The APN for Cancer Program (CP) will be responsible for leading the LEXVAHCS Cancer Program Clinical team and the overall program in terms of accreditation, quality management and assessment, measurement, process improvement, and organizational functions as they pertain to the program. Incumbent will provide supervisory oversight to the Cancer Care Navigation Team (CCNT) RN's managing patient care and cancer improvement actions, and serves on committees and workgroups.

Duties

The APN-CNS, provides leadership in the application of the nursing process to patient care, organizational processes and/or systems, improving outcomes at the program or service level. Provides oversight of full range of nursing care to patients with complex care needs utilizing the nursing process bases on the ANA standards of Nursing Practice. Serves as a resource to staff and peers. Manages patient care along the continuum. Demonstrates consistent clinical competence in providing nursing care recognizing subtle changes in patient condition and responding in a time and appropriate manner. Provides leadership in establishing goals, evaluating the care delivery model. Demonstrates consistent critical thinking skills in identifying, analyzing, and resolving patient care problems and improving outcomes. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: 7:00am to 3:30pm M-F Telework: ADHOC may be authorized Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required.

Requirements

Qualifications

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: Citizen of the United States [in accordance with section 7402(c) of title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a). 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. Licensure and Certification. The following licensure and certification requirements are considered conditions of employment. (1) License. All APNs (NPs) must possess and maintain an active, current, full and unrestricted APN license to practice as a NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. (2) Basic Certification. (a) All APNs (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following: i The American Nurses Credentialing Center (ANCC); ii The American Academy of Nurse Practitioners Certification Board (AANPCB); or iii Other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. (b) The required basic certification as a Nurse Practitioner must be identified in support of any position being established or filled as an APN (NP). An approved list of NP/APN certifications may be found on the Office of Nursing site at the Office of Nursing Services. (c) Basic certification as a nurse practitioner is a condition of employment and qualifying factor for the specific assignment. Certification in Clinical Nurse Specialist is required Preferred Experience and Certifications Previous VA Nursing Experience. (Or APN-CNS experience). Familiarity with VHA Case Management Specific Knowledge/Interest in VHA Oncology Care. Knowledge of CoC Accreditation Requirements and/or VA Oncology Standards. Grade Determination. In addition to the basic qualification requirements, the grade level of an APN (NP) is based on a combination of education and experience. The level of practice at which an APN (NP) may perform is based upon a combination of many factors. Beyond the minimum educational requirements, grade determination, upon appointment and advancement, is dependent upon aspects such as continued professional development (formal and/or informal education), clinical performance, judgment, outcomes (at the service level and beyond), leadership and interpersonal skills that influence, inspire and motivate others within their program/service or beyond. As the APN (NP) acquires the knowledge, skills and judgment that accrues with experience, the privilege of increased authority for patient care and service in administrative roles is expanded as applicable. (1) APN (Nurse Practitioner) II. (a) Scope. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. (b) Education and Experience Requirement. Meets basic education requirement for APN (CNS). Nurse II is considered the entry grade level for APN (NPs); no experience is required. (2) APN (Nurse Practitioner) III. (a) Scope. Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care. (b) Education and Experience Requirement. i Meets basic education requirement for an APN (NP). AND ii One year of specialized APN (NP) experience equivalent to the Nurse II grade level. (c) Dimension Requirement. APNs (Nurse Practitioners) at grade III are expected to meet the following dimension requirements: i Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population or program. ii Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations. iii Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population or program. iv Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. v Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. 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: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. Lexington VAMC is a major interdisciplinary teaching facility, serving medical, surgical, neurological, and psychiatric inpatients and outpatients. There is a large outpatient psychiatric population, with visits to the Emergency Department and admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

Education

• Graduate of a school of professional nursing. A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (NOTE: the post-master's certificate is formal education awarded from an acceptable school of professional nursing and is not considered board certification as described under 2.c.(2) of this appendix).
  • (1) Education Accreditation Requirement. Nursing education must be from a school of professional nursing accredited by one of the following accrediting organizations at the time the program was completed by the applicant:
    • (a) The Accreditation Commission for Education in Nursing (ACEN), 3343 Peachtree Road NE, Suite 850, Atlanta, GA 30326. The ACEN accredits all levels of nursing programs, including clinical doctorate, masters/post-master's certificate, baccalaureate, associate and diploma nursing education programs. (NOTE: The National League for Nursing Accrediting Commission/NLNAC changed its name to ACEN in May 2013 ACEN's website may be utilized to verify accredited programs using automated inquiry processes; however, for verification of any nursing program's accreditation prior to 1998, an automated inquiry cannot be used and ACEN must be contacted directly via their email contact information on the ACEN website to verify.); or
    • (b) The Commission on Collegiate Nursing Education (CCNE), 655 K Street, NW, Suite 7, Washington, DC 20001. The CCNE is an accrediting arm of the American Association of Colleges of Nursing (AACN) and accredits nursing education programs at the bachelor and master's level.
  • (2) Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent Nurse Practitioner masters or doctorate level degrees who possess current, full, active and unrestricted registration and certification (see paragraph 2c) will meet the requirement of graduation from an approved school of professional nursing to warrant appointment.

Contacts

• Address Lexington VA Health Care System 2250 Leestown Road Lexington, KY 40511 US
• Name: Rita Tolen
• Phone: 423-979-3565
• Email: [email protected]