The Advanced Care Nurse Practitioner (ARNP) is a member of the Diabetes and Endocrinology Teams within the Endocrinology Section providing subspecialty services to patients with type 1 and type 2 diabetes, including patient on multiple daily injections of insulin, U500 concentrated insulin, insulin pumps and CGMS devices. The Diabetes ARNP works independently and is qualified to assume primary responsibility and accountability for the care of patients. The ARNP shall obtain instruction, supervision and consultation as necessary before implementing new or unfamiliar practices. ARNPs have advanced education and clinical training, provide comprehensive primary and/or specialty health care services for patients. Responsibilities include but are not limited to: Investigates health problems or health needs by gathering and assessing historical information, performing a bio-psycho-social assessment and obtaining a complete review of systems. Performs a physical examination. Diagnose health problems based on interpretation of the patient's history, physical exam findings, and diagnostic test results. Develops and implement a management plan, tailored to the patient's needs, which includes self-management education, pharmacologic and non-pharmacologic treatment. Prescribe medications, as appropriate. Evaluates the results of the management plan, modifying the plan as needed to achieve the patient's goals. Make referrals for additional specialty evaluation or treatment. Reviews and communicates to patients and providers: Lab results, CGMS and pump upload findings. Consultation summaries. Indirect patient care: returning telephone calls, responding to patient secure messages, actively managing and renewing prescriptions, reviewing clinical data, communicating results to patients, and communicating with primary care providers and other referring specialists, as appropriate. Inpatient diabetes teaching upon request by the Endocrine Consult Team. Pay: Competitive salary, regular salary increases. Paid Time Off: Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 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; 8:00 a.m. - 4:30 p.m. Telework: Available Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.