Veterans Affairs, Veterans Health Administration Nurse Practitioner or Physician Assistant (Orthopedics) in Greenville, North Carolina

Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
  • Greenville, NC
Work Schedule is Full Time - Excepted Service Permanent

Opened Monday 10/17/2016 (8 day(s) ago)

** Closes Tuesday 11/8/2016 (14 day(s) away)

Job Overview

Vacancy Identification Number (VIN): 1825591

This position may be filled as a Nurse Practitioner or Physician Assistant.

Physician Assistant, Salary Range: $79,933.00 - $126,725.00

Nurse Practitioner, Salary Range: $90,543.00 - $131,257.00

OUR MISSION:To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.

The Greenville VA Health Care Center (GVHCC) is located at 401 Moye Boulevard, Greenville, NC 27834. The GVHCC opened in January 2014. It operates as a satellite facility of the Durham Veterans Affairs Medical Center. The GVHCC houses primary care, specialty care, mental health, prosthetics, women's health, audiology, optometry, dental, pharmacy, radiology, laboratory services, procedures, and physical/occupational/rehabilitation therapy services. The GVHCC serves over 11,000 patients and has a rapidly growing patient base. The GVHCC enjoys a growing partnership with East Carolina University (ECU).

Greenville is home to 27,500 students who attend ECU, which offers a wide range of cultural and sporting events, including musical concerts, theatrical and dance productions, travel films, and lectures. The Greenville Museum of Art displays local art, as well as rotating exhibitions. The Magnolia Arts Center offers a theatrical outlet for both performers and audiences alike. Many restaurants offer live entertainment on weekends. Uptown Greenville is a non-profit revitalization project that promotes numerous events in the downtown district. PirateFest is the region's signature community event designed to celebrate eastern North Carolina's rich pirate history. The festival draws an estimated 30,000 people and over 150 vendors for two days of live music, delicious and unique food, art sale, roaming pirates, and more!

VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

You may be eligible to apply for the Education Debt Reduction Program. Please contact Human Resources at this medical center and speak with the Education Debt Reduction Program Coordinator for additional information.


Work Schedule:Full-Time; Monday through Friday 8:00am-4:30pm. In order to meet mission needs, you may be required to work alternate work schedules. These alternate work schedules include, but are not limited to, evenings, weekends and holidays. Functional Statement Title:**Nurse Practitioner or Physician Assistant.

General Description of Assigned Duties: The Physician Assistant (PA) or Nurse Practitioner (NP) will function to provide care and coordinate processes of the Orthopedic Department. The provider will work directly for the Chief of Orthopedics as well as the other Orthopedic Attending Staff. The duties and responsibilities will be at the direction and under the supervision of the same. The provider will be fully qualified and certified to function in both a clinical and administrative role in accordance with the guidelines and policies of the Greenville HCC. This individual is delegated the authority and responsibility to assume clinical, consultation, educational, research and administrative duties and responsibilities related to the patients and staff of the Orthopedic Department.

In addition to clinical and administrative duties this provider will serve as the section manager for NVCC/Fee-basis consults (include but not limited to post-operative physical therapy NVCC and for surgery operations that are not available in network). The provider will be the orthopedic section lead for program development coordination and reports', including strategic planning briefings, representative on VISN6 Orthopedic Surgery Workgroup, performs analysis and writes reports for encounter workload/clinic access.

Additional responsibilities include management of orthopedic equipment requests (Greenville HCC operating room and clinic needs. Serves as the facility liaison to the Greenville HCC for orthopedic surgery development).

Preferred Experience:

**1. Minimum of 2-3 years of experience in orthopedic or musculoskeletal care, where independent functioning in a clinic setting that required interpretation of basic orthopedic radiographic imaging, diagnosis of common orthopedic conditions, and non-operative treatment of common orthopedic conditions (including administering injections).

  1. Experience providing medical care to patients with multiple co-morbid chronic medical conditions

  2. Prior experience working with Veteran patients in Hospital Acute Care Setting

  3. Demonstrated evidence of leadership potential with an emphasis on skills in interpersonal relationships, program development, critical thinking, and problem solving

  4. Documented evidence of successful professional practice with progressively complex positions/assignments.

  5. Demonstrated ability to use computer systems in support of patient care delivery.

  6. Demonstrated excellence in written/verbal communication, time management and working with an interdisciplinary team.

  7. Facilitates the delivery of patient care in collaboration with health professionals, health managers and other health care personnel

  8. Prior VA experience.

Travel Required
  • Not Required
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.

Functions or Scope of Assigned Duties: The following description covers the most significant duties performed but does not exclude other assigned responsibilities.

Clinical: 80%

  1. Primary focus is the coordination of the Orthopedic Department in its care and treatment of outpatients assigned to the Orthopedic department.

  2. Evaluates and writes up consults, assessments, and plans in the patient's chart. Write orders for patient care, evaluation and treatment plans in accordance with the individuals' Scope of Practice and under the authority of the Chief of Orthopedics or their designee.

  3. Performs clinic procedures (including but not limited to suture removal, I&D;, removal of foreign bodies etc.), joint, bursa, and tendon sheath injections.

  4. Applies and remove casts, splints, dressings, braces and various other devices used in the treatment of orthopedic patients.

  5. Performs general patient counseling, education and pre- and post-operative patient planning and arranging physical therapy, etc..

  6. Prescribe medications as allowed by the Greenville HCC and in c/w the VHA PA prescribing directive.

  7. Order and interpret medical tests and x-rays to include specialty procedures (MRI's, CAT, Myelograms, Nuclear Medicine studies etc.)


  1. Attend Committee meetings, Process Action teams, representing the Orthopedic department or Surgical service as directed by the Chief of Orthopedics or Chief of Surgical Service.

  2. Implements processes for the Orthopedic outpatient clinic development of efficiency, outcomes, and the overall general function of this clinic.

  3. Coordinate referrals, scheduling and evaluations of patients at the Greenville HCC as well as from outside VA referrals to the Orthopedic department. The administrative duties of this hire also include: completion of daily incomplete clinic encounters and add edits as appropriate, lead clinical point of contact for patient complaints, congressional complaints, performs weekly updates on orthopedic surgery backlog spreadsheets, management of NVCC/fee-based orthopedic referrals, analyzes and reports the monthly orthopedic clinic and surgery volume to the operating room committee, coordinates and records orthopedic administrative meetings and follow-up as necessary, clinical lead for service contract review/renewals, manages orthopedic surgery excel spreadsheet and provides monthly report to VISN6 Surgery workgroup.

  4. Facilitates response/action to patient inquiries to care and treatment by the Orthopedic staff for the Chief of Orthopedics.

  5. Assist the Orthopedic department in requesting and obtaining equipment and supplies that are needed for the clinic through the Orthopedics Administrative Officer.

  6. Functions as the liaison between other subspecialties and departments within the VAMC as it relates to care and treatment of orthopedic issues.

  7. Other administrative duties as assigned by the Chief of Orthopedics, Senior AO or Chief of Surgery.

The Scope of Practice of all registered nurses in all areas of clinical practice is defined in the four (4) dimensions outlined in the Nurse Qualification Standard, and is specific to the Grade:

Nurse II/III:

Demonstrates leadership in delivering and improving holistic care utilizing collaborative strategies with patients, family members/significant others and members of the interdisciplinary team.

*PRACTICE (Practice, Ethics, Resource Utilization) *

1. PRACTICE: 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.

ETHICS: Provides leadership in identifying and addressing ethical issues which impact patients, staff, including initiating and participating in ethics consultations*. *

RESOURCE UTILIZATION:Manages program resources (financial, human, material or informational) to facilitate safe, effective, efficient care.

2. PROFESSIONAL DEVELOPMENT ( Education/Career Development, Performance)

EDUCATION/CAREER DEVELOPMENT: Implements an educational plan to meet changing program or service needs for self and others.

PERFORMANCE: Uses professional standards of care and practice to evaluate programs and/or service activities.

3. COLLABORATION ( Collaboration, Collegiality)

COLLABORATION: Uses group process to identify, analyze and resolve problems.

COLLEGIALITY: Makes sustained contributions to healthcare by sharing knowledge and advanced skills internal and external to the healthcare system. The NP will coach colleagues in team building.

4. SCIENTIFIC INQUIRY ( Quality of Care, Research)

QUALITY OF CARE: Initiates interdisciplinary projects to improve organizational performance.

RESEARCH: Collaborates with others in research activities to validate and/or improve care.

Nurse Practitioner (NP) Qualifications*: * 1. Citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 2. Nurse Practitioners appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).

  1. Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. 1) The Accreditation Commission for Education in Nursing (ACEN), 2) The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of College of Nursing (AACN). The CCNE accredits bachelors and masters degree programs. (b) [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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment.

  2. Licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the ACEN 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.

Physician Assistant (PA) Qualifications*:* 1. Citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

  1. PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 USC 7402(d) and 7407(d).

  2. Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for Physician Assistant (ARC-PA) or one of its predecessor organizations; and a Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.

  3. Current and continuous certification by the National Commission on Certification of Physician's Assistants (NCCPA) is a requirement for employment.

Nurse Practitioner Preferred Certification/Education:

  1. MSN with GNP or ANP or Family Nurse Practitioner or Doctors of Nurse Practice

  2. BLS

Physician Assistant Preferred Certification/Education:

  1. MSN of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for Physician Assistant (ARC-PA)

  2. BLS

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Reference:* *VA Handbook 5005, Part II, Appendices G6 Nurse Qualification Standard and G8 Physician Assistant Qualification Standard. These can be found in the local Human Resources Office.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Physical Requirements: The 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 Veterans and objects may be required. May be required to don protective equipment in isolation situations or operative/invasive procedures. Responsible for the reprocessing of reusable medical equipment, according to the medical center policies. Required to use available safe patient handling lifting devices in all clinical areas. May also be exposed to Veterans who are combative, secondary to delirium, dementia, or psychiatric disorders.

Security Clearance


Additional Information
What To Expect Next

After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USAJOBS account and clicking on “Application Status.” For a more detailed update of your status, click on “more information.” Information regarding applicant notification points can be found in the USAJobs Resource Center.


VA offers a comprehensive benefits package. This link provides is an overview of the benefits currently offered:

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee.

Other Information

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

This job opportunity announcement may be used to fill additional vacancies.

Salary Range: $79,933.00 to $131,257.00 / Per Year

Series & Grade: VN-0603, 0610-00/00

Promotion Potential: 00

Supervisory Status: No

Who May Apply: United States Citizens

Control Number: 453492500

Job Announcement Number: 558-17-ACr-1825591-R