Advanced Practice Nurse- Cardiology

The Advanced Practice Nurse (APN) III Certified Nurse Practitioner (NP) practices in Cardiology Service 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.

Major duties and responsibilities of the position: - As a team with a Physician Cardiologist manages patients with acute and chronic cardiac care needs/health conditions, with an emphasis on health promotion and disease prevention using evidence-based practice. - Develops and implements an individualized plan to achieve optimal population health and disease management. - Demonstrates leadership and works collaboratively with the interdisciplinary team. - Coordinates and works in collaboration with physicians, peers, patients, families and allied services for appropriate diagnosing and treatment of acute and chronic cardiovascular diseases. - Order and interpret labs, tests, and diagnostic studies. - Prescribes pharmacologic and non-pharmacologic interventions. - Initiate referrals and consultations with specialty services. - Provides education to patients and their families on cardiovascular health and disease prevention and prescribed treatment measures. - Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. - Exemplifies the ICARE core values of Integrity, Commitment, Advocacy, Respect, and Excellence. - Completes E-Consults and coordinate with physicians as needed. - Triage and complete e-consults or routes them to appropriate clinic or service. - Respond to consults, according to policy and procedure. - Determine the pathway to care including clinical evaluation and coordination of care. - Conducts telephone, face to face, VVC and CVT clinics. - Complete History and Physicals (H&P). - Rounds with cardiac surgery on post TAVR and Structural Heart patients, assist with discharge follow up/education Enter data in the VA VART-CL registry. - Assist with Cardiac rehabilitation acute events. - Evaluates, develops and implements treatment plans for inpatient/outpatient General Cardiology, Heart Failure, and Arrhythmia consults and provide continuity of care, including follow-up for patients seen by the cardiology fellow. - Manages General Cardiology, Heart Failure, and Arrhythmia patients following the management guidelines provided by the American Heart Association, the American College of Cardiology, Heart Failure Society of America, and the Heart Rhythm Society. - Management of diseases may include but are not limited to patients with cardiomyopathies, including ischemic disease, valvular disorders, arrhythmia, and angina. - Reinforces education on diet/fluid intake, close monitoring of weights and vitals and labs, education on abstaining from things that may have caused cardiomyopathy and education on signs and symptoms of CHF exacerbation, introducing GDMT and tailoring medications to avoid readmissions. - Closely monitors to enable early recognition of Heart Failure to current therapy and need for timely advanced therapy referral, managing outpatient inotropes, reviewing home tele notes, initiating GOC discussions and working with the palliative team with end-stage heart failure. - Manages patients during the process of Cardiac Stress Testing including the use of exercise testing or inotropes with supervision from Physician Cardiologist where needed. - Participate in the management of discharge planning needs, including ancillary services. - Provides coverage across Cardiology subspecialties in both inpatient and outpatient settings, aligned with the provider's education, training, experience, and approved privileges. - Outpatient duties will include Cardiology clinics or E-consults at both VAPHS main campus or satellite sites including the Heinz Campus, Beaver, Washington, and Monroeville CBOCs. - Uses Telemedicine technology to provide evaluation and treatment as needed. - Addresses veteran responses or queries via secure emails, secure messaging, and patient phone calls. - Works closely with other specialists, residents, interns, fellows, and primary inpatient care providers. - Precept and assist with training residents, interns, and medical students. - Performs 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: 8:00am - 4:30pm (with occasional weekend requirements) Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). 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/examination. 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.