Advanced Practice Nurse; Lung Cancer Screening

Summary

The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in Lung Cancer Screening (LCS) within Medicine Service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice - consultation - and management.

• The NP practices to the full extent of their education - training - and certification
• Core functions are outlined in the clinical privileges that correspond with this position
• The NP has prescriptive authority for a panel of patients or program as indicated by their position
• FUNCTIONS OF ASSIGNED DUTIES:
  The NP is a licensed independent practitioner with advanced education and natio
  
  The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients
• Major duties and responsibilities of the position:
  Consult review - triage - and completion of electronic consults (E-consults) Present all Lung Rads 4 cases to the radiology review conference - and prepare the resulting NVC notes with ensuing recommendations
• Outpatient lung cancer clinic:
  Perform comprehensive history and physical exams - imaging review - and diagnostic planning Develop and implement individualized care plans
• Ensure appropriate treatment disposition Review and communication to patients and providers:
  Present patients at the interdisciplinary nodule conference
• Relay recommendations and consult other specialties as appropriate
• Indirect patient care: returning telephone calls - responding to patient emails - reviewing clinical data - communicating results to patients - and communicating with primary care providers and other referring specialists - as appropriate
• Clinical oversight of LCS RNs Manage quality reporting of the LCS program Provide clinical consultation to PCPs and LCS RNs at the spoke sites (Spokane - Walla Walla - Boise) Provide coverage to the Seattle Pulmonary team as needed during periods of leave and increased volume Develops and implements an individualized plan to achieve optimal population health and disease management
• Demonstrates leadership and works collaboratively with the interdisciplinary team
• Orders and interprets labs - tests - and diagnostic studies
• Prescribes pharmacologic and non-pharmacologic interventions
• Initiates referrals and consults to specialty services
• Provides education to patients and their families
• 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
• Provides surveillance follow-up of Veterans with lung cancer - particularly those treated with radiation who are not typically followed by Surgery (those who undergo surgery) or Oncology (those who are treated with chemotherapy/radiation)
• Evaluates patients with incidental nodules detected outside of the LCS program and assists with diagnostic work-up and care coordination and surveillance
• Provide Smoking cessation counseling Cross cover and be cross-covered by the Pugdet Sound ARNP Support diseases with increased risk for lung cancer
• 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:
  
  Monday - Friday - 8 hour shifts or 4 ten hour shifts
• Compressed/Flexible:
  Authorized Telework:
  Not available Virtual:
  This is not a virtual position
• Permanent Change of Station (PCS):
  Not authorized