Spinal Cord - Nurse Practitioner

Department of Veterans Affairs

This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2026. The initial cut-off date for referral of eligible applications and subsequent cut-off dates are on the 1st of each month. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled

• 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. Major Duties/Responsibilities for this position include but are not limited to: The Nurse Practitioner (NP) functions as a licensed independent practitioner within the Spinal Cord Injury (SCI/D) Service. The NP provides a full range of assessment, diagnostic, and treatment services to Veterans with spinal cord injuries and neurological conditions. Care includes health promotion, disease prevention, acute and chronic condition management, rehabilitation-focused care, and coordination across all care settings. A. Direct Patient Care Manages a panel of SCI/D patients independently or collaboratively according to licensure and privileging. Performs comprehensive SCI-specific assessments including neurological and functional evaluation. Orders, interprets, and integrates diagnostic studies. Prescribes medications and therapies per scope and privileges. Develops and revises evidence-based treatment plans. Initiates referrals to specialty services. Adjusts care plans based on ongoing evaluation. B. Interdisciplinary Collaboration Participates in SCI team meetings and care planning. Coordinates continuity of care across hub and spoke settings. C. Patient and Caregiver Education Provides education regarding SCI health concerns, preventive care, and long-term management. D. Documentation and Clinical Practice Standards Completes documentation per facility and VHA standards. Meets SCI FPPE/OPPE indicators. Ensures required reminders, monitoring, and consult closure. E. Professional Standards and Conduct Demonstrates professionalism, ethical behavior, and adherence to VHA policy. Participates in quality improvement and safety practices. III. SCI-SPECIFIC CLINICAL COMPETENCIES Functional assessment of SCI Veterans. Comprehensive neurological examination including ISNCSCI/AIS when indicated. Development of interdisciplinary rehabilitation-focused care plans. Coordination of specialty care needs. Safe prescribing and medication reconciliation. Completion of SCI reminders and documentation requirements. IV. SUPERVISORY CONTROLS The NP works independently with general oversight from the SCI/D Service Chief or designee. Clinical competence is monitored through FPPE/OPPE processes. V. QUALIFICATIONS Must meet NP Qualification Standards, hold RN and NP licensure, maintain national certification, and maintain clinical privileges. Experience in SCI, rehabilitation, or related areas preferred. Work Schedule: Monday through Friday; part-time schedule to be arranged based on the needs of the agency.

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