Defense Health Agency (DHA)

NURSE (CLINICAL/EMERGENCY DEPARTMENT)

Overview NURSE (CLINICAL/EMERGENCY DEPARTMENT) Irwin ACH Ft Riley, KS Irwin Army Community Hospital (IACH) at Fort Riley is uniquely located in the rolling Flint Hills region of Northeast Kansas. Nestled between Junction City (pop. 25,000) and Manhattan (pop. 57,000), the local area has an abundance of outdoor activities where you with unlimited opportunities to fish, hike, swim, and explore! Enjoy BigXII college sports and entertainment at Kansas State University in Manhattan; as well as a thriving night life. Experience travel simplified at the Manhattan Regional Airport or international travel through Kansas City International Airport. Manhattan has been recognized on the following for its quality of life: . #3 on a list of Best Small Places for Business and Careers (Forbes) . Top 10 Places to Retire (Money Magazine) . Top 50 College Towns in America (Best College Reviews) . Top 10 Best Places to Retire Young (CNN Money) . Top 100 Places to Live in America (Livability) Join #TeamIACH, your home in the Flint Hills; making Fort Riley the best place in the Army for Soldiers to live, train, deploy from, and come home to. Our civilian team members are eligible for full federal benefits packages which include: 401k (TSP, 5% match) Retirement pension (FERS, five years to be vested) Health, life, long-term, vision, and dental insurance for the employee and family members Competitive pay, regular cost of living and time in service base salary increases. Performance awards Paid on-the-job training and developmental opportunities Ten paid federal holidays, ample vacation days, separate sick leave that does not expire Recruitment and retention incentives Paid relocation costs Free parking at work USO Airport Lounge Access Access to MWR services and activities which include childcare options Military service buy-back eligibility 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 Duties: Provide emergency department clinical nursing care to patients of any age group. Perform triage, while considering both physical and psychosocial elements. Assess incoming patients and prioritize patient care based on need, available staffing, and patient acuity. Provide nursing care to patients presenting for urgent or emergent care using knowledge of professional nursing theories, principles, and procedures. Observe, monitor and assess patients' conditions. Teach, onboard and mentor professional and paraprofessional nursing staff. Interview and take medical histories, to acquire medically necessary information to assess physical and mental status of patient. Teach patients and significant others how to manage their illness/injury. Conduct and participate in the development, implementation, coordination, and evaluation of facility, department, or unit-based programs. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or 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 Nurse: Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program 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.). 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. Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required.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. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing nursing care to ambulatory patients, administering medications and providing education to patients or nursing staff.OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.
Defense Health Agency (DHA)

Nurse (Clinical/Psychiatric)

Overview Irwin Army Community Hospital (IACH) at Ft Riley is uniquely located in the rolling Flint Hills region of Northeast Kansas. Nestled between Junction City (pop. 25,000) and Manhattan (pop. 57,000), the local area has an abundance of outdoor activities where you with unlimited opportunities to fish, hike, swim, and explore! Enjoy BigXII college sports and entertainment at Kansas State University in Manhattan; as well as a thriving night life. Experience travel simplified at the Manhattan Regional Airport or international travel through Kansas City International Airport. Manhattan has been recognized on the following for its quality of life: . #3 on a list of Best Small Places for Business and Careers (Forbes) . Top 10 Places to Retire (Money Magazine) . Top 50 College Towns in America (Best College Reviews) . Top 10 Best Places to Retire Young (CNN Money) . Top 100 Places to Live in America (Livability) Join #TeamIACH, your home in the Flint Hills; making Fort Riley the best place in the Army for Soldiers to live, train, deploy from, and come home to. Our civilian team members are eligible for full federal benefits packages which include: 401k (TSP, 5% match) Retirement pension (FERS, five years to be vested) Health, life, long-term, vision, and dental insurance for the employee and family members Competitive pay, regular cost of living and time in service base salary increases. Performance awards Paid on-the-job training and developmental opportunities Ten paid federal holidays, ample vacation days, separate sick leave that does not expire Recruitment and retention incentives Paid relocation costs Free parking at work USO Airport Lounge Access Access to MWR services and activities which include childcare options Military service buy-back eligibility 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 MAJOR DUTIES1. Performs a comprehensive behavioral health nursing assessment and history to plan, provide and direct nursing care across the continuum of care. Utilizes appropriate interview skills to identify existing and potential problems, and formulates a nursing plan of care. Describes in writing the patient's appearance, emotional status, interaction with staff and/or family, and knowledge level of disease process. Utilizes and instruct others in the use of single and specialized equipment as appropriate to clinical area. Utilizes the nursing process to identify patient problems and generate nursing diagnoses; designs a plan of care, writes and implements nursing orders to achieve established goals, evaluates nursing interventions based upon the patients response to care, documents patients status on a continual basis and revises plan of care accordingly.2. Develops and initiates an innovative teaching program for patients requiring special approaches. Teaches patient and family members regarding the disease process; treatment modalities; diagnostic procedures; use of equipment related to disease/care; expected and possible adverse reactions to medications; discharge planning; health maintenance; and illness prevention. Communicates progress and/or changes to the patient, family and members of the health care team. Initiates emergency measures as appropriate. Makes interdisciplinary referrals. Identify pending crisis situations and handle appropriately.3. Administers many psychotropic and complex medications via the oral, intramuscular, subcutaneous, intradermal, topical, rectal, respiratory, intravenous routes. Makes independent judgments in the administration of PRN medication. Reinforces the basic knowledge of the patient regarding their prescribed medication regimen and the importance of compliance.4. Develops and present classes related to psychiatric/behavioral health nursing to enhance the knowledge base of peers and subordinates. Participates as an active member in classes that are sponsored by other members of the multidisciplinary team; in that the classes are part of the program established for patient care. Participates in group and milieu therapy as well as individual therapies. Coordinates patient enrollment in experiential classes that are conducted by various members of the interdisciplinary team. Participates in inter-disciplinary team planning conferences. Serves as role model and teacher for other personnel, including experienced and fully trained nurses5. Directs the work of Psychiatric Technicians, Licensed Practical Nurses, Registered nurses, students and volunteers. Assumes charge nurse responsibilities as assigned.PERFORMS OTHER DUTIES AS ASSIGNED. Qualifications QualificationsWho May Apply: US Citizens Basic Requirement for Nurse (Clnical/Psychiatric): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program 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.). 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. Experience: At least 1 year providing comprehensive nursing care to psychiatric or behavioral health patients, providing patient education, and assisting in developing patient care plans.
Defense Health Agency (DHA)

Labor & Delivery Nurse (Inpatient/RN)

Overview Labor & Delivery Nurse (Inpatient/RN) , Tacoma, WA About the Position: This position is a GS-12 staff RN position on the Labor and Delivery Unit at Madigan Army Medical Center in Tacoma, WA. This is a Direct Hire Solicitation Salary negotiation is available for candidate A Recruitment and relocation incentive is available to candidates that qualify At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunties. 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. 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 Seattle, Tacoma, and the welcoming neighboring communities. 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 new 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: Provide sufficient information to patients, parents, on pre- and post- admission and/or operative education, disease process and complications, and medication administration. Coordinate case management needs with the case and outcomes management team. Participate in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. Perform procedures, treatments, and medication administration. Serve as Charge Nurse on a rotational basis. Conduct an advanced level of specialized obstetrical and gynecological nursing care to patients based on a provider’s medical care plan and the physical, mental, and emotional needs of the patient and family. Provide comprehensive professional nursing care to OB/GYN patients and their newborns with medical conditions ranging from routine care to those having complex complications requiring sophisticated, highly technical care and treatment. Perform other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or 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 Nurse (Inpatient Clinical/Obstetrics-Gynecology): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program 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.) 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. 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. 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:Nursing Experience: One or more full years of professional nursing experience (equivalent to the GS-11 grade level or above) in the federal service which includes providing intrapartum and gynecological care to adult and adolescent patients; educate patients on care plans and assist in clinical procedures. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Defense Health Agency (DHA)

Advanced Practice Nurse (MIDWIFE)

Overview Advanced Practice Nurse (MIDWIFE), Irwin ACH Ft Riley, KS About the Position: This position located at the Irwin Army Community Hospital in Fort Riley, Kansas. Salary negotiation may be available for those candidates who are new to Federal service. A recruitment or relocation incentive may be authorized. Student Loan repayment may be authorized. Non-Federal work experience may be creditable for leave purposes. Irwin Army Community Hospital (IACH) at Fort Riley is uniquely located in the rolling Flint Hills region of Northeast Kansas. Nestled between Junction City (pop. 25,000) and Manhattan (pop. 57,000), the local area has an abundance of outdoor activities where you with unlimited opportunities to fish, hike, swim, and explore! Enjoy BigXII college sports and entertainment at Kansas State University in Manhattan; as well as a thriving night life. Experience travel simplified at the Manhattan Regional Airport or international travel through Kansas City International Airport. Manhattan has been recognized on the following for its quality of life: . #3 on a list of Best Small Places for Business and Careers (Forbes) . Top 10 Places to Retire (Money Magazine) . Top 50 College Towns in America (Best College Reviews) . Top 10 Best Places to Retire Young (CNN Money) . Top 100 Places to Live in America (Livability) Join #TeamIACH, your home in the Flint Hills; making Fort Riley the best place in the Army for Soldiers to live, train, deploy from, and come home to. Our civilian team members are eligible for full federal benefits packages which include: 401k (TSP, 5% match) Retirement pension (FERS, five years to be vested) Health, life, long-term, vision, and dental insurance for the employee and family members Competitive pay, regular cost of living and time in service base salary increases. Performance awards Paid on-the-job training and developmental opportunities Ten paid federal holidays, ample vacation days, separate sick leave that does not expire Recruitment and retention incentives Paid relocation costs Free parking at work USO Airport Lounge Access Access to MWR services and activities which include childcare options Military service buy-back eligibility 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 Major Duties: Serve as Nurse Midwife for an Army Medical Hospital, providing management and care of mothers and babies throughout the maternity cycle. Collaborate with Obstetricians and Gynecologists when caring for women with obstetric, gynecologic, and general medical complications in both the ambulatory and inpatient settings. Perform accurate history and physical examination on obstetric, gynecologic, and neonatal patients. Perform and/or request laboratory, radiologic and other diagnostic and screening tests, interpret results, and assess specific problems/complications. Provide inpatient obstetrical care including labor management and vaginal delivery. Start intravenous infusions; select and administer appropriate analgesia and anesthesia according to protocols. Provide well woman care to include family planning, counseling and the prescription of contraceptives. 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 (Midwife): Degree: A graduate or higher-level degree from an accredited professional nursing educational program in Midwifery 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. APRN Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Midwifery 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 GS-12: One or more full years of professional nursing experience which includes performing physical exams, and managing labor and childbirth, and prescribing medications.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)

Advanced Practice Registered Nurse (Nurse Midwife)

Overview Advanced Practice Registerd Nurse (Nurse Midwife), Ft Campbell, KY About the Position: This position is located at Blanchfield Army Community Hospital, Department of Obstetrics/Gynecology, Fort Campbell, Tennessee. This is a Direct Hire Solicitation Occupying a generous portion of the border between Kentucky and Tennessee, Fort Campbell supports the fourth largest military population in the Army (and the 7th largest in the Department of Defense). The Screaming Eagles of the 101st Airborne Division (Air Assault), 5th Special Forces Group, and the 160th Special Operations Aviation Regiment all call this base home. The Sabalauski Air Assault School (famed for being the “10 toughest days in the Army”), the Pathfinder Course, Rappel Master, and FRIES/SPIES Master are just a few of the other schools and qualification courses available at Fort Campbell. A majority of Fort Campbell is located in Tennessee, but the post office that serves the base is just across the Kentucky border, giving on post residents and the installation itself the designation of being located in Kentucky. Clarksville, TN and Hopkinsville, KY are the two larger towns that serve the base. The base boasts modern facilities including a huge new commissary, parks, splash pads, a Starbucks, and updated housing. Clarksville is growing, but keeps a mindful eye on preserving its history and “small town” feel. It’s only about 40 minutes north of Nashville, and some areas between the two cities are gaining popularity for being “bedroom communities” for Nashville (ie. where you go to sleep). The low cost of living, home prices, and absence of state income tax are all perks to living in Tennessee. You get the rural, country lifestyle, but with the option of a thriving metro area just a short drive down I-24. Kentucky towns offer the same beautiful rolling hills, sprawling farms, and gracious Southern hospitality as Tennessee, but with a bit more land and a greater horse to person ratio. Into organic produce, pastured beef and forested pork? (It’s a thing — we checked!) You can actually get to know your farmer or rancher, if you’re so inclined! The Nashville music scene bleeds into Clarksville, influencing the caliber of music at festivals, community concerts, karaoke bars, and even church ensembles. Austin Peay University provides an abundance of cultural, sporting, and community events. Parks, shopping, dining, wineries, breweries and entertainment options round out the fairly solid amenities that you’ll find here. The local communities are friendly, laid back, markedly blue collar and love their military! The customs and values are a perfect representation of the “Bible Belt” on which it lies, so don’t make plans for a Sunday without checking if a business is open. Being central to most of the United States makes travel convenient. 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 MAJOR DUTIES Provide independent preventive, therapeutic, and comprehensive obstetric and gynecologic care. Collaborate with physicians regarding patient management, to include evaluating and revising therapeutic plans and managing high-risk, unstable, or extremely complex patients, including the intrapartum setting within scope of practice. Serve as project lead or associate in the design, implementation, monitoring, and evaluation of obstetrics/gynecology healthcare. Perform and/or request laboratory, radiologic and other diagnostic and screening tests. Independently manages labor and childbirth in accordance with clinical privileges. Oversee compliance/adherence with the preventive health care needs of all patients visiting the obstetrics/gynecology clinic. Provide teaching to patients and their families regarding disease processes and diagnostic tests. 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 (Midwife): Degree: A graduate or higher-level degree from an accredited professional nursing educational program in Midwifery 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. APN Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Midwifery 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 ordering and interpreting lab results; managing labor and childbirth; and prescribing medications.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. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (NURSE PRACTITIONER)

Overview ADVANCED PRACTICE NURSE (NURSE PRACTITIONER) About the Position: This position is located at Fairchild Air Force Base in Spokane, Washington.This is a Direct Hire Solicitation Fairchild AFB is located in beautiful Spokane, Washington. Spokane is a beautiful four-season destination where there's always something to do whether you hope to stay in or adventure outdoors. If you're relocating with family, we've got you covered with fun things to do in Spokane to keep the kiddos busy and parents equally entertained. If you consider yourself an outdoor enthusiast, check out our numerous outdoor recreation options in our local and state parks. If you're a night owl, there's an abundance of Spokane nightlife to keep you entertained. If you're ready to dive into our arts and culture scene, we'll show you performances, history, and art museums to admire. Discover upcoming Spokane attractions and events with the latest Spokane event calendar and more! Visit https://www.visitspokane.com/ Fairchild Air Force Base is home to a wide variety of units and missions, the most prominent is the air refueling mission. Fairchild has two wings, the 92nd Air Refueling Wing, and the 141st ARW. Other units include the Air Force Survival, Evasion, Resistance and Escape school, medical detachments, a weapons squadron and the Joint Personnel Recovery Agency. 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 MAJOR DUTIES DUTY 1: Provides comprehensive primary, preventative, and therapeutic health care service to assigned patients in a family practice clinic in a Military Treatment Facility (MTF). Performs comprehensive physical assessments of patients to include baseline data such as past medical and surgical history, family history, social history, and immunization history. Independently diagnoses and manages acute episodic and chronic illnesses including but are not limited to asthma, chronic obstructive pulmonary disease, hypertension, diabetes, arthritis, upper respiratory infections, sexually transmitted diseases, and dermatological or orthopedic conditions; minor traumas; behavior/psychological problems; and short term health issues such as injuries and infections. Performs baby exams, pre-employment physicals, and sports physicals. Performs pre-deployment and post-deployment assessments of active duty personnel. Performs Preventive Health Assessment (PHA)/Reserve Component PHA exams, overseas clearances for dependents, and medical evaluation board (MEB) summaries on military personnel in accordance with annual requirements. Performs or requests special screening and development tests and laboratory tests and interprets the results. Orders, performs, collects, and interprets laboratory tests to include but not limited to electrocardiogram (EKGs), wet preps, wet mounts, hema-occults, routine blood chemistry, hematology, microbiology, bacteriology, virology, toxicology, pathology, and cytology. Orders and interprets the findings of radiological studies, including but not limited to computerized tomography (CT) scans, magnetic resonance imaging (MRIs), X-rays, ventilation/perfusion (VQ) scans, nuclear medicine scans, and other tests that may be necessary for the diagnosis and treatment of a patient. When needed, requests consultations to assist on interpretation of abnormal studies. Performs procedures to include but not limited to biopsies such as shave biopsies, minor suturing, toenail removals, and joint aspirations. Uses knowledge of a variety of pharmacological agents to treat patients based the desired effects, side effects, and potential complications of the pharmacologic agent used. Accurately administrates pharmacologic agent and determines proper dosage calculations. Prescribes and monitors pain management regimes in patients with chronic pain. Uses knowledge of patient education principles and behavioral readiness to change along with knowledge of disease management programs and clinical practice guidelines (e.g., Department of Veterans Affairs (VA)/Department of Defense (DoD) Clinical Practice Guidelines (CPGs), and Healthcare Effective Data and Information Set (HEDIS) measurements to teach patients and family members ways to maintain or improve their health status. Uses patient education materials as appropriate. Maintains electronic medical records or patient paper charts to document medical information and treatment procedures. Incorporates current knowledge of disease and condition management into daily work activities to include evidence-based primary, secondary, and tertiary prevention. Recognizes scope of practice/limitations, consults with a physician and/or medical specialty services as needed, and refers patients as appropriate. Ensures referrals include the appropriate level of severity/urgency of the care needed. DUTY 2: As a Family Nurse Practitioner (FNP), provides comprehensive health care services. Performs procedures, treatments, and orders medications based on assessment results and standards of care. Educates patients and family members on diagnosis, discusses treatment options and makes recommendations, and ensures patients/family members have information required to provide informed consent for treatment. Prescribes medications and adjusts dosage according to patient’s needs and responses, to include appropriate dosing, side effects, and medication interactions. Performs minor diagnostic procedures, such as punch biopsies, mole removal, wart removal, needle aspiration for culture, and shave biopsies. Also performs minor suturing, toenail removals, and joint aspirations. Additionally performs procedures such as intravenous (IV) line placement, dressing changes, catheterizations, wound irrigation, oxygen administration, and specimen collection such as blood and cerebrospinal fluid. Participates with the consulting physician in planning, instituting, evaluating, and revising program plans; assists in determining conditions, resources, and policies essential to the delivery of health care services. In partnership with physicians, makes decisions concerning medical care needs of patients as well as nursing care needs. Provides surveillance of adherence to medical and nursing regimens to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other health team members. Develops family nursing protocol and defines and develops relevant procedures for the facility. DUTY 3: Shares clinical expertise as consultant and instructor. Evaluates clinical practices and collaborates with health care team members to improve patient care delivery IAW evidence based practice standards. Participates in staff development programs. Participates in evaluation of the quality and effectiveness of activities/services of the unit by organizing nursing monitoring and evaluation activities. Submits to and performs peer reviews on providers. Participates in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. DUTY 4: Participates in committees, functions, and other meetings as directed. Serves as a member of various committees, functions, and other meetings as needed. Provides relevant and timely information to these groups. Assists with decision making and process improvement. Serves as a functional expert on family health care for the medical group, serving as an advocate for these functions. PERFORMS OTHER DUTIES AS ASSIGNED Qualifications %MCEPASTEBIN% 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 (Practitioner/Family Practice):Degree: A graduate or higher-level degree from an accredited professional nursing educational program in Family Practice 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. APN Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Family Practice 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 examinations of patients, interpreting laboratory tests, and prescribing medications. 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.
Defense Health Agency (DHA)

Nurse (Progressive Care Unit Nurse)

Overview Madigan Army Medical Center is seeking Progressive Care/Step Down RNs to join our growing team! About the Position: This position is located within the Department of Nursing, management of critical care patients. Tacoma, Washington. Relocation or Recruitment incentives May be authorized to highly qualify candidates. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation The facility 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. Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord 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. On a clear day, 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 Duties: Provide specialized nursing care to assigned patients. Monitor patient condition and implement timely interventions to prevent complications and promote recovery. Initiate appropriate emergency interventions upon recognizing and assessing life-threatening conditions to deliver timely, life-saving care. Initiate advanced cardiovascular life support (ACLS) protocols by preparing and administering high-potency medications such as Nipride, dopamine, atropine, nitroglycerin, and dobutamine to manage life-threatening cardiac conditions. Support physicians during complex and potentially life-threatening procedures, including cardioversion and the placement of invasive lines such as arterial, central venous, and pulmonary artery catheters. Evaluate patient responses by monitoring cardiac output, vital signs, peripheral perfusion, and level of consciousness. Coordinate referrals to appropriate allied health professionals such as Chaplains, Community Health Nurses, and Social Workers based on patient and family needs Administer a combination of high-potency and potentially life-threatening medications through invasive lines as part of critical care interventions. 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 Nurse (Clinical/Critical Care): Degree: A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program 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.). 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. Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credential's evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required. 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: Education and Experience: A diploma, associate degree, or bachelor's degree in nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing care to moderately stable, less complex patients requiring moderate resources and intermittent nursing care, as well as stable patients with a high potential for becoming unstable who require increased monitoring and intensity of care and performing detailed assessments specific to acutely ill patients, administer medications via oral, intramuscular, subcutaneous, intradermal, and intravenous routes, and actively engage in patient advocacy to ensure the highest standards of care and ethical practice are upheld. (Note: You must attach a copy of your transcripts. ) OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field including but not limited to such as e.g., Doctor of Nursing Practice (DNP), Doctor of Public Health (DrPH), or Doctor of Medical Science (DMSc), or other specialties identified for the position. (Note: You must attach a copy of your transcripts.) EXEMPTION: You are exempt from the qualification 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 one of the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing program OR 3 full years of progressively higher-level graduate education from a professional nursing program 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Degree from Foreign Nursing School : Official certification from the Commission on Graduates of Foreign Nursing Schools (external link) is required for individuals who graduated from foreign nursing schools.
Defense Health Agency (DHA)

Nurse (OB/GYN)

Overview Nurse (OB/GYN), Irwin ACH, Ft Riley, KS About the Position: This position is located in the Labor, Delivery, Recovery and Postpartum unit at Irwin Army Community Hospital in Fort Riley, Geary, Kansas. This is a Direct Hire Solicitation. A recruitment or relocation incentive may be authorized. Salary negotiation may be available for those candidates who are new to Federal service. Student Loan repayment may be authorized. Irwin Army Community Hospital (IACH) at Fort Riley is uniquely located in the rolling Flint Hills region of Northeast Kansas. Nestled between Junction City (pop. 25,000) and Manhattan (pop. 57,000), the local area has an abundance of outdoor activities where you with unlimited opportunities to fish, hike, swim, and explore! Enjoy BigXII college sports and entertainment at Kansas State University in Manhattan; as well as a thriving night life. Experience travel simplified at the Manhattan Regional Airport or international travel through Kansas City International Airport. Manhattan has been recognized on the following for its quality of life: . #3 on a list of Best Small Places for Business and Careers (Forbes) . Top 10 Places to Retire (Money Magazine) . Top 50 College Towns in America (Best College Reviews) . Top 10 Best Places to Retire Young (CNN Money) . Top 100 Places to Live in America (Livability) Join #TeamIACH, your home in the Flint Hills; making Fort Riley the best place in the Army for Soldiers to live, train, deploy from, and come home to. Our civilian team members are eligible for full federal benefits packages which include: 401k (TSP, 5% match) Retirement pension (FERS, five years to be vested) Health, life, long-term, vision, and dental insurance for the employee and family members Competitive pay, regular cost of living and time in service base salary increases. Performance awards Paid on-the-job training and developmental opportunities Ten paid federal holidays, ample vacation days, separate sick leave that does not expire Recruitment and retention incentives Paid relocation costs Free parking at work USO Airport Lounge Access Access to MWR services and activities which include childcare options Military service buy-back eligibility 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 Major Duties: Perform duties in inpatient obstetrics Labor, Delivery, Recovery, Postpartum (LDRP) Unit, providing comprehensive specialized nursing care to routine through high risk antepartum, intrapartum and postpartum obstetrical patients and their infants. Perform newborn physical assessments. Provide nursing care for pregnancy induced hypertension, pre-eclampsia, eclampsia, gestational diabetes, multiple gestation, postpartum hemorrhage, uterine rupture, amniotic emboli, high/low birth weights, and infants requiring protective isolation. Teach patients and family members about disease processes, normal newborn and postpartum care, pre and post-operative cares, pre and post diagnostic procedures; expected and possible adverse reactions to medications and health promotion. Set up, operate and maintain a variety of medical equipment in the labor, delivery, recovery, postpartum unit to included fetal-monitors, respiratory and oxygen therapy equipment, intravenous infusion pumps, suctions, infant warmers, delivery tables. Serve occasionally as the Charge Nurse while determining patient care assignments based on the qualifications, capabilities, and skills of available staff. Administer oxygen, IV fluids, perform lab draws, blood products, and prescribed medications. Provide emergency care including initiation of life sustaining measures such as delivery, CPR, hypertension therapy, choking first aid, bleeding control, treatment of injuries, etc., and assists with advanced cardiac life support measures. Coordinate with the multi-disciplinary team (i.e., providers, pharmacists) in the management of obstetric and newborn complications/emergencies and implement interventions to enhance outcomes for post-surgical and gynecologic patients. 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 Nurse (Clinical/Ob-Gyn): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program 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.). 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. Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required.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. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.
Defense Health Agency (DHA)

Nurse (Clinical/Emergency)

Overview **RECRUITMENT OR RELOCATION INCENTIVE UP TO 25% OF NEGOTIATED SALARY MAY BE OFFERED** Madigan Army Medical Center is seeking Emergency Department RNs to join our growing team! This is a Direct Hire SolicitationA recruitment or relocation incentive may be authorized. Salary negotiation may be available for those candidates who are new to Federal service. This job is open to The facility 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. 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 Seattle, Tacoma, and the welcoming neighboring communities. 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 new 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 Provide comprehensive nursing care and treatment to a variety of patients, from newborn to geriatric, arriving with conditions ranging from minor to emergent. Assist physicians in the performance of specialized procedures including, but not limited to, Advanced Cardiac Life Support, insertion of chest drainage tubes, tracheotomies, emergency thoracotomies, gastric lavage, and suturing lacerations. Operate specialized medical equipment such as resuscitators, defibrillators, electrocardiographs, oxygen apparatus, intravenous pumps, rapid intravenous infusers, and infant servo-warmer. Change dressings, prep wounds, remove sutures, insert catheters, apply splints and dressings, and collect urine, stool, sputum, genital, and blood specimens. Arrange transfer of patients to appropriate inpatient care areas and higher levels of care as well as coordinate patient referrals to ancillary healthcare services including, but not limited to, Community Health, Dietary, and Social Work. Follow quality improvement and internal control activities for the ambulatory setting to include risk appraisals, chart audits, trend identification and reporting corrective actions.Performs other duties as assigned. Qualifications Who May Apply: US Citizens Basic Requirements: Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program 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.). 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. One year of licensed experience required.
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.
Defense Health Agency (DHA)

Advanced Practice Nurse (ANESTHETIST)

Overview Advanced Practice Nurse (ANESTHETIST), Irwin ACH Ft Riley, KS Irwin Army Community Hospital (IACH) at Fort Riley is uniquely located in the rolling Flint Hills region of Northeast Kansas. Nestled between Junction City (pop. 25,000) and Manhattan (pop. 57,000), the local area has an abundance of outdoor activities where you with unlimited opportunities to fish, hike, swim, and explore! Enjoy BigXII college sports and entertainment at Kansas State University in Manhattan; as well as a thriving night life. Experience travel simplified at the Manhattan Regional Airport or international travel through Kansas City International Airport. Manhattan has been recognized on the following for its quality of life: . #3 on a list of Best Small Places for Business and Careers (Forbes) . Top 10 Places to Retire (Money Magazine) . Top 50 College Towns in America (Best College Reviews) . Top 10 Best Places to Retire Young (CNN Money) . Top 100 Places to Live in America (Livability) Join #TeamIACH, your home in the Flint Hills; making Fort Riley the best place in the Army for Soldiers to live, train, deploy from, and come home to. Our civilian team members are eligible for full federal benefits packages which include: 401k (TSP, 5% match) Retirement pension (FERS, five years to be vested) Health, life, long-term, vision, and dental insurance for the employee and family members Competitive pay, regular cost of living and time in service base salary increases. Performance awards Paid on-the-job training and developmental opportunities Ten paid federal holidays, ample vacation days, separate sick leave that does not expire Recruitment and retention incentives Paid relocation costs Free parking at work USO Airport Lounge Access Access to MWR services and activities which include childcare options Military service buy-back eligibility 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 Major Duties: Provide anesthesia and related services in accordance with hospital regulatory, licensing and credentialing policies, and with American Association of Nurse Anesthetists (AANA) Guidelines for Nurse Anesthesia Practice and Code of Ethics. Evaluate information and make professional assessment to prescribe the anesthetic plan, utilizing new and evolving pharmacologic technologies, as appropriate. Induce anesthesia to safe, appropriate levels, and manages patient care throughout procedures. Serve as a resource consultant to a wide variety of professional health colleagues, regarding the latest advances in nurse anesthesia and nursing practice. Provide oversight, instruction, and mentorship to other CRNAs, students, trainees, rotators, new or temporary department members, and other hospital staff in the field of anesthesia in both clinical and administrative areas. 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 (Anesthetist): Degree : A graduate or higher level degree from an accredited professional nursing educational program in Anesthesia 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 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 by inhalation, regional, intravenous, local, or topical means; monitoring patients receiving anesthesia care; and providing staff or patient education. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-11).