PCMHI is a component of the interprofessional Veteran Aligned Care Team (PACT). The PCMHI role is to provide support for Primary care providers and the rest of the PACT to assure that the mental and behavioral health needs of the primary care population are addressed. This is an open continuous announcement. Applications will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available/until positions have been filled.. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. 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. Nurse Practitioners: On and after March 17, 2009, registered nurses appointed or otherwise moving into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before March 17, 2009, who obtain such qualifications on or after March 17, 2009. A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected. Preferred Experience: - Prior experience providing collaborative psychiatric care that is co-located in a primary care setting with an interprofessional clinical team. - Strong knowledge of psychopharmacology and evidence-based psychiatric and psychological practice Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: - Heavy lifting, 50 pounds & over. Heavy carrying, 50 pounds & over - Straight pulling (1-2 hours), Pushing (1-2 hours), Walking (2-4 hours), Standing (2-6 hours) - Use of fingers, Both hands required, Ability for rapid mental & muscular coordination simultaneously - Near Vision correctable, Far Vision correctable, Depth perception, Hearing (aide permitted) - Work closely with others, as well as, protracted or irregular hours of work, Use stretchers to transfer patients and use patient lifts, if applicable ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Duties include, but are not limited to: Provide ongoing support to PACT teams. Participate in same day access and other co-located collaborative duties with other staff as assigned by the service Ensure ongoing availability for urgent or emergent mental health situations via same day service duties Perform direct in-person or virtual assessments and treatment, when indicated. Provide diagnostic clarification. Serve as a liaison between PACT providers and other mental health providers working with PACT Veterans who are receiving ongoing services in general and subspecialty MH clinics Appropriately communicate with primary care staff and attends primary care clinic meetings Provide chart based consultation. Maintain availability for informal and \"curbside\" consults as needed by PACT members. Attend PACT huddles for informal consultation and education of the team Offer and provide educational didactics as desired by mental health or PACT team members Provides consultation to co-located collaborative PCMHI colleagues, as needed. Initiate and manage appropriate medication assisted treatment (MAT) for substance use disorders (SUDs) for Veterans whose care can be managed in PACT with PCMHI support. Bear overall responsibility for the MH treatment of the Veteran: evaluating and providing optimal treatment, referring to other providers, coordinating activities of MH providers seeing the same Veteran, documenting an appropriate brief MH treatment plan and seeking consultation when necessary. consult with collaborating Physician/Psychiatrist, when appropriate. Approach treatment within the context of available services within the facility as well as community providers and networks. Participate in training and teaching of a variety of trainees within the discipline. Collaborate with the client/family to establish physical, mental, cultural and environmental factors that facilitate or impede realistic goals and activities. Conduct and document findings on Veterans seen in the clinical setting. Determine potential needs for therapeutic changes, diagnostic workups or subspecialty consultation. Order and/or interpret appropriate laboratory tests, x-rays, and other relevant diagnostic studies and procedures. Provide follow-up for evaluation of outcomes of x-rays, laboratory tests and diagnostic procedures. Detect and evaluate any significant change in Veterans' condition, treating as indicated with current evidence based practice. Review medications for clinical need, simplification and possible drug-drug interactions and adjust as indicated. Prescribe, administer and review/evaluate Veteran's response to pharmacological and non pharmacological treatment regimens Evaluate Veterans and manage mental health diagnoses according to the usual scope of care to include attention to maintenance of stable conditions, preventive health care and screening. Formulate diagnostic plans and therapeutic regimen. Plan, provide, and evaluate care that promotes wellness and prevents disease/injury and disability. Assist Veteran to maintain or improve their current state of health exists. Assist Veterans to regain or improve their abilities to cope with states of health and illness. Provide education and counseling of the Veteran and the Veteran's family in preventive care, medical conditions and the use of prescribed treatments and drugs. 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 AM - 4:30 PM Telework: Available Virtual: This is not a virtual position. 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.