The Advanced Practice Registered Nurse (Cardiology) functions as a Licensed Independent Practitioner within the Acute and Specialty Care Department at the VA Black Hills Health Care System. Duties include ongoing evaluation and assessment of inpatients and outpatients seen within a specialty clinic setting, and includes management of required labs, medications, consultation and/or follow-up planning on known cardiology pathology Advanced practice provider (APP) in this role will provide comprehensive guideline directed evidence-based care to patients within all areas of general Cardiology independently and in collaboration with Cardiologists. This position is one of a group of Cardiology Advanced Practice Providers who will need to practice primarily, (but not exclusively), in consultative cardiology - responding to cardiology consult requests from within the hospital as well as from the VISN facilities. There will be a significant component of out-patient clinic responsibilities as well as opportunities for providing longitudinal follow up care for our Veterans. APP's in Cardiology report directly to the Chief of Cardiology, or Sub-Specialty Sectional Physician Director. The APP in this role provides care to Veterans with a wide range of cardiology issues, delivering care primarily in the outpatient setting, but also in the inpatient setting, by face to face, telephone and telemedicine visits. This role will also interact with patients within multiple face to face as well as virtual care modalities in a variety of hospital or clinic locations as the service need demands. Opportunities to participate and perform cardiac procedures, (cardioversions, stress testing or focused & limited bedside echocardiography studies, depending on interest, aptitude, training and facility privileging processes. Participating in some outreach activities, mostly within more rural areas where community based outpatient clinics are located, may be included. The population served includes both male and female veterans across the adult lifespan, as well as active duty personnel. Patients managed in the Cardiology clinic by the APP may have complex co-morbidities such as hypertension, COPD, diabetes, atrial fibrillation, valvular diseases, coronary artery disease, cerebral vascular disease, auto immune disorders and renal impairment. Primary functions of this role includes: Provide comprehensive guideline directed evidence based care to patients with general cardiology medical issues Implement assessment, diagnosis and management of cardiac patients with complex co-morbidities Obtain health histories, perform physical exams and documents findings in the medical record. Order appropriate diagnostic procedures, and act on results Prescribes individualized pharmacological and non-pharmacological interventions for treatment of cardiac conditions and related medical problems for the promotion of quality of life, wellness, and improved outcomes. Educate patient, significant others and affiliated medical center staff on health care issues (ie. medications, diet, lifestyle changes and follow up). Facilitate the completion of informed consent prior to cardiac procedures Admit and discharge patients to OBS status post invasive cardiac procedures Mentor APRN students Acts as consultant and resource to other departments within and outside the medical center regarding Cardiology, and specifically cardiology consultation patients. Provides cardiology focused in-services and education programs to medical center staff and affiliates. Participates in performance improvement initiatives. Collaborate with multiple other disciplines Work Schedule: 7:30 AM to 4:00 PM, Monday through Friday Pay: Competitive salary, annual performance bonus, regular salary increases. The salary range listed is for APRN grades 2 and 3. Grade 2 range is $73,009 - $97,099. Grade 3 range is $87,608 - $116,516 Paid Time Off: Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 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. Malpractice: Free liability protection with tail coverage provided. Contract: No Employment Contract and no significant restriction on moonlighting.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.