Advanced Practice Nurse (Lung Cancer Screening)

Summary The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in Lung Cancer Screening (LCS) within Medicine Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. Responsibilities The NP 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 NP has prescriptive authority for a panel of patients or program as indicated by their position. FUNCTIONS OF ASSIGNED DUTIES: The NP is a licensed independent practitioner with advanced education and natioThe NP 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: Consult review, triage, and completion of electronic consults (E-consults) Present all LungRads 4 cases to the radiology review conference, and prepare the resulting NVC notes with ensuing recommendations. Outpatient lung cancer clinic: Perform comprehensive history and physical exams, imaging review, and diagnostic planning Develop and implement individualized care plans. Ensure appropriate treatment disposition Review and communication to patients and providers: Present patients at the interdisciplinary nodule conference. Relay recommendations and consult other specialties as appropriate. Indirect patient care: returning telephone calls, responding to patient emails, reviewing clinical data, communicating results to patients, and communicating with primary care providers and other referring specialists, as appropriate. Clinical oversight of LCS RNs Manage quality reporting of the LCS program Provide clinical consultation to PCPs and LCS RNs at the spoke sites (Spokane, Walla Walla, Boise) Provide coverage to the Seattle Pulmonary team as needed during periods of leave and increased volume Develops and implements an individualized plan to achieve optimal population health and disease management. Demonstrates leadership and works collaboratively with the interdisciplinary team. Orders and interprets labs, tests, and diagnostic 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. Provides surveillance follow-up of Veterans with lung cancer, particularly those treated with radiation who are not typically followed by Surgery (those who undergo surgery) or Oncology (those who are treated with chemotherapy/radiation). Evaluates patients with incidental nodules detected outside of the LCS program and assists with diagnostic work-up and care coordination and surveillance. Provide Smoking cessation counseling Cross cover and be cross-covered by the Pugdet Sound ARNP Support diseases with increased risk for lung cancer. 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 hour shifts or 4 ten hour shifts. Compressed/Flexible: Authorized Telework: Not available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not authorized Requirements Conditions of Employment 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 (Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical 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

Created: 2025-12-18