Summary

This Nurse Practitioner - Hospitalist (Internal Medicine) position is located within the General Internal Medicine Service Line - West Roxbury - MA campus. This position is full-time at 40 hours per week. This is a multidisciplinary posting for Physician Assistants and Nurse Practitioners. To apply for the Physician Assistant posting - please apply through this announcement: CBTD-12966915-26-CB.

Duties

• VA Boston Healthcare System Medicine program has two (2) services which are supported by Advanced Practice Practitioners (APPs)
• This includes five (5) Inpatient Teaching Teams staffed by medical residents - a supervising attending - and an embedded GIM APP
• Our medical service also runs one (1) non-resident team (the Direct Care team) staffed by APPs and an Attending Physician
• Clinical responsibilities will be comprised of time on our Direct Care team providing first call for medicine inpatients in collaboration with an attending physician as well as rotations on our traditional resident-led teams
• All incumbents will work on both teams - with time split equally between the two teams in a ratio of approximately 50/50 Direct Care/Teaching
• The Teaching Team is a Monday through Friday Schedule - and the Direct Care Team has a shift-based tour of duty (weekday shifts will range between 8 and 12 hours / day - not to exceed 80 hours / two-week pay period
• weekend and holiday shifts will be 12-hour shifts)
• Duties include - but are not limited to the following: Provides comprehensive inpatient medical care to adult veterans - including evaluation and management of acute - episodic - and chronic conditions Practices with appropriate clinical autonomy within granted privileges in collaboration with and supported by supervising internal medicine physician faculty
• Serve as a primary provider on the Direct Care service and the General Internal Medicine/GIM Teaching services - managing daily patient care activities including admissions - ongoing management - care coordination - and discharge planning Coordinates and oversees inpatient care - coordinates timely communication - safe transitions of care Provides clinical guidance and continuity for Internal Medicine residents - medical students - and other trainees involved in patient care Lead and support resident teams in addressing all aspects of inpatient care - with a focus on patient safety - high value care - and adherence to evidence based practices Demonstrates accountability to established VA policies - procedures - and standards of care Utilizes advanced skills in assessment - diagnosis - clinical decision making - treatment planning and implementation of the patient's care plan Delivers patient centered care to a diverse veteran population (ages 18 through geriatric) incorporating medical - psychosocial - spiritual - and cultural considerations Collaborates with other members of the health care team to design and/or continuously improve the quality of care delivered to Veterans Notifications: Current or former employees must submit copies of their most recent Sf-50 - (Notice of Personnel Action)
• The SF-50 must identify the position title - series - grade - step - tenure and type of service (Competitive or Excepted)
• In some cases - more than one SF-50 may be required to show a higher grade previously held
• This position is in the Excepted Service
• Veterans preference does not apply for internal or other current permanent Federal agency employees
• May be subject to satisfactory completion of our credentialing process
• 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: Tour of Duty is based on team: (1) Direct Care Team: These include weekends and holidays
• and (2) Resident-Led Team: - Monday - Friday do not work holidays - 7:00 am - 3:30 pm Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized VA offers a comprehensive total rewards package: VA Nurse Total Rewards