Nurse Practitioner - Pain Team (Clinical Resource Hub)

Department of Veterans Affairs

The Nurse Practitioner - Pain Team (Clinical Resource Hub) practices in the Legacy VISN 12 Clinical Resource Hub to provide a full range of pain services emphasizing quality, timeliness, and the advancement of the Veteran Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. This position requires 8a-430p CST availability and is only open to current, permanent employees of the VHA. The selection will maintain their current Grade and Step for salary.

• The VHA Nationally Designated-Clinical Resource Hub (CRH) is a strategic program designed to provide Team Based Primary Care, Specialty Mental Health, and other specialty services in each VISN across the Enterprise, utilizing existing and emerging technologies. The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a Veterans Integrated System Network (VISN). Staff within the CRH are expected to provide inter-professional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand. Services provided by CRH staff are conducted via multiple modalities, including virtual and in-person care. Clinical Video Telehealth (CVT), VA Video Connect (VVC) and Telephone modalities are all utilized. This position requires the incumbent to provide direct outpatient care as a member of a virtual inter-professional Specialty Pain Care team. Provider will oversee and coordinate medical care for Veterans in a group practice setting utilizing the "Biopsychosocial Model of Pain Care" and "VA Stepped Care Model of Pain Care." Most care will be provided virtually to Spoke sites, using telehealth equipment, however, face-to-face care may be required. Major duties and responsibilities of the position: - Provide ongoing chronic pain care for assigned patients. - Screen patients to determine need for further care. - Prescribe medications, including controlled substances within defined scope of practice. - Perform initial history and physical examinations. Completing history and physical examinations will typically occur using telehealth, but direct face-to-face visits may also be required. - Utilizes evidence-based approach to medication management for chronic and acute pain. - Provides evidence-based approach to medication management for Veterans with Opioid Use Disorder (OUD). - Order and interpretation of diagnostic studies such as laboratory tests, x-rays, magnetic resonance imaging (MRIs). - Review opioid safety metrics (e.g., PDMP, drug screening, STORM reviews). - Initiate, respond, and expedite request for consultations, special tests, and studies. - Provide education and counseling for patients and families in chronic pain care, medical conditions, and use of prescribed treatments and drugs. - As appropriate, participate in inter-professional focused patient chart reviews, team meetings, team huddles, and shared medical appointments. - Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. - Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence. 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: Full Time, Monday-Friday 8:00am-4:30pm CST (Non-negotiable). Telework: Not applicable, although currently remote due to Return to Office exemption extension. This may be subject to change Virtual: This is currently a virtual/remote position due to Return to Office exemption extension. This may be subject to change. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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