Hospitalist Advanced Practice Nurse (Internal Medicine)

Summary This Advanced Practice Nurse position is in the General Internal Medicine division at the West Roxbury VA Medical Center, MA. This is a full-time position at 40 hours per week. Responsibilities The Nurse Practitioner (NP) provides a full range of services emphasizing quality, timeliness, and the advancement of the VA mission. The NP provides advanced clinical practice, consultation, and management. 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. Duties include but are not limited to the following: Independently manages and provide comprehensive inpatient medical care to adult veterans, including evaluation and management of acute, episodic, and chronic conditions. Practices with appropriate clinical autonomy within granted privileges. Serve as a primary provider on the Direct Care service and the General Internal Medicine/GIM Teaching services, managing daily patient care activities including admissions, ongoing management, care coordination, and discharge planning. Coordinates and oversees inpatient care, coordinates timely communication, safe transitions of care. Provides clinical guidance and continuity for Internal Medicine residents, medical students, and other trainees involved in patient care. Lead and support resident teams in addressing all aspects of inpatient care, with a focus on patient safety, high value care, and adherence to evidence based practices. Demonstrates accountability to established VA policies, procedures, and standards of care. Utilizes advanced skills in assessment, diagnosis, clinical decision making, treatment planning and implementation of the patient's care plan. Delivers patient centered care to a diverse veteran population (ages 18 through geriatric) incorporating medical, psychosocial, spiritual, and cultural consideration. Collaborates with other members of the health care team to design and/or continuously improve the quality of care delivered to Veterans. Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence. Clinical Responsibilities: Independently practices as a NP providing a full range of care utilizing treatment guidelines in the delivery of high-quality care. Collaborates with patients, families, and health care practitioners to develop, implement treatment plans, and evaluate health outcomes. Demonstrates critical thinking in assessing and managing complex clinical situations. Leads the delivery of care to assure continuity of care and peer accountability for practice, improving outcomes of panel/program. 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: Tour of Duty is based on team: (1) Direct Care Team: These include weekends and holidays; and (2) Resident-Led Team: - Monday - Friday do not work holidays, 7:00 am - 3:30 pm. Compressed/Flexible: Not Available. Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized. Notifications: Current 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). The salary is based on the grade and step approved for the selected candidate. Veterans' preference does not apply for internal or other current permanent Federal agency employees. This position is in the Excepted Service. May be subject to satisfactory completion of our credentialing process. 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: 2026-02-09