Advanced Practice Nurse - Community Living Center

St. Cloud VA Health Care System is seeking an Advanced Practice Nurse (APN) to care for Veterans in St. Cloud, MN. The incumbent practices in Community Living Center (CLC), Rehabilitation and Extended Care (REC) Integrated Clinical Community (ICC) Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the VA mission. The APN provides advanced clinical practice, consultation, and management.

The Community Living Center (CLC) Advanced Practice Nurse (APN) is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients. The APN is responsible for the planning, integrating, implementing, modifying and evaluating the effectiveness of the Veteran's care. The APN is the lead of the integrated care team established by the St. Cloud VA Health Care System. The APN will serve as a liaison to both internal and external providers and will be responsible for managing the care of the Veteran and the seamless transition to and from the community. He/she possesses the knowledge related to VHA guidelines, utilization review criteria, current evidence-based standards of care, compliance guidelines and local policy related to Delegation of Authority as established by the facility Chief of Staff. Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs. Duties include, but are not limited to: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex Veteran care. Functions within a defined scope of practice as a direct care provider and/or expert clinician. The APN provides specialty and/or primary health care within the Rehabilitation and Extended Care ICC. Identifies CLC residents with challenging dementia-related and non-dementia related behaviors. Utilizes the use of evidence-based behavioral and non-pharmacological interventions to reduce the frequency and severity of challenging behaviors. Supports development of the interdisciplinary plan of care with interdisciplinary team. Serves to facilitate the optimal level of functioning of the Veteran in a less restrictive level of care. Develops collaborative partnerships with a variety of community settings. Provides inpatient clinical management at the unit level. Provides leadership in the application of the nursing process to client care, organizational processes and/or systems, improving outcomes at the program or service level. Manages program resources (financial, human, material, or informational) to facilitate safe, effective efficient care. Implements an educational plan to meet changing program or service needs for self and others. Completes assessment and documentation of medical history, diagnosis, and plan of care. Initiates, orders, and evaluates plans of care for the Community Living Center Veterans. Provides H&P's, medical screenings, and medical follow-up for all newly admitted and established Veterans on the Community Living Center. Provides patient/family education regarding disease process, rick factors, symptom control, treatment (including use of medications). Orders laboratory, imaging, and other diagnostic tests as applicable. Consults with other providers in a multidisciplinary team. Place referrals to other services/specialists as needed. Promotes a practice environment that supports professional responsibility, accountability, and professional development. Must be proficient and demonstrate competency and the ability to either set up or reprocess Reusable Medical Equipment as applicable for all equipment for which they have been trained. 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, 8:00am - 4:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. You may be required to serve a probationary period. As a condition of employment for accepting this position, you will be required to serve a 2-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.