies/procedures pertaining to VHA health records.
• Provides training for HIM, clinical and administrative staff on HIM topics. Designs and performs quality improvement projects regarding HIM issues. Collaborates with the Assistant Chief of HIMM in preparing and conducting various presentations.
• Keeps current on emerging issues and trends in the health information management field, including process improvement initiatives for HIM, the electronic health record, coding and computer assisted coding, the revenue cycle, release of information and privacy issues, records management, transcription and data entry, and health information exchange.
• Keeps HIM and clinical staff abreast of changing technology in electronic systems used to collect, process, code, protect and store health information.

• This position is in the Excepted Service.
• This position is not a Bargaining Unit position.
• The incumbent may be required to travel to other VA campuses and CBOC's.
• Selectee may be required to work at any VISN 1 Healthcare System campus, as needed.
• Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.
• Veterans' preference does not apply for internal or other current permanent Federal agency employees.

This position is located in the Health Information Management (HIM) at the VA Healthcare System. Medical Records Administration Specialist (MRAS) in VHA perform work concerned with the management of a health record program or the provision of services related to medical record administration/health information services. MRASs manage, preserve, analyze, and supervise the use of diagnostic and therapeutic health records/health information management. They develop policies and procedures and provide advice on the use of health records and health information management.

MRAs work in day-to-day assignments, and they perform data mining; complex data analysis; and interpret and transform data into accurate, consistent, and timely information in support of the business and operational needs of the HIM department and the organization. They present findings and recommendations and facility leadership. MRAs perform workflow analyses, recommend process improvements, identify and implement best practices, and implement changes as needed to improve the productivity and quality controls of the HIM department. They prepare workload and production reports, monitor trends to identify efficiencies and outliers, and recommend appropriate actions which may involve collaborating with staff at all levels for resolution. The MRA designs and performs quality improvement projects related to health information management to identify and recommend ways of eliminating, combining, simplifying or improving procedures and processes.

Duties include but are not limited to:

• Oversees the Health Information Management (HIM) Department in identifying and setting short- and long-range goals, program objectives and tasks to meet the mission and vision of the VAMC.
• Provides subject matter expertise to Service Line Leaders, and medical center staff. Interprets and applies The Joint Commission (TJC) standards, VA regulations and medico-legal requirements; current Federal Codes pertinent to health records; Veterans Administration policy memoranda, directives and handbooks pertinent to health information management; medical coding (ICD, CPT, HCPCS) and reimbursement methodologies; medical and procedural terminology; anatomy and physiology, regulations governing confidentiality of health records; release of information laws and statutes; and all policies/procedures pertaining to VHA health records.
• Provides training for HIM, clinical and administrative staff on HIM topics. Designs and performs quality improvement projects regarding HIM issues. Collaborates with the Assistant Chief of HIMM in preparing and conducting various presentations.
• Keeps current on emerging issues and trends in the health information management field, including process improvement initiatives for HIM, the electronic health record, coding and computer assisted coding, the revenue cycle, release of information and privacy issues, records management, transcription and data entry, and health information exchange.
• Keeps HIM and clinical staff abreast of changing technology in electronic systems used to collect, process, code, protect and store health information.

• This position is in the Excepted Service.
• This position is not a Bargaining Unit position.
• The incumbent may be required to travel to other VA campuses and CBOC's.
• Selectee may be required to work at any VISN 1 Healthcare System campus, as needed.

Duties include but not limited to:

• Assisting medical and nursing providers when performing medical & diagnostic examinations by assisting with duties such as monitoring vital signs, collecting biometrics, preparing and positioning the patient, completing the history and reminders, or by performing a variety of routine diagnostic tests.
• Taking and recording measurements and vital signs.
• Reporting deviations in vital signs and/or weight to the LPN/RN/MD.
• Measuring and recording height.
• Completing Health Promotion activities and asks reason for visit.
• Obtaining and labeling specimens to include clean catch urine specimens or sterile specimens.
• Drawing and labeling, and packaging specimens for the laboratory.
• Transporting specimens to the laboratory and calls the laboratory for reports.
• Reporting/recording results for the provider as appropriate.
• Performing routine diagnostic tests such as venipuncture, bladder scan, ultrasound, glucometer, pregnancy testing, urinary tract infection testing and electrocardiograms, as directed by the physician or professional nurse, for the purpose of diagnostic testing. He/she then calibrates and transmits data via electronic records.
• Assisting the physician in a variety of diagnostic examinations and must be able to receive instructions for difficult exams such as lumbar puncture, biopsies, colposcopies, LEEPs, intrauterine device placements, and pap smears.
• Positioning patient according to specific instructions from surgeon or primary care physician, drapes patient, preps and adjusts specialized equipment with multiple features, and passes instruments.
• Taking tissue cultures or specimen samples from difficult specialized procedures.
• Answering patient's questions during procedures.
• Chaperoning and comforting patients receiving gender specific examinations, including those that received Military Sexual Trauma. He/she possesses knowledge of surgical instruments in this clinical setting such as dilators, tenaculums, kevorkians, loops and balls, forceps and assists doctors with size selections. He/she possesses knowledge of proper handling and pre-cleaning of reusable medical equipment. Procedures are delicate and instrumentation is elaborate requiring settings and measurements that are very fine.
• Making precise adjustments to clarify readings and measurements and reports observations of the clinic patient regarding mobility, nutrition, pain/ comfort level, chief complaint, etc.
• Performing patient care procedures such as collection of specimens, applying dressings, adjusting simple supportive equipment. Performs simple procedures such as collection of blood samples or other fluid samples from ambulatory patients and application of sterile dressings to uncomplicated wounds. Uses proper sterile techniques for collection of samples.
• Verifying correct labeling and patient identification.
• Recording test time and intervals as appropriate. Assists with or performs standard health care procedures. Special procedures for women's health can include the annual breast, pap and cervical screening and interview.
• Teaching of patients and family members the necessity to continue good health maintenance, personal hygiene & self-care behaviors.
• Assisting with general health education and classes as assigned.
• Providing assistance of a technical, specialized, or support nature to health and medical personnel in the diagnosis or treatment of patient illnesses or medical conditions. Is able to teach clients how to read their meters, Blood Pressure's and other self monitored tests.
• Teaching patients and family members the necessity of personal hygiene and continuing proper self care behaviors.
• Promoting shared decision making behaviors.
• Providing general clerical/administrative support coordination work for the Clinic.
• Performing a variety of receptionist, record keeping, and miscellaneous duties in a general medical facility. Receives visitors, answers the telephone, and refers calls to appropriate staff or records messages. Schedules appointments and procedures.
• Orienting providers and new personnel to the clinical area including the proper procedure for requesting medical tests and the requirement for completion of exams.
• Assisting in familiarizing residents and new staff to operations, CPRS, various medical equipment in training to clinic setting.
• Participating in orientation of residents and new staff by explaining the roles of the healthcare team, assisting them with navigation of VA systems, and assigns them patients and rooms.

"Whole Health is an approach to health care that empowers and equips people to take charge of their health and well-being and live their life to the fullest. The VA is committed to Whole Health and values Veteran and Employee health and wellbeing. As a VA employee, you will practice Whole Health in an environment that supports personalized and proactive care."

Duties include, but may not be limited to the following:

• Inventory Management and Control: Responsible for the management and control of an assigned class of expendable material; serves as the point of contact for the coordination of material support and resolution of logistic problems; conducts forecasting and quantitative analysis; conducts spot checks; and complies with special requirements for firearms, ammunition and sensitive equipment
• Returns, Recalls, and Reutilization: Implements federal and agency programs for the return and reutilization of medical supplies; coordinates disposal of surplus or excess supplies; makes emergent procurement decisions; and participates in root cause analysis process
• Performs other related duties as assigned.

Major Duties and Responsibilities:

I. Library Program Development, Implementation, and Administration
The incumbent is knowledgeable and skilled in all areas of library science and is delegated the primary professional responsibility to plan, develop, implement, evaluate, and revise the library program for this medical center. The incumbent:

• Develops and maintains knowledge-based systems and services relevant to the organization's needs.
• Acts as the point of expert knowledge in searching and evaluating the health care literature.
• Establishes, implements, and reviews program guidelines, policies, and operating procedures.
• Develops, recommends, and monitors program budgets.
• Supports the activities of library staff, including providing and giving advice, counsel, and instruction.
• Collaborates with the VISN, VA Library Network (VALNET) and the VA Library Network Office (LNO) to continuously improve delivery of health care information.
• Ensures compliance with copyright legislation and license agreements.
• Tracks statistics and completes local and national reports.

• Serves as the expert in searching highly specialized biomedical, nursing, and allied health and health management, databases, and the Internet. Carries out complex searches providing accurate and reliable information that informs clinical and management decisions, provides context for research efforts, and encourages the self-directed learning of staff. Applies expertise to searching and developing multiple health-related databases including, but not limited to, MEDLINE, CINAHL, Psych Info, Cochrane Library, UpToDate, as well as databases in affiliated fields such as business and the social sciences. Incumbent applies in-depth knowledge of the terminology and practices of health care disciplines, including all fields of medicine and surgery, dentistry, nursing, mental health, health administration, pharmacy, and allied health fields, to accurately interpret questions and complete reliable and comprehensive searches. Ensures that librarians maintain current skills in all aspects of searching relevant to Beckley VAMC provides training and development opportunities as needed.

• Develops and maintains a robust clinical librarianship program. Works with physicians, nurses, and other staff in clinical settings and in routine clinical conferences, such as Morning Report, to provide patient-specific information. Functions as a resource to clinicians by searching medical databases to identify and retrieve knowledge-based information to resolve questions and controversies in diagnosis and treatment, clarify clinical decisions, decide upon the best course of care, and elucidate rare medical conditions. Uses knowledge of evidence-based practice and resources to provide highly specific, case-related medical literature which contributes to quality patient care as well as quality clinical education for medical students, residents, and clinical staff.
• Leads Supervisor trainings throughout the year to ensure all supervisors (especially new supervisors), are aware of their duties.
• Pursues outreach efforts to market and fully exploit the benefits of library tools and resources for information seekers, trainers, and project leaders. Meets with teams and committees to present information about library resources and services and how they can be used most effectively.
• Participates in local, state, regional and national information networks, fostering good working relationships with other health care information professionals to facilitate interlibrary cooperation and the smooth exchange of medical and allied health information.
• Facilitates New Employee Orientation and can cover all presentations when presenters are absent.
• Serves as Back up TMS domain manager.

• Ensures the development of a comprehensive, high quality library collection (monographs, journals, audiovisuals, etc.) that is broad in scope and penetrating in coverage to meet the information needs of staff, students, researchers, and patients.
• Stays abreast of and evaluates new library technologies to determine applicability to patrons.
• Consults hospital staff, tracks usage, and uses established tools to aid in collection development decisions.

• Ensures state-of-the-art policies and procedures pertaining to the cataloging and classification of highly technical medical materials collections.
• Adapts existing cataloging records and ensures the accomplishment of original cataloging of books, journals, audiovisuals, and ephemeral materials for easy location by library patrons.

The Program Assistant serves as the resource person for intermediate level data analysis and administrative leadership and coordination in the development, implementation, evaluation, interpretation, revision, and when necessary, corrective actions for many applicable administrative functions, activities, operations and services for the Office of Chief of Staff.

Major duties include but are not limited to:

• Interacts with clinical leadership and their administrative staff in support of clinical committees and programs and tracks follow up actions and reporting materials that are directly under the Deputy Chief of Staff.
• Collects clinical program and patient care data via VISTA, VSSC, and ProClarity Cubes to analyze Access, Physician Productivity, SAILS, VACC, etc.
• Prepares draft reports, charts, briefing slides based on data collection and guidance from the DCOS, and HSS for Clinical Programs.
• Assists with tracking and planning of continuing educational activities in collaboration with the Medical Center Education Service; works with administrative staff to maintain records and documentation of all mandatory training requirements for all staff directly under the DCOS supervision.
• Maintains competency files and personnel folders on employees and clinical service chiefs under DCOS.
• Coordinates functional statements, position descriptions, performance standards and competencies under the guidance from the HSS/DCOS.
• Responsible for systems maintenance of annual performance appraisals for all GS employees, Title 38 proficiency evaluation cycle, and Executive Career Field employees.
• Performs cost analysis of expenditures and advises the SNCOS and the COS for the special projects and programs for any additional funding requirement.
• Monitors consultant costs and utilization for all clinical services in coordination with Fiscal Service.
• Coordinates with clinical service administrative staff and HR to ensure annual consultant agreements are in place and the utilization of consultants meet within the salary agreement.
• Perform other related duties as assigned.

The Clinical Pharmacist Practitioner has responsibility to develop, organize, and manage the Clinical Pharmacist Specialty Program within the assigned Chronic Pain medication management teams. The CPP has full responsibility to develop necessary services such as physician consultation, patient monitoring, patient counseling and medication management within the Chronic Pain management framework. The CPP is responsible to serve as preceptor for, Doctor of Pharmacy candidates, Post Graduate Year 1 Pharmacy residents and Post Graduate Year 2 Pharmacy residents in pain and mental health. The CPP must be able to demonstrate the knowledge and skills necessary to complete the duties of the position, including the necessary skills to provide care appropriate to the population of the patients served.

Primary duties of this position include but are not limited to:

Clinical

• Works independently under a scope of practice, providing medication management for those patients who are seen in the Chronic Pain clinic and inpatient areas.
• Serves as a mid-level provider who functions to initiate, modify, or discontinue medications (excluding controlled substances) as clinically indicated in the treatment of chronic pain management and disease states including but not limited to neuropathic pain and fibromyalgia etc.
• Interviews patients in assigned area, conducting medication history, formulating and implementing pharmaceutical care plan and documenting this information in the patient's electronic record in the Computerized Patient Record System (CPRS).
• Documents a pharmacy education note in the patient's electronic record in CPRS after educating/counseling has taken place.
• Designs a therapeutic regimen or plan, based on patient-specific information that includes establishing a therapeutic endpoint, electing an appropriate drug and related therapy, and establishing an appropriate dosage regimen.
• Interfaces with providers, including physicians, physician's assistants (PA), and Advanced Registered Nurse Practitioners (ARNP) and other healthcare providers in the design of the veteran's treatment regimen to achieve optimization of rational and cost-effective drug therapy.
• Establishes and expands the patient data base through interpreting the drug history, medical history, physical examination and ongoing patient specific monitoring of therapy, with documentation in the formal patient medical record.
• Monitors and assesses therapeutic and adverse effects of drug therapy, including drug interactions, through selection and evaluation of physical and laboratory parameters.
• Orders lab tests as indicated for appropriate patient monitoring.
• Provides consultation on selection of appropriate therapeutic regimens as a follow-up of non-therapeutic drug concentrations obtained from ambulatory care patients.
• Provides physicians and other providers a focal resource for discussion of medical problems requiring a pharmaceutical intervention.
• Participates in pain management meetings as assigned.
• Provides clinical telehealth services (such as VA Video Connect) for appropriate patients.
• Implements Medication Use Committee policies including therapeutic interchanges and automatic substitutions to include appropriate patient and provider education.

• Participates in Medication Use Committee activities when requested.
• Reviews medication usage in patients receiving pain medications as part of the overall quality assurance program and prepares necessary reports as required.
• Designs, implements and supervises the chronic pain clinical education and training program for Doctor of Pharmacy candidates and Post Graduate Pharmacy residents.
• Participates in the medical center Ongoing Professional Practice Evaluation (OPPE).
• Registers in Electronic Florida Online Reporting of Controlled Substances Evaluation (E-FORCSE) to participate in the Florida Prescription Drug Monitoring Program.
• May serve as a director or associate director for a post graduate pharmacy residency program based on qualifications.

• Independently designs, and conducts clinical projects within the scope of pharmacy practice.
• Actively collaborates with other healthcare providers in the design and implementation of protocols and collection of data and participates in the analysis and interpretation of the results

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

The Registered Nurse Transition to Practice (RNTTP) Residency is a comprehensive developmental program developed to support the post-graduate Registered Nurse (RN) during the first year of clinical practice in a variety of inpatient and outpatient settings including long-term care.

Transition to Practice Nurse is expected to:

Begin employment February 24, 2025

Have an active, non-restricted RN license by February 3, 2025

• The postgraduate registered nurse will participate in an orientation program and be assigned to a qualified preceptor who will work closely with them during the unit-based clinical orientation.
• The length of clinical orientation will vary according to assigned unit/units, learning needs, competence, and progress of the RN.
• Clinical experiences and didactic sessions are scheduled during the year to facilitate transition and achieve competency in key knowledge, skills, and responsibilities of a registered nurse.
• Transition to Practice Registered Nurses are required to attend all scheduled learning experiences and complete required projects and written assignments.

• Provide specialized direct and indirect care to patients within a designated specialty.

• Observe, interview, and assess patients to identify care needs.

• Monitor or evaluate the medical conditions of patients in collaboration with other healthcare professionals.

• Develop, implement, or evaluate standards of nursing practice in specialty areas.

• Plan, evaluate, or modify treatment programs based on information gathered by observing and interviewing patients, or by analyzing patient records.

• Document nursing interventions, therapeutic measures administered, patient's reactions, patient teaching, and understanding.

• Administer therapeutic measures as prescribed by the physician to include, but not limited to, medication administration, intravenous fluids, blood transfusions, and treatments and maintain those measures taken which are ongoing.

• Participate in the development, updating, and evaluation of standards of care and quality improvement monitoring.

• Collaborate with other health care professionals and service providers to ensure optimal patient care.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

The Specialty Care Outpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based specialty care to assigned patients and oversight of licensed vocational nurses/nursing assistants, as appropriate to the clinic setting. This nurse provides patient care, care coordination, health promotion, health education and coaching on wellness, disease prevention, and chronic care management. The nurse will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization. Demonstrates leadership in delivering and improving holistic, specialty care through collaborative strategies with others. Evaluates practice in an ongoing process, based on best evidence. Provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe, quality specialty nursing care. Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain an evidence-based-practice culture. Referral coordination

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: Full Time; Monday-Friday 8:00 am-4:30 pm and 8:30 am-5:00 pm
Telework: Not eligible
Virtual: This is not a virtual position.
Financial Disclosure Report: Not required

Notifications:

• This position is an AFGE Bargaining Unit position.
• Selectee may be required to work at any VA Connecticut Healthcare System campus, as needed.
• Current and former Federal employees must submit copies of their most recent SF-50 (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.
• This position is in the Excepted Service.
• The salary is based on the grade and step approved for the selected candidate.