Hospice and Palliative Care Nurse Practitioner

Summary The Advanced Practice Nurse (APN) III Certified Nurse Practitioner (NP) practices in Hospice and Palliative Care (HPC) 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 ANP 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: Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice. 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. Provides coverage for all provides within Geriatrics and Extended Care (GEC). Participates in rotational On-Call for Community Living Center (CLC). Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence. The Nurse Practitioner is a nonsupervisory position and the incumbent will report directly to the CLC Medical Director. The incumbent is responsible for self-directed performance of the below approved clinical privileges: Assess, diagnose, treat, and manage, monitor, promote health and protect from disease and manage illness and injuries of patients in the outpatient setting. Assess, stabilize, and determine disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services. Core privileges also include but are not limited to admitting patients the hospital, performing and document history and physical examinations, develop and order plans of care, provide counseling and education to patients, families, and caregivers as appropriate, provide consultation to staff nurses, medical staff and interdisciplinary colleagues, assist staff in the development of innovative, cost effective programs or protocols of care, prescribe legend drugs according to VA regulation and controlled substances within the guidelines of the Federal Controlled Substances Act, prescribe devices, supplies and durable medical equipment, order and interpret diagnostic testing and therapeutic modalities (including but not limited to laboratory tests, EKG, radiological studies hemodynamic monitoring, treatments, IV fluids and electrolytes, oxygen, etc.), order VA specialty consults and initiating requests for non-VA care. Order ancillary services (including but not limited to pharmacy, physical, occupational and speech therapy, nutrition, prosthetics, etc.), write admission orders, obtain, and document informed consent, implement palliative and end-of-life care (including but not limited to writing life sustaining progress notes and orders, etc.), Wound care to include debridement and simple wound closure, I&D, suture, and suture removal. Arthrocentesis, Injection into a joint, skin biopsy, cryotherapy of skin lesions, external G-tube extraction/replacement, nasogastric tube extraction, suturing lacerations, I&D of superficial abscesses, PICC Line extraction, Foley Catheter extraction/placement, suprapubic catheter extraction/replacement, extraction of sutures/staples, coude catheter extraction/placement, nail debridement and trimming, Ear Lavage and Cerumen Extraction, D/C JP drain, and placement of life vest. In addition to Core Extended Care and Rehabilitation Nurse Practitioner Privileges, incumbent will function as an Medical Coverage Provider (MCP). Incumbent must be BLS-certified to serve as an MCP and will lead and/or participate in codes. 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 through Friday, 8:00 AM to 4:30 PM. Telework: Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. 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: 2026-04-03