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Nurse Practitioner-- Home Base Primary Care

Veterans Health Administration | Los Angeles, CA

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Posted Date 4/01/2025
Description The VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking a highly skilled & experienced Nurse Practitioner (NP) to serve in our Home Base Primary Care (HBPC) Service. The NP will utilize the nursing process to assess, coordinate, facilitate & deliver nursing care for patients utilizing the nursing process. Provides direct & indirect nursing care to patients & families. Accountable for adhering to established polices for standards of care & standards of practice.The Home Based Primary Care (HBPC) program provides interdisciplinary, comprehensive health care services to Veterans in their home. HBPC patients are often older adults with multiple chronic medical conditions for whom travel outside the home to access clinic-based care may be difficult. The Nurse Practitioner (NP) is responsible for assessing, diagnosing, planning, implementing, and evaluating direct and indirect health and quality of care for patients under their care. The NP will drive a government vehicle from the VA campus to the homes of patients to provide them with primary care in the home setting. Some patient care may be provided virtually (e.g. via telephone or video visits). Position is located at the West Los Angeles VA. Although the position is based out of the West Los Angeles VA location, the NP will also be required to see patients occasionally outside of their assigned HBPC catchment area and be required to cross-cover for other GLA HBPC providers. Required training may occur at any of the other HBPC locations (Sepulveda, LAACC, Ventura).

Duties include but are not limited to:
  • Provides direct and indirect patient care, and works as a member of a healthcare team to oversee and coordinate medical care for a population of Veterans in the given practice setting.
  • Takes comprehensive histories, provide physical examinations and other health assessment and screening activities, diagnose, treat, and manage patients with acute and chronic illnesses and diseases.
  • Orders laboratory and imaging studies and integrate the results into clinical decision making.
  • Provides care management and clinical procedures and tasks consistent with licenses.
  • Prescribes medication and durable medical equipment.
  • Makes appropriate referrals for patients and families, and request consultations.
  • Aids in health promotion, disease prevention, health education, and counseling as well as the diagnosis and management of acute and chronic diseases.
  • Attends staff meetings, team meetings, committee meetings, and completes peer review evaluations.
  • Provides leadership in identifying and addressing ethical issues that impact patients and staff.
  • Manages program resources (financial, human, material, or informational) to facilitate safe, effective, and efficient care.
  • Implements educational plan to meet changing program or service needs for self and others.
  • Uses professional standards of care and practice to evaluate programs and/or service activities.
  • Consistently demonstrates positive effective customer service, communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers.
  • Provides active leadership in program-based performance improvement activities.
  • Participates in support of educational training of graduate students and other Allied trainees in related-fields.
  • Collaborates with others in research activities to improve care.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

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 08:00 am to 04:30 p.m. Tour may change based on facility's needs.
Telework: Not Available
Virtual: This is not a virtual position.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHA.ELRSProgramSupport@va.gov for questions/assistance. Learn more
Permanent Change of Station (PCS): Not AuthorizedAdvanced Practice Nurse (Nurse Practitioner) Basic Requirements
  • Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant:
    • The Accreditation Commission for Education in Nursing (ACEN) or
    • The Commission on Collegiate Nursing Education (CCNE).
    • NOTE: Foreign Education. Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment.
  • License and Certification:
    • License. All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia.
    • Basic Certification. All APN (NPs) must maintain full and current board certification in an area of clinical specialty from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared.
NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II:
Exception to Licensure for Graduate Nurse Technicians. Candidates who otherwise meet the basic requirements, but do not possess the required licensure and/or certification, may be appointed at the entry step of the Nurse II, as a Graduate Nurse Technician - Nurse Practitioner on a temporary appointment up to any period not-to-exceed one year and a day under the authority of 38 U.S.C. § 405(c)(2)(B).
  • Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
  • Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required.
  • Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements:
    • Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program.
    • Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care.
    • Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care.
    • Professional Development. Acquires knowledge and skills to develop expertise in area of practice.
    • Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes.
The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III:
  • Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
  • Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level.
  • Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements:
    • Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population, or program.
    • Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations.
    • Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population, or program.
    • Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility.
    • Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork.
Physical Requirements: The physical requirements include: lifting and carrying up to 35lbs, straight pulling and pushing, reaching above shoulder, repeated bending, use of fingers, both hands required, walking (> 4 hours), standing (> 2 hours), rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, depth perception, distinguish basic colors, distinguish shades of colors, hearing (aid permitted), work on slippery or uneven walking surfaces, work closely with others, work alone, protracted or irregular hours of work, and ability to don protective clothing in isolation situations or operative/invasive procedures.
Salary177,021.00 - 250,600.00 Annual

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