NP Jobs in New Tacoma, WA

UW Medicine

APP (Nurse Practitioner or Physician Assistant), Inpatient Neurology, Harborview Medical Center

$131,316 - $205,548 / year
Job Description Harborview Medical Center APP, Inpatient Neurology (ARNP; Nurse Practitioner; or PA-C, Physician Assistant) This opening is for a 100% FTE, day shift position with weekend and holiday coverage, no calls, and potential for night coverage in the future. $10,000 Recruitment Incentive/Sign-On Bonus for eligible new employees joining UW Medicine Join Harborview Medical Center's neurology inpatient service as Advanced Practice Provider (ARNP, Nurse Practitioner; or PA-C, Physician Assistant). Under general administrative supervision of the Assistant Director for APPs, the APP provides clinical expertise to patients and their families, is a resource person for health care providers, and participates in research and teaching programs. Work is performed in the inpatient units 7 days a week with decision-making responsibility under the guidance of the attending physicians and/or the Associate Medical Director. Independence in practice and decision-making will be granted depending on training and experience. Guidelines include general policy procedures and practice guidelines established by the service and Harborview Medical Center, as well as appropriate professional and technical manuals. Practice high quality evidence-based medicine within the scope of a licensed APP in the inpatient acute care setting including: Collaborate with the neurology attending, resident and APPs Conduct patient assessments and physical examinations Diagnose and manage acute & chronic medical conditions Develop and implement individualized treatment plans Monitor and evaluate patient progress and adjust treatment plans as necessary Perform procedures within one’s scope and training as appropriate (ie lumbar puncture) Order and interpret diagnostic tests Prescribe and manage medications Coordinate patient care with multidisciplinary teams, fostering a cooperative atmosphere that promotes effective communication and teamwork Provide patient and family education Engage in patient discharge planning and follow-up care coordination Document patient care and maintain accurate medical records Participate in quality improvement initiatives and safety protocols Complete learning modules and participate in continuing education Provide mentorship and guidance as appropriate to other staff and students Promote a healthy and safe workplace environment Maintain appropriate licensure/certification requirements to practice within HMC and the state of Washington Requirements Nurse Practitioner: Masters or Doctorate Degree in nursing from an accredited school of nursing AND Washington State Advanced Registered Nurse Practitioner License with prescriptive privileges AND National certification as an Acute Care Nurse Practitioner Physician Assistant: Licensure as a Physician’s Assistant in the State of Washington AND national certification from a national certifying body (NCCPA) BLS/ACLS certification required Applicant must be eligible to receive hospital staff appointments for adjunct staff membership by the Organized Medical Staff of the hospital under Medical Staff By-Laws for hospital-based positions. As the region's only Level I Trauma center, Harborview Medical Center is well known for innovations and excellence in trauma care and its centers of emphasis: Trauma, Burn, Neurosciences, AIDS/STD, Center for Advanced Reconstruction and Rehabilitation (CARER), and mentally-and medically- vulnerable populations. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. About Uw Medicine - Where Your Impact Goes Further UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team . Join our mission to make life healthier for everyone in our community. Compensation, Benefits And Position Details Pay Range Minimum: $131,316.00 annual Pay Range Maximum $205,548.00 annual Benefits Other Compensation: For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/ Shift First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent) 100.00% Union/Bargaining Unit SEIU 1199NW HMC PA-ARNP About The UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
Firefly Health

Nurse Practitioner

$130,000 - $150,000 / year
Firefly Health is building a revolutionary new type of comprehensive health "care and coverage,” powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform. Founded by experienced clinicians and technology leaders, Firefly Health is on a mission to deliver clinical and financial health through joyful, always there care. We are flipping the script on what it means to be a health plan and actually providing a true health benefit to members. We are intensely focused on optimizing the physical + mental + financial wellbeing of those who want (and deserve) something better than the status quo. If you are ready to roll up your sleeves and take on our audacious mission, we would love to hear from you. The Role Nurse Practitioners are at the heart of the Firefly clinical team, providing extraordinary virtual primary care with expert clinical skills and an empathic approach. They help us deliver industry-leading outcomes by managing patients as part of a robust multidisciplinary team alongside primary care physicians, registered nurses, health guides, and other cross-functional colleagues. This is a great opportunity for a Nurse Practitioner who thrives in an innovative, collaborative environment and is interested in helping us build the future of tech-enabled advanced primary care. You will: Provide comprehensive virtual primary care across geographies, managing a broad range of conditions from chronic disease management and preventative care to acute episodic care. Act as a champion for evidence-based clinical approaches, maintaining expertise in primary care through continuous learning and professional development. Ensure high patient satisfaction by delivering care with an empathetic approach and a relentless focus on quality. Collaborate with internal and external physicians as clinically necessary and with supervising physicians as may be required by state guidelines Partner with licensing & credentialing to proactively maintain and expand licensure status across the country, as may be needed by the practice Work independently in a remote setting from a private, HIPAA-compliant home office. Be timely with visit shifts, documentation, and communication while maintaining excellent attendance Participate in on-call rotation to ensure 24/7 patient access to care You’d be a good fit if you have: Graduated of an accredited Master’s or Doctoral Nurse Practitioner (NP) program National certification as a Family Nurse Practitioner (FNP) or Adult Nurse Practitioner (ANP) through AANP or ANCC Active and unencumbered Nurse Practitioner (NP) license Active RN compact license Active multi-state NP licensure (5+ licenses preferred) Active federal DEA registration Minimum 2+ years experience in primary care Ability to function within a multidisciplinary team Excellent communication, patient engagement, and collaboration skills Proficiency with technology and the ability to quickly learn new software platforms. It’d be nice if you have: Active multi state licenses 10+ Prior virtual-based care experience Experience in Value-Based Care The salary range for this position is $130,000 to $150,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Firefly Health is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Our office is in Watertown, Massachusetts, but we’ve developed a robust remote working structure to give us more geographical flexibility while hiring for many positions. This role can be done largely remotely, there are several times a year when staff come together onsite for planning and team building. Firefly is an equal opportunity employer. We value diverse backgrounds and perspectives. We're committed to building and sustaining an inclusive workplace culture where individuals are treated with dignity and respect. All employment is decided on the basis of qualifications, merit, and business need. Firefly is an E-Verify employer.
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (GASTROENTEROLOGY)

Overview ADVANCED PRACTICE NURSE (GASTROENTEROLOGY) - Madigan Army Medical Center, Tacoma, Washington Joint Base Lewis-McChord, WA Madigan Army Medical Center is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command. Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Madigan Army Medical CenterJoint Base Lewis McChord Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities Serves as a credentialed Nurse Practitioner, providing services to adult patients within the Gastroenterology Clinic of a Medical Treatment Facility (MTF). MAJOR DUTIES 1. Performs a variety of professional, direct, clinical healthcare duties within the field of Gastroenterology. Specific duties range from evaluation of routine colon cancer screenings to the management of moderately complex acute and chronic illnesses related to Gastroenterology. Utilizes appropriate ancillary services and consultants, as needed to provide treatment. Records outpatient records to include admission and discharge paperwork and progress notes required by hospital regulations and standards of practice. 2. As part of primary clinical evaluation, takes health and medical history from patients or family members and records findings for the record. Examines patients and performs initial patient work-up and assessment of care and treatment; determines the need for and orders laboratory tests, X-rays and other procedures to include endoscopic evaluation when necessary as well as appropriate referrals to specialties or subspecialties, ensuring a complete patient assessment. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems. Provides surveillance of chronically ill patients, adjusting regimens within established protocols, recognizing conditions which require referral to a Gastroenterology Physician. Works collaboratively with physicians in patient management, evaluation and revision of therapeutic plans. Decides on specific methodology based on the needs of patients; refers extremely and selected complex gastroenterological problems for physician management. Diagnoses disease, illness, disorder, or injury, instituting treatment of patients. Seeks advice of appropriate physicians for more serious or uncommon conditions. Prescribes medications and treats a variety of diseases, disorders, and injuries. Treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in medical records. Writes routine orders on outpatients. Orders administration of and dispenses medications and prescribed controlled substance in accordance with approved treatment protocols. Records treatment, progress notes including tests and procedures, and notations of prescriptions and drugs dispensed or administered. Provides consultation, teaching, and coordination with patients and their family members of treatment and medical care. 3. Collaborates with physician advisor regarding management of the most complex gastroenterology patients, such as Inflammatory Bowel Disease, requiring biological therapy or administration of corticosteroid treatment, in evaluating and revising therapeutic plans. Refers unstable patients to physician. Plans with other healthcare professionals and agencies involved in providing services to patients and their families. Coordinates health care, as appropriate. Receives referrals from other healthcare professionals. Documents all observations, plans, treatments, teaching, and other important findings in patient records. Identifies components of the nursing regimen that may be delegated to other nursing personnel. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. 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; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Advanced Practice Nurse: Degree : A graduate or higher level degree from an accredited professional nursing educational progra is requiired. This education must have been accredited by the Commission on Collegiate Nursing Education, Foreign Degree : A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure : A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Anesthesia or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Exemption : You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience at the GS-12: One or more full years of professional nursing experience which includes administering anesthetics to patients and monitoring patients receiving anesthesia care. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Defense Health Agency (DHA)

Advance Practice Nurse (Internal Medicine)

Overview Advance Practice Nurse (Internal Medicine - Madigan Army Medical Center, Tacoma, Washington Joint Base Lewis-McChord, WA Madigan Army Medical Center is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord. At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command. Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Madigan Army Medical CenterJoint Base Lewis McChord Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities Serves as a direct primary health care provider in the capacity of a credentialed Nurse Practitioner to provide primary care services to patients ranging in ages from 18 years old through geriatric for the Madigan Army Medical Center at Joint Base Lewis-McChord, Washington. Duties include health management for a DOD beneficiary patient population with responsibility for the independent examination, diagnosis, and treatment within personal credentials and privileges delineated by the Military Treatment Facility (MTF). The Nurse Practitioner provides comprehensive primary care services and auxiliary practices in general medicine to the military and their family members. MAJOR DUTIES 1. The incumbent performs varied duties requiring many different and unrelated processes and methods applied to a broad range of general medicine in the adult and geriatric patients in specialty areas. The Nurse Practitioner makes independent decisions regarding the medical care required and in the interpretation and evaluation of processes resulting from continuing changes in the medical field due to new technological developments or conflicting requirements. The Nurse Practitioner performs a variety of complex duties involving the full range of medical care that consists of isolating and defining unknown medical conditions. Assignments include a wide range of activities including assessing, planning, evaluating and modifying the treatment of patients in various locations throughout the MTF. Duties are typical of, but not limited to, the following: a. Secures health and medical history from the patients or family member, record findings and makes a clinical evaluation. Examines patient and performs initial patient workup and assessment of patient's care and treatment; and determines the need for and orders laboratory tests, X-rays and other procedures necessary to complete evaluation of the patient. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Provides surveillance of adherence to medical and primary care practices and procedures to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other primary care members. Makes decisions concerning primary care needs of patients that impacts the care of other healthcare professionals and ancillary staff; works independently and collaboratively with physicians in patient management, evaluation, and revision of therapeutic plans; and refers extremely or selected complex medical problems to medical management by subspecialist. b. Diagnoses disease, illness, disorder, or injury, institutes treatment of patients. Prescribes for and treats a variety of diseases, disorders and injuries, treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in patients’ medical records; writes routine orders on outpatients, performs medical histories; and document encounters appropriately in the electronic medical records. Provides a full range of emergency services or crises interventions in the absence of the physician, including life-saving emergency procedures to stabilize a patient within the scope of practice and approved protocols. Writes prescriptions, orders the administration of medications, dispenses medications, and prescribes controlled substance per scope of practice. The Nurse Practitioners performs a variety of physical examinations including but not limited to: school, employment, sports, retirement, discharge, reenlistment, disability separation, or retirement, annual and other special physicals, health certificate employment and other related physical examinations. Orders laboratory tests, X-rays, etc. and arranges for physician consultation if required. Records entries into patient's charts including progress notes, treatment rendered, tests, or procedures ordered, and notations of prescriptions or orders, and drugs dispensed or administered per approved protocols including computer-based progress notes. In a timely fashion, evaluates the primary care aspects of patient care recognizing when reassessment by a physician or other staff professionals is required. The Nurse Practitioners provides primary care and preventive services to healthy individuals and evaluates the total health care needs of patients and develops plans to meet clients' needs. Participates in disease management of typical internal medicine patients, which includes the following conditions: hypertension, hyperlipidemia, diabetes mellitus, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, etc. The individual may be asked to train mid-level students and residents. 2. The Nurse Practitioner independently develops new techniques and establishes criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Plans with other professionals, and agencies involved in providing primary care services to patients and their family members, and coordinates the primary care provided. Develops and recommends new approaches for providing improved, quality primary care for military and their family members and other clients of the hospital. The Nurse Practitioner provides consultation, teaching, and coordination with patients and their family members regarding treatment and medical care. Perform other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. 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; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Advanced Practice Nurse: Degree : A graduate or higher level degree from an accredited professional nursing educational progra is requiired. This education must have been accredited by the Commission on Collegiate Nursing Education, Foreign Degree : A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure : A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Anesthesia or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Exemption : You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience at the GS-12: One or more full years of professional nursing experience which includes administering anesthetics to patients and monitoring patients receiving anesthesia care. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11). Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Fred Hutchinson Cancer Center

Advanced Practice Provider: Community Oncology at Northwest Hospital

$126,984 - $200,678 / year
Overview Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington. With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality. At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. A Fred Hutch Cancer Center ARNP/PA-C is a certified physician assistant or advanced registered nurse practitioner who provides evaluation and medical management of multiple service lines of adult oncology patients at our community site at Northwest Hospital. They will actively coordinate the complex care of cancer patients undergoing both systemic anti-cancer therapy and radiation therapy. The incumbent will manage side-effects of these therapies, order appropriate laboratory and radiographic studies; prescribe medications and refer patient to other specialists as necessary. The incumbent may provide for post-treatment cancer patients follow-up visits for the medically indicated period after completion of treatment. The incumbent will also provide psychological support to patients by participating in patient and/or family teaching and refer patients to community agencies and other resources to promote optimal adjustment and functioning. This position requires the ability to lead other clinical staff, be accountable for the work required in this position, the ability to be flexible in a dynamic environment, and the relentless pursuit of excellent patient centered care. This clinic provides a broad range of services including GI, Lung, GU, Breast, and Hematologic Malignancies and Radiation therapy. Responsibilities Performs complex and problem-focused H & P’s Evaluates and manages on-treatment and post-treatment side effects, as well as long-term surveillance and survivorship issues. Performs procedures according to licensure, credentialing, and scope of practice Collaborates and consults with other disciplines and services to ensure safe, effective, and timely treatment as well as continuity of patient care. Participates in the conduct of cancer clinical research Provides patient, caregiver, and peer education Communicates effectively with the teams Participates in patient rounds, conferences and committees Qualifications Required: Graduate of an accredited Physician Assistant or Nurse Practitioner program required. Washington state licensure required. DEA required at time of credentialing ACLS required within 3 months of start date. Strong verbal and written communication skills required. EMR experience required. Strong team player with a can-do attitude is a must. Ability to work as part of a multi-disciplinary team is essential. Preferred: 1 year of ARNP or PA-C experience in Medical Oncology preferred The annual base salary range for this position is from $126,984.00 to $200,678.00, and pay offered will be based on experience and qualifications. This position is not eligible for H-1B sponsorship at this time. This position may be eligible for relocation assistance.Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (22 days if working 8 hours, 5 days per week or 18 days if working 10 hours, 4 days per week.), CME (5 days), paid sick leave, paid holidays (11 days per year), paid parental leave (up to 4 weeks). Additional Information We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (NURSE PRACT/FAMILY PRACTICE) GS-0610-12

Overview ADVANCED PRACTICE NURSE (NURSE PRACT/FAMILY PRACTICE) Naval Hospital Bremerton (NHB) is a United States Navy hospital located on Naval Station Bremerton in Bremerton, Washington. Located 10 minutes from Tacoma and Seattle, 20 minutes from Olympia, the state capitol. NH Bremerton is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities POSITION DUTIES: 1. Serves as a direct primary health care provider in the capacity of a credentialed Nurse Practitioner to provide primary care services to patients ranging in ages from infant through geriatric within a variety of primary health care clinics at a military medical treatment facility (MTF). This role will be focused on primary care services and women’s health, with the APRN supplementing care to primary care clinics such as Family Medicine, the Urgent Care Clinic and women’s health clinics such as OB/GYN.Provides health management for a DOD beneficiary patient population with responsibility for the independent examination, diagnosis and treatment within personal credentials and privileges delineated by the MTF. Provides leadership in comprehensive primary care services and auxiliary practices in general medicine to military and their family members. Performs varied duties requiring many different and unrelated processes and methods applied to a broad range of general medicine in the pediatric, adult, and geriatric patients in specialty areas. Makes decisions regarding the medical care required and, in the interpretation, and evaluation of processes resulting from continuing changes in the medical field due to new technological developments or conflicting requirements.Performs a variety of complex duties involving the full range of medical care that involves isolating and defining unknown medical conditions. Assignments include a wide range of activities including assessing, planning, evaluating and modifying the treatment of patients in various locations throughout the MTF. Secures a health and medical history from the patients or family member, records findings and makes clinical evaluation. Examines patient and performs initial patient work-up and assessment of patient's care and treatment. Determines the need for and orders laboratory tests, X-rays and other procedures necessary to complete the assessment of the patient. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Adheres to medical and primary care practices and procedures to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other primary care members.Makes decisions concerning primary care needs of patients that impact the care of other healthcare professionals and ancillary staff; works independently and collaboratively with physicians in patient management, evaluation, and revision of therapeutic plans, referring extremely or selected complex medical problems to medical management. Diagnoses disease, illness, disorder or injury, institutes treatment of patients. Prescribes for and treats a variety of diseases, disorders and injuries; treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in patient's medical records. Writes routine orders on outpatients; performs medical histories and dictates narrative summaries. Provides a full range of emergency services or crises interventions in the absence of the physician, including life-saving emergency procedures in order to stabilize a patient within the scope of practice and approved protocols.Writes prescriptions, orders the administration of medications, dispenses medications, and prescribes controlled substances in accordance with scope of practice for Nurse Practitioners. Performs a variety of physical examinations such as school, employment, sports, retirement, discharge, reenlistment, disability separation or retirement, annual and other special physicals, health certificate employment and other related physical examinations. Orders laboratory tests, X-rays, etc. and arranges for physician consultation if required. Records entries into patient's charts including progress notes, treatment rendered, tests or procedures ordered, and notations of prescriptions or orders, and drugs dispensed or administered in accordance with approved protocols including computer-based progress notes. Evaluates the primary care aspects of patient care recognizing when reassessment by a physician or other staff professionals is required. Provides primary care and preventive services to healthy individuals, including guidance in common illnesses, accidents, child growth and development, alternative drugs usage, etc. Evaluates the total health care needs of patients and develops plans to meet clients' needs. 2. Develops new techniques and establishes criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Plans, with other professionals and agencies involved in providing primary care services to patients and their family members, and coordinates the primary care provided. Develops and recommends new approaches for providing improved, quality primary care for military and their family members and other clients of the hospital. Provides consultation, teaching, and coordination with patients and their family members regarding treatment and medical care. Performs other duties assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the experience and education requirements described below. 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; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Basic Requirement for Advanced Practice Nurse (Nurse Practitioner): Degree: A graduate or higher level degree from an accredited professional nursing educational program in Nurse Practitioner is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Nurse Practitioner or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant. Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience : One or more full years of professional nursing experience which includes performing examination and assessments of assigned patients, obtaining and recording health histories of patients, ordering and interpreting laboratory and diagnostic tests for patients, prescribing a variety of medications to patients. Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Veterans Health Administration (VA)

OCA-FY26-Advanced Practice Nurse - Primary Care

This is an open continuous announcement. Applications will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. Incumbents may serve as a Nurse Practitioner in a Patient Aligned Care Team (PACT) setting. He/she will be responsible for providing medical care in an outpatient setting following PACT principles. The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below.
Fred Hutchinson Cancer Center

Advanced Practice Provider: Long Term Float

Overview Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington. With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality. At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. The ARNP/PA-C is a certified physician assistant or advanced registered nurse practitioner who provides evaluation and medical management of multiple service lines of adult hematology oncology patients at Fred Hutch. They follow patients during their chemotherapy and provide medical supportive care, as well as surveillance after completion of treatment. The Float ARNP/PA-C may work on a variety of hematology oncology teams, at any of the Fred Hutch campuses, to assess and manage basic health needs of patients, address treatment toxicities, perform procedures, monitor for cancer progression or recurrence, and consult with professional peers as needed. They work collaboratively with the treatment team to coordinate care of their patients. All clinical responsibilities are performed within the scope of practice, institutional privileges and under the supervision of an attending physician. Responsibilities Performs complex and problem-focused H & P’s Evaluates and manages on-treatment and post-treatment side effects, as well as long-term surveillance and survivorship issues. Collaborates and consults with other disciplines and services to ensure safe, effective, and timely treatment as well as continuity of patient care. Participates in the conduct of cancer clinical research Provides patient, caregiver, and peer education Communicates effectively with inpatient and outpatient teams Participates in patient rounds, conferences and committees Active member of the Rapid Response/Code Team Qualifications Required: Must be a graduate of a Physician Assistant training program or Nurse Practitioner program and be able to practice in the state of Washington (licensed). One year of ARNP or PA-C experience in Medical Oncology or Hematology required. Two years’ experience preferred. Strong collaborator and ability to work as part of a multi-disciplinary team is essential Graduate of an accredited Physician Assistant or Nurse Practitioner program DEA licensure required upon credentialing ACLS certification within 3 months of hire Strong oral and written communication skills EMR experience The annual base salary range for this position is from $126,984.00 to $200,678.00, and pay offered will be based on experience and qualifications. This position may be eligible for relocation assistance. Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks). Additional Information We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.