Nurse Practitioner (Congestive Heart Failure-CHF)
Department of Veterans Affairs 1,251 reviews - San Juan, PR

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Vacancy Identification Number (VIN): 840518

To fulfill President Lincoln's promise - "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans.

How would you like to become a part of a team providing compassionate care to Veterans?

This is an open continuous announcement. Qualified applicants will be referred on each cutoff date; cutoff dates will be on the last day of each month. The announcement will remain open until the positions are filled.

As a VA professional nurse, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.

Applicant's education and experience will be reviewed by a Professional Standards Board 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.

VA encourages persons with disabilities to apply.

Current permanent employees of the VA Caribbean Healthcare System will receive first consideration when filling vacancies.

In addition to the Annual Salary:
4.20% Cost Of Living Allowance.

Fair Labor Standards Act (FLSA) Status:

Bargaining Unit Status: Covered.


Expenses Authorized:

Relocation Incentive or Recruitment Incentive Authorized:

Tour of Duty:
Rotating Shifts Mondays through Fridays (7:00 am through 6:00 pm)


U.S. Citizenship

Full unrestricted RN & NP Licensure/Certification/Registration required.

Must pass pre-employment examination.

Designated and/or Random Drug Testing required.

Background and/or Security Investigation required.

English and Spanish Language Proficiency required.

The Heart Failure Nurse Practitioner (HFNP) obtains health histories and performs physical evaluation, assessment and interpretation of clinical data to recently discharged patients with the primary diagnosis of Heart Failure. The HFNP provides primary comprehensive and therapeutic health care services to patients. The HFNP requests laboratory results and x-rays. Identifies and manages own caseload of congestive heart failure patients; manages patient with co-morbid conditions associated with congestive heart failure. The HFNP is responsible for planning, designing and carrying out the interdisciplinary Outpatient Heart Failure Education program which serves the entire veterans community of Puerto Rico and US Virgin Islands, as well as other congestive heart failure education initiatives at VA Caribbean Healthcare System. The HFNP will identify patients admitted with Heart Failure and will facilitate the discharge process of patient, including medications. The HFNP will coordinate patient post discharge visits at Heart Failure clinic for follow up within 7 days of discharge. Will assure proper patient transition of care from inpatient to outpatient setting. The HFNP provides teaching to patients and their families regarding the disease process, diagnostic tests, and therapeutic regimen including medications, nutrition considerations, lifestyle modifications, and follow-up care. The HFNP will be available during schedule tour of duty for patient telephone calls and will provide education and support to the patient. The HFNP will work as the Heart Failure coordinator for different procedures recommended by the specialist. The HFNP will coordinate share medical appointments for Heart Failure patients and will provide virtual evaluation through tele-medicine for Heart Failure Patients at CBOC's and OPC's. The HFNP will play a pivotal role on the Heart Failure Program, working with care providers and administration on quality initiatives, improving patient satisfaction and reducing readmission rates. The HFNP acts as a care provider, educator and communicator for patients with cardiovascular diseases. Professional practice is in conjunction with other NPs, RNs, Physicians and administrative support staff.

Relocation Expenses:
Relocation expenses are not authorized for this position.

Citizen of the United States. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The National League for Nursing Accrediting Commission (NLNAC) or The Commission on Collegiate Nursing Education (CCNE).

Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia

. In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing.

Must be proficient in spoken and written English


Applicant's education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and salary of the applicant selected. Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing:

Practice, Professional Development, Collaboration and Scientific Inquiry.

Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. The criteria are as follows:

practice, ethics and resource utilization,

Professional Development:
performance, education/career development,


collaboration, collegiality,

Scientific Inquiry:
quality of care, research. Education/Experience Requirements:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience.

Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of experience, or an ADN or Diploma in Nursing and a bachelor's degree in a related field and no experience; or a Bachelors of Science in Nursing (BSN) and no experience.

Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of experience, or an ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 1-2 years of experience; or a BSN with approximately 1-2 years of experience, or a Master's degree in nursing (MSN) or related field with a BSN and no experience.

Nurse II - A BSN with approximately 2-3 years of experience, or ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 2-3 years experience or a Master's degree in nursing or related field with a BSN and approximately 1-2 years experience, or a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no experience.

Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years experience or Doctoral degree in nursing or related field and approximately 2-3 years experience.

Selective Placement Factors:

Must be proficient in spoken Spanish.


Must be a licensed nurse practitioner or otherwise recognized as a nurse practitioner in a State

.(Submit evidence)


Must possess a master's degree from a program accredited by the NLNAC or CCNE

.(Submit evidence)


Must possess a current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected.

(Submit evidence)

Quality Ranking Factors:

Minimum of one (1) year of NP experience in primary care that includes chronic and emergency care,



Experience in the field of Cardiology with an emphasis in Congestive Heart Failure,



Knowledge of most common arrhythmias,



Basic knowledge in the care of the patient with a permanently implanted pacemaker, internal cardiac defibrillator and bi-ventricular devices,



Current ACLS Certification,

preferred. (Submit evidence)

Knowledge, Skills & Abilities (KSA's):

Must be able to diagnose and recommend treatment for patients with congestive heart failure.


Must have excellent communication skills as is required to have effective communication with patients and staff.

Selected applicant must show proof of current BLS certification at time of initial appointment and/or reassignment, required.


VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD

This position involves walking, sitting, and typing (computer). It also requires bending, lifting, and turning activities. The position involves exposure to blood borne pathogens, fine manipulation, standing, crouching, and reaching patients. Involves risk of exposure to communicable diseases and risk of physical injury associated with the patient with the potential to lose control. It requires dealing with the acutely ill, with patients who may display disturbed behaviors, and with stressful situations. Wearing of a respirator may be required at times in the performance of the duties of this position. When required to use respirator, employee cannot have facial hair or any condition that interferes with the face to face piece seal or valve function of the respirator. See VA Directive and Handbook 5019.

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website:

All education claimed by applicants will be verified by the appointing agency accordingly. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Veterans' Preference:
When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit


Your application, résumé, CV and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.

Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at


This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

Qualified candidates referred for consideration will be interviewed using the Performance Based Interview (PBI) Process. For information about PBI, you may access


Applicant will not be contacted for additional information if their applications are incomplete or inadequate.

All technical, legal and regulatory requirements must be met on the closing date of the announcement.

Conditions of Employment:
Failure to comply may be grounds for withdrawal of an offer of employment, or dismissal after appointment. Applicants must meet any physical, language, license or degree requirements. Applicants must be citizens of the United States. New appointees must provide proof of eligibility to work in the United States, by completing the I-9 form and supplying acceptable documentation. If required for the position, the applicant must have a valid State licensure, registration or certification. Applicants must not be listed on the Department of Health and Human Services (DHHS) Office of Inspector General Sanctions database. New appointees are subject to a probationary period, and to a background investigation to determine suitability. Male applicants born after December 31, 1959, must certify at the time of appointment that they have registered with the Selective Service system or are exempt for having to do so under Selective Service law. Currently the VHA queries the National Practitioner Data Bank (NPDB) and/or the Healthcare Integrity and Protection Data Bank Practitioner (HIPDB).

Drug Free Workplace:
Position designated as sensitive as defined in Presidential Order 12564. Applicants who refuse to be tested will be denied employment. After hire, persons employed in sensitive positions are subject to random testing for use of illegal drugs.


If you need a reasonable accommodation for any part of the application and hiring process please notify the Agency. The decision on granting reasonable accommodation will be on a case-by-case basis. Actions to fill this position will not be based on discriminatory factors, which are prohibited by law.

Individual selected for positions that have patient care responsibilities are subject to undergoing and electronic credentialing process called VetPro. As part of this process, it will be necessary for you to submit complete information concerning your professional education, training, experience, licensure and verifications using VetPro.

About this company
1,251 reviews
The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is...