Duties
The incumbent practices in the Medicine Hematology Oncology Service as a Nurse Practitioner (NP) to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management:
- In collaboration with attending physicians Expected to evaluate, diagnose and develop treatment/management plans for patients with hematological and oncological conditions including but not limited to hematological malignancies, oncological malignancies, and benign hematology. -
- It would entail performing comprehensive disease specific history and physical exam in outpatient clinical setting as well as 9E infusion, ordering and interpreting diagnostic exams, labs, and imaging, and establishment of medical diagnosis with appropriate management of such diagnosis.
The NP practices to the full extent of their education, training, and certification. Core functions are outlined in the clinical privileges that correspond with this position to render the following services to oncological patients as appropriate per scope of practice: Patient care, Oncology workflow care, 9E infusion care, Education and Emergencies
PATIENT CARE
1. NP is responsible for; development and/or ordering of therapeutic plan of care including prescriptions (scheduled narcotics, oral chemotherapy drugs, anticoagulants etc.) as directed by scope of practice.
2. NP is required to; counseling and education of patient/family member regarding plan of care including disease process, treatment plans, and medication regimens. Review medications for clinical need, simplification and possible drug-drug interactions and adjust as indicated.
3. NP is expected for; recognition, patient education, management, and treatment of chemotherapy (oral and IV) side effects, infusion reactions, and toxicities.
4. NP is expected to; perform invasive procedures where applicable and as per scope of practice (chemotherapy extravasation, port care).
ONCOLOGY WORKFLOW
1. NP will collaborate with supervising attendings as well as fellows regarding admission, discharge and transfer decisions for oncological patient to facilitate patient flow, including inpatient, outpatient and chemotherapy infusion center.
2. NP is expected to facilitate patient messages via phone as well as message portal.
3. NP must be able to collaborate with the multidisciplinary team including case management, primary care and specialty services to expediate oncology patient care.
4. NP may need close collaboration with palliative care and social services to provide holistic needs of cancer patients including hospice discussions when appropriate.
9E INFUSION
1. With appropriate supervision, NP should be able to provide ongoing support/assessment of patients receiving chemotherapy and other infusions including toxicity, infusion reactions, side effect management, acute clinical needs or other complaints as appropriate. This may entail ordering supportive therapies (IVF, anti-emetics, electrolytes, etc).
2. Assess and manage transfusion reactions.
3. Triage and assessment of chemotherapy cancellations, patient calls for illness or uncontrolled symptoms.
4. Assist with acute direct admissions for toxicity management. 5. Discuss and coordinate "add-on" patients as requested by Hem/Onc attendings/Fellows as needed.
EDUCATION/RESEARCH
1. Provide formal and informal educational programs for other members of the health care team consistent with evidence-based practice standards.
2. Participate in mentoring activities including preceptorship of nursing students.
3. Functions as a clinical resource for other team members including but not limited to interns, residents, fellows, nurses, and medical students.
4. Works with physician leaders and hospital administration to achieve service specific outcome targets for key metrics including clinical outcomes, LOS, cost of care and patient satisfaction.
5. Actively participates and contributes to various department and division meetings and organizational initiatives.
Other Education/Research duties, as well as other duties as assigned.
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
Work Schedule: Monday thru Friday 7:30 am to 4:00 pm
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: NOT Authorized
Permanent Change of Station (PCS): NOT Authorized
How to Apply
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 06/30/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12741647.
- To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
- Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
Next steps
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.