Advanced Practice Nurse; Lung Cancer Screening

Advanced Practice Nurse (Lung Cancer Screening)

U.S. Department of Veterans Affairs

Be among the first 25 applicants.

$98,778.00/yr - $/yr

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.

• Practice to the full extent of education, training, and certification.
• Core functions outlined in the clinical privileges for the position.
• Has prescriptive authority for a panel of patients or program as indicated by the position.
• Licensed independent practitioner with advanced education and national certification; provides evidence-based care for a population of patients.
• Consult review, triage, and completion of electronic consults (E-consults).
• Present all Lung Rads 4 cases to the radiology review conference and prepare resulting NVC notes with 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 communicate 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 primary care providers.
• Clinical oversight of LCS RNs; manage quality reporting of the LCS program; provide clinical consultation to PCPs and LCS RNs at spoke sites (Spokane – Walla Walla – Boise); provide coverage to the Seattle Pulmonary team as needed.
• 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 plan of care as needed for optimal outcomes.
• Exemplifies the ICARE core values:
  Integrity, Commitment, Advocacy, Respect, Excellence.
• Provides surveillance follow‑up of Veterans with lung cancer, especially those treated with radiation who are not typically followed by surgery or oncology.
• Evaluates patients with incidental nodules detected outside of the LCS program and assists with diagnostic work‑up and care coordination and surveillance.
• Provides smoking cessation counseling.
• Cross‑cover and be cross‑covered by the Pugdet Sound ARNP; support diseases with increased risk for lung cancer.

Monday – Friday – 8 hour shifts or 4 10‑hour shifts. Telework not available. Virtual position: no.

VA Nurse Total Rewards:
Competitive salary with regular increases; potential for performance awards. Paid Time Off: 50 days per year (26 days annual leave, 13 days sick leave, 11 federal holidays). Retirement:
Traditional federal pension (5 years vesting) and 401(k) with up to 5% contribution by VA. Insurance:
Federal health, vision, dental, term life, long‑term care (many programs carried into retirement). Licensure: 1 full unrestricted state license.

Full‑time, Mid‑Senior level