Summary This position is located in the Primary Care Medicine Clinic at Phoenix Indian Medical Center within Ambulatory Services. The incumbent serves as the Employee Health/Team Support Nurse Practitioner. As a licensed independent medical staff provider, the Nurse Practitioner (NP) provides comprehensive direct care to ambulatory patients in Primary Care and supports the Employee Health Program. Responsibilities Works as the Employee Health NP, assisting Employee Health RNs with orders and assessments for employees Provides comprehensive direct care to ambulatory patients in the adult-based Primary Care clinic, including health status evaluation and education, diagnostic assessment, preventative care, same day/urgent care, treatment, care coordination, and follow-up Utilizes national standards of care and nationally accepted clinical guidelines within an evidence based framework for managing patient care Works as a team support NP to the primary care providers, with a focus on coaching and consulting with other nurses to further ambulatory professional nursing practice Responsible for comprehensive evaluation, management, and follow-up of chronic and acute conditions in the Ambulatory Care setting, including complex co-morbid conditions like Hypertension, Diabetes, Cardiovascular Disease (CVD), Chronic Kidney Disease (CKD), Chronic Obstructive Pulmonary Disease (COPD), Asthma, Obesity, auto-immune disorders, and Congestive Heart Failure (CHF) Requirements Conditions of Employment Must pass pre-employment examination. Selectee may be subject to a probationary period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Confidential Financial Disclosure Form required. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. The selected individual is required to obtain and maintain medical staff clinical privileges, including any licensure requirements. If privileges are not obtained or maintained during employment, the employee will be subject to adverse actions, up to and including removal from Federal service. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. Direct deposit is required. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. 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; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. Note: Employees currently assigned to positions in this occupational series as of September 2017 will be considered to have met the basic requirements for the position occupied. Education: Applicants must possess a graduate or higher level degree, bachelor's degree, associate degree or diploma from an accredited professional nursing educational program. 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. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Advanced Practice Nurse Positions: For Advanced Practice Nurse (APN) positions, applicants must possess a graduate or higher level degree in nursing from an accredited educational program in the area of expertise or specialty indicated by the position. Area of specialties for positions may include, but are not limited to: Acute Care, Anesthesia, Geriatric, Midwifery, Oncology, Pediatric, Psychiatric, Women's Health, Cardiovascular, Dermatology, Occupational Health, Orthopedic, Respiratory or other specialties identified for the position. Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess 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. Additional Licensure Requirement for Advanced Practice Nurse Positions: Applicants for Advanced Practice Nurse positions must be licensed or registered by a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States in the clinical specialty required by the position. Experience: The work experience must have equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. At the GS-9 and above grade level, many positions may require experience in a specialty area of nursing. To view the Basic Requirement breakdown of the Nursing Series 0610 by Grade Level can be view here: https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/0600/nurse-series-0610/ In addition to the Basic Requirements, all applicants must meet the minimum qualifications. MINIMUM QUALIFICATIONS GS-11: Completion of all requirements for a doctoral degree (Ph.D.) from a professional Nurse Practitioner program OR 1 year of specialized experience equivalent to at least the GS-09 level utilizing professional nursing principles and procedures and extensive clinical experience in practitioner specialty setting. Examples Include: Within the ambulatory care area, the incumbent provides independent diagnostic, preventive and therapeutic nursing and medical services for patients of varying complexity and advanced nature utilizing advanced clinical and analytical skills. The range of services provided includes health status evaluation and education, diagnostic assessment, preventative care, same day/urgent care, treatment, care coordination, and follow-up. MINIMUM QUALIFICATIONS GS-12: 1 year of specialized experience as Nurse Practitioner equivalent to at least the GS-11 grade level responsible for comprehensive evaluation, management and follow-up of chronic and acute conditions in practitioner specialty setting. Examples Include: Makes a diagnosis by: utilizing critical thinking in the diagnostic process; synthesizing and analyzing the collected data; formulates a differential diagnosis based on the history, physical examination, and diagnostic test results; establishes priorities to meet the health and medical needs of the individual, family, or community. Works as a nurse practitioner in an outpatient setting. You must meet all qualification requirements by the closing date of the announcement. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information This position is eligible for workplace flexibilities which may include remote work or telework options, and/or flexible work scheduling. These flexibilities may be requested in accordance with the HHS Workplace Flexibilities policy. https://www.hhs.gov/about/agencies/asa/ohr/hr-library/990-1/index.html. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. Recruitment and/or Relocation Incentives may be authorized and is subject to availability and service unit approval. If offered, you will be required to sign a one (1) year service agreement. Failure to fulfill the service agreement will result in repayment of the incentive. The Indian Health Service (IHS), National Health Service Corps (NHSC), and the Health Resources and Services Administration (HRSA) have student loan repayment programs for qualifying health disciplines. This is a competitive process separate from the hiring process. Opportunities for LRP are based on agency hiring priorities and availability of funds. For additional information please visit: For IHS - http://www.ihs.gov/loanrepayment/ For NHSC - https://nhsc.hrsa.gov/loanrepayment/ For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps This position has promotion potential to the GS-12 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.