Nurse Practitioner (Home Based Primary Care)
for section headings. Use - for any list of duties/requirements/benefits. Use
for prose.
We must preserve all substantive info, remove boilerplate (cookie/navigation/legal/EEO etc). The posting includes many details: summary, qualifications (basic requirements, grade determinations, preferred experience, physical requirements), duties, benefits (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: 8:00 A.M- 4:30 P.M Monday - Friday Telework: This position will likely be eligible to telework on a limited Ad-Hoc basis only The Veterans Health Administration - including VISN 4 (legacy VISN 19) and the Montana VA Health Care System - will comply fully with the intention and instructions contained in the \"Return to Office\" Executive OrderVirtual: This is not a virtual positionRelocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized)
We need sections: About the role (maybe summary), Responsibilities (duties), Requirements (qualifications), Benefits, Pay, Schedule. Also maybe Physical Requirements could be part of Requirements.
We must not create sections with filler like "commensurate with experience". We have actual content for Pay: "Competitive salary - regular salary increases - potential for performance awards". That's substantive. Schedule: "8:00 A.M- 4:30 P.M Monday - Friday". Telework note. Benefits: list of PTO, retirement, insurance, licensure.
We need to ensure we don't include duplicated lines. Also remove the YouTube link? The duties section includes a link: "Duties https://youtu.be/NpaTtyybXFQ?si=IHyw-Bf27aaL4Wvz". That's likely a reference; we should keep duties text but maybe drop the URL? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. The URL is not substantive? It's a link to a video describing duties; maybe it's considered boilerplate? It's not typical boilerplate but it's a link. Might be considered part of posting; but we could keep it as part of duties? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The YouTube link is not those; it's a reference. I'd keep it but maybe as part of duties prose.
We need to output only HTML fragment, no /, no markdown fences.
Let's structure:
About the role
This is not a Remote Position* The Nurse Practitioner (NP) practices in Home Based Primary Care (HBPC) Service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs mission. They practice to the full extent of their education - training - and certification. They provide advanced clinical practice - consultation - and management. They have prescriptive authority for a panel of patients or program as indicated by their position.
But note the asterisk about remote position; we keep as part of summary.
Responsibilities
- Independently manage a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice
- Develop and implement an individualized plan to achieve optimal population health and disease management
- Demonstrate leadership and work collaboratively with the interdisciplinary team
- Order and interpret labs - tests - and diagnostic studies
- Prescribe pharmacologic and non-pharmacologic interventions
- Initiate referrals and consults to specialty services
- Provide education to patients and their families
- Assess and adjust the plan of care as needed to achieve optimal patient outcomes
- Exemplify the ICARE core values of Integrity - Commitment - Advocacy - Respect - and Excellence
Duties https://youtu.be/NpaTtyybXFQ?si=IHyw-Bf27aaL4Wvz
maybe include as paragraph.
Requirements
We need to include qualifications: basic requirements (English proficiency, graduation from accredited nursing program, licensure, etc.), grade determinations (detailed), preferred experience, physical requirements.
We could break into sub-sections? But only allowed headings are those listed; we cannot create custom headings like "Basic Requirements". We could embed lists under Requirements heading.
We need to use - for any list of duties/requirements/benefits. So we can list requirements as list items.
We must preserve all substantive info; we can't omit details like grade determinations etc. That's a lot of text; we need to include it.
We could create a
for prose describing grade determinations, but the instruction says use
- for any list of duties/requirements/benefits. The grade determinations are not a simple list; they are detailed criteria with multiple conditions. Could be presented as prose paragraphs.
We'll try to keep it readable.
We'll include:
Requirements
Basic Requirements: English Language Proficiency – must be proficient in basic written and spoken English per 38 U.S.C. 7403(f). Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by either the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) at time of program completion. Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program; upon achievement of a State license, may be appointed on temporary basis and later converted to permanent appointment upon successful completion and graduation from the bridge program (see VA Handbook 5005 – Appendix G6). For graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration meets the requirement for graduation from an approved school of professional nursing to warrant appointment as a Nurse who has completed an associated degree/entry level Nursing education program; credit for foreign nursing education higher than associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements but do not possess the required licensure may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120‑day temporary appointment while actively pursuing licensure (may be extended up to two years on a case‑by‑case basis). NOTE: Grandfathering Provision – All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.
Then grade determinations: we could present as a list of grade levels with their scope, education, etc. That's a lot; but we need to preserve.
We could format as - for each grade level, with nested details.
Let's attempt:
Requirements
Basic Requirements: ... (as above)
Grade Determinations: The following Scope – Education and Dimension criteria must be met in determining the grade assignment of candidates – and if appropriate – the level within a grade. The Dimension requirements (Practice – Veteran/Patient Driven Care – Leadership – Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13067788
- Nurse I – Level I: Delivers fundamental – knowledge‑based care to assigned clients while developing technical competencies. Education: Associate Degree (ADN) or Diploma in Nursing – with no additional professional nursing required.
- Nurse I – Level II: Demonstrates integration of biopsychosocial concepts – cognitive skills and technically competent practice in providing care to clients with basic or complex conditions. Education: ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I – Level 1; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.
- Nurse I – Level III: Demonstrates proficiency in practice based on conscious and deliberate planning; self‑directed in goal setting for managing complex client situations. Education: ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I – Level 2; OR a BSN and 1 year of professional nursing experience equivalent to Nurse I – Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience.
- Nurse II: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Education: BSN with 2 years of professional nursing equivalent to Nurse I – Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I – Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I – Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.
- Nurse III: Executes position responsibilities that demonstrate leadership – experience and creative approaches to management of complex client care beyond the immediate practice setting. Education: MSN and 2 years of specialized nursing experience – one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience – one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.
Note: Foreign education programs/degrees are not creditable as related degrees.
Preferred Experience: Home Based Primary Care and/or Home Care Experience.
Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing – walking – stooping – bending – reaching – lifting and turning; requires repositioning patients and assisting with transferring patients to wheelchairs/stretch
for prose. We must preserve all substantive info, remove boilerplate (cookie/navigation/legal/EEO etc). The posting includes many details: summary, qualifications (basic requirements, grade determinations, preferred experience, physical requirements), duties, benefits (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: 8:00 A.M- 4:30 P.M Monday - Friday Telework: This position will likely be eligible to telework on a limited Ad-Hoc basis only The Veterans Health Administration - including VISN 4 (legacy VISN 19) and the Montana VA Health Care System - will comply fully with the intention and instructions contained in the \"Return to Office\" Executive OrderVirtual: This is not a virtual positionRelocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized) We need sections: About the role (maybe summary), Responsibilities (duties), Requirements (qualifications), Benefits, Pay, Schedule. Also maybe Physical Requirements could be part of Requirements. We must not create sections with filler like "commensurate with experience". We have actual content for Pay: "Competitive salary - regular salary increases - potential for performance awards". That's substantive. Schedule: "8:00 A.M- 4:30 P.M Monday - Friday". Telework note. Benefits: list of PTO, retirement, insurance, licensure. We need to ensure we don't include duplicated lines. Also remove the YouTube link? The duties section includes a link: "Duties https://youtu.be/NpaTtyybXFQ?si=IHyw-Bf27aaL4Wvz". That's likely a reference; we should keep duties text but maybe drop the URL? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. The URL is not substantive? It's a link to a video describing duties; maybe it's considered boilerplate? It's not typical boilerplate but it's a link. Might be considered part of posting; but we could keep it as part of duties? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The YouTube link is not those; it's a reference. I'd keep it but maybe as part of duties prose. We need to output only HTML fragment, no /, no markdown fences. Let's structure:
About the role
This is not a Remote Position* The Nurse Practitioner (NP) practices in Home Based Primary Care (HBPC) Service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs mission. They practice to the full extent of their education - training - and certification. They provide advanced clinical practice - consultation - and management. They have prescriptive authority for a panel of patients or program as indicated by their position.
But note the asterisk about remote position; we keep as part of summary.Responsibilities
- Independently manage a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice
- Develop and implement an individualized plan to achieve optimal population health and disease management
- Demonstrate leadership and work collaboratively with the interdisciplinary team
- Order and interpret labs - tests - and diagnostic studies
- Prescribe pharmacologic and non-pharmacologic interventions
- Initiate referrals and consults to specialty services
- Provide education to patients and their families
- Assess and adjust the plan of care as needed to achieve optimal patient outcomes
- Exemplify the ICARE core values of Integrity - Commitment - Advocacy - Respect - and Excellence
Duties https://youtu.be/NpaTtyybXFQ?si=IHyw-Bf27aaL4Wvz
maybe include as paragraph.Requirements
We need to include qualifications: basic requirements (English proficiency, graduation from accredited nursing program, licensure, etc.), grade determinations (detailed), preferred experience, physical requirements. We could break into sub-sections? But only allowed headings are those listed; we cannot create custom headings like "Basic Requirements". We could embed lists under Requirements heading. We need to use- for any list of duties/requirements/benefits. So we can list requirements as list items.
We must preserve all substantive info; we can't omit details like grade determinations etc. That's a lot of text; we need to include it.
We could create a
for prose describing grade determinations, but the instruction says use
- for any list of duties/requirements/benefits. The grade determinations are not a simple list; they are detailed criteria with multiple conditions. Could be presented as prose paragraphs.
We'll try to keep it readable.
We'll include:
Requirements
Basic Requirements: English Language Proficiency – must be proficient in basic written and spoken English per 38 U.S.C. 7403(f). Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by either the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) at time of program completion. Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program; upon achievement of a State license, may be appointed on temporary basis and later converted to permanent appointment upon successful completion and graduation from the bridge program (see VA Handbook 5005 – Appendix G6). For graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration meets the requirement for graduation from an approved school of professional nursing to warrant appointment as a Nurse who has completed an associated degree/entry level Nursing education program; credit for foreign nursing education higher than associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements but do not possess the required licensure may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120‑day temporary appointment while actively pursuing licensure (may be extended up to two years on a case‑by‑case basis). NOTE: Grandfathering Provision – All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.
Then grade determinations: we could present as a list of grade levels with their scope, education, etc. That's a lot; but we need to preserve. We could format as- for each grade level, with nested details.
Let's attempt:
Requirements
Basic Requirements: ... (as above)
Grade Determinations: The following Scope – Education and Dimension criteria must be met in determining the grade assignment of candidates – and if appropriate – the level within a grade. The Dimension requirements (Practice – Veteran/Patient Driven Care – Leadership – Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13067788
- Nurse I – Level I: Delivers fundamental – knowledge‑based care to assigned clients while developing technical competencies. Education: Associate Degree (ADN) or Diploma in Nursing – with no additional professional nursing required.
- Nurse I – Level II: Demonstrates integration of biopsychosocial concepts – cognitive skills and technically competent practice in providing care to clients with basic or complex conditions. Education: ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I – Level 1; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.
- Nurse I – Level III: Demonstrates proficiency in practice based on conscious and deliberate planning; self‑directed in goal setting for managing complex client situations. Education: ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I – Level 2; OR a BSN and 1 year of professional nursing experience equivalent to Nurse I – Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience.
- Nurse II: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Education: BSN with 2 years of professional nursing equivalent to Nurse I – Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I – Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I – Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.
- Nurse III: Executes position responsibilities that demonstrate leadership – experience and creative approaches to management of complex client care beyond the immediate practice setting. Education: MSN and 2 years of specialized nursing experience – one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience – one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.
Note: Foreign education programs/degrees are not creditable as related degrees.
Preferred Experience: Home Based Primary Care and/or Home Care Experience.
Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing – walking – stooping – bending – reaching – lifting and turning; requires repositioning patients and assisting with transferring patients to wheelchairs/stretch
- for each grade level, with nested details.
Let's attempt:
- for any list of duties/requirements/benefits. The grade determinations are not a simple list; they are detailed criteria with multiple conditions. Could be presented as prose paragraphs.
We'll try to keep it readable.
We'll include: