Advanced Practice Nurse (NP)- Gastroenterology

About the role

The W.G. (Bill) Hefner Salisbury VA Medical Center is seeking a Certified Mid-level Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) within the Specialty Care- Gastroenterology section of Medicine Service for treatment of patients with Gastroenterology conditions.

The incumbent will evaluate and diagnose common Gastrointestinal conditions to develop effective treatment strategies in accordance with accepted societal and VA guidelines.

What you will do

• (Bill) Hefner Veterans Affairs Medical Center is seeking a Certified Mid-level Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) in Gastroenterology for the Specialty Care section within Medicine Service in Salisbury, North Carolina.
• The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) will assist the Advanced Endoscopy faculty in expanding the ERCP /EUS/ program as well as Interventional Endoscopy services.
• The Advanced Practice Nurse (NP) will establish and maintain professional relationships within Medicine Service, and with other services and facility management which result in improved patient care.
• Duties include but are not limited to the following: Clinical: Evaluate and manage patients with pancreaticobiliary disease and GI cancers Record detailed history, interpret diagnostic and lab results, perform physical exams and explain complex diagnosis and treatment plans.
• Familiarity with advanced procedures like Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) and assisting in pre and post procedure care Maintain predominantly outpatient clinics in advanced GI (pancreaticobiliary disease) with some general GI clinics.
• Drive additional volumes and off load follow up patient care.
• Shared advanced GI clinics and supervision for the first year or until needed.
• Rounding on inpatient pancreaticobiliary patients or post procedure admissions.
• Recognizes and treats common gastrointestinal conditions and develops effective treatment strategies Recognize differences between acute and chronic conditions and with a specialized skill set, when something is NOT attributable to gastrointestinal dysfunction.
• Analyze results of specific serologic tests, imaging and ancillary testing specific to gastrointestinal problems.
• Distinguish patients based on history, physical findings, objective testing, Vets needing care and follow up vs. those who can be set back to Primary Care for management.
• Facilitates patient's entry and exit from various health care systems by establishing and maintaining liaison with a variety of medical specialists and associated staff.
• Utilizes and promotes approved standards of care, procedures, methods and techniques, safety precautions and protocols in their application to the gastroenterology patient population in all settings.
• Collaborates with other health care resources to ensure continuity of care.
• Keeps abreast of latest trends, skills, and protocols relevant in the area of specialty and serves as a resource person for the medical center staff Administrative: Serve as the primary resource for outpatient hepatology consults, assessing patient acuity and appropriately schedules evaluations.
• Monitors and maintains consult tracking package.
• Maintains hepatology database and monitors laboratory evaluations for the outpatient gastroenterology population.
• Completes patient's disability and insurance forms as needed.
• Arranges for gastroenterology procedures and interventions with the Radiology and Surgery services.
• Oversees scheduling to the outpatient gastroenterology clinics with resolution of scheduling conflicts.
• Education/Research: Promotes and participates in the delivery of patient and family health and gastroenterology education.
• Participates, directs, and provides opportunities for staff development through in-service education as needed.
• Assures self-development responsibilities and maintains current knowledge of trends in gastroenterology and clinical medicine Participates in Gastroenterology Section's clinical research programs when appropriate.
• 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 Relocation/Recruitment Incentives: Not Authorized.
• Permanent Change of Station (PCS): Not Authorized.
• Compressed/Flexible: May be available at supervisory discretion Telework: Not available Virtual: This is not a virtual position.
• Work Schedule: Mon -Fri 8:00am -4:30pm (No night or weekend calls)

Requirements

• 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 (***).
• Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

How you will be evaluated

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC.

WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social).

Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Documents you must provide

• resume, C.V., and/or other supporting documentation must reflect all requirements as specified within this vacancy announcement.
• Failure to submit the required documents or reflect the requirements as specified may affect consideration for this job announcement.
• The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position.
• Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc. Cover Letter DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) License Long-form resume/Curriculum vitae (CV) Board Certification Other (2) Other (3) PCS Orders Performance Appraisal Professional Certification Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Transcript Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA.
• When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire.
• You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.).
• If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation.
• Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form.
• Documentation is required to award preference.
• For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

What to expect next

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met.

After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center. NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service.

HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities.

HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities.

HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

Additional information

Reference: For more information on this qualification standard, please visit *** During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions.

Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.