RN ICU Other
Defense Health Agency (DHA)

NURSE (CLINICAL/CRITICAL CARE EF)

Overview Madigan Army Medical Center is seeking Critical Care RNs to join our growing team! 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. About the Position: These positions are located at Madigan Army Medical Center in Tacoma, Washington. Recruitment or Relocation incentives MAY be authorized. Advance-in Hire/Salary negotiation may be available to candidates who are new to Federal service. This is a Direct Hire Solicitation This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. 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: Deliver advanced, specialized nursing care to critically ill pediatric patients ranging in age from neonate to 18 years. Provide support to physicians during complex and potentially life-threatening procedures, including cardioversion and the insertion of invasive lines such as arterial, venous, and pulmonary artery catheters. Prepare and administer high-risk medications as well as intravenous fluids, in support of initiating advanced cardiovascular life support interventions. Assess patients cardiac output, vital signs, peripheral perfusion, and level of consciousness, and evaluate blood gas results, including arterial and mixed venous oxygen saturation. Assess the effectiveness of nursing interventions based on patient responses and modify the care plan as needed to ensure optimal outcomes. Design Family Nursing Care Plans to support critically ill patients and their families in achieving the highest possible level of physiological, sociological, and psychological. 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 Nurs e (Clinical/Critical Care Expanded Functions): 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: 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) delivering comprehensive care to critically ill pediatric patients in an intensive care setting which included managing patients with complex and life-threatening conditions such as congenital heart disease, kidney failure, and respiratory failure; administering medications through various routes; operating medical equipment including hemodynamic monitoring devices and invasive Thermodilution catheters, and providing continuous support to patients and their families on disease processes, as well as guidance on pre-operative and post-operative care to promote understanding and recovery. (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. 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.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/. 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. Additional information Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration. You will be required to provide proof of U.S. Citizenship. One year trial/probationary period may be required. Direct Deposit of Pay is required. Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees. Recruitment or relocation incentives MAY be authorized for highly qualified candidates. Advance-in Hire/Salary negotiation may be available to candidates who are new to Federal service. Multiple positions may be filled from this announcement. Salary includes applicable locality pay or Local Market Supplement. If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet. Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest. Multiple positions will be filled from this announcement. Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
RN ER Other
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.
RN OB/GYN Other
Defense Health Agency (DHA)

Nurse (Inpatient Clinical/OB-GYN)

Overview Nurse (Inpatient Clinical/OB-GYN) , Tacoma, WA About the Position: This position is located in the Directorate of Nursing, Labor and Delivery Unit at the Madigan Army Medical Center in Tacoma, WA.This is a Direct Hire Solicitation Salary negotiation may be available for those candidates who are new to Federal service. A recruitment or relocation incentive may be authorized 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 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. 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. Serve as Charge Nurse on a rotational basis. Perform procedures, treatments, and medication administration. Participate in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. Coordinate case management needs with the case and outcomes management team. Provide sufficient information to patients, parents, on pre- and post- admission and/or operative education, disease process and complications, and medication administration. 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 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 Schools (CGFNS). Official certification from the Commission on Graduates of Foreign Nursing Schools (CGFNS) 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 Specialize 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 comprehensive obstetric and gynecologic nursing care to adolescent and adult patients; educate patients on care plans and assist with 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/.
LPN Other
Defense Health Agency (DHA)

Practical Nurse

Overview Practical Nurse (Tacoma, WA) About the Position: This position is located within the Department of Family Medicine at Madigan Army Medical Center in Tacoma, Washington. This includes satellite clinics in various locations, along with those located on Joint Base Lewis-McChord. This is a Direct Hire Solicitation Typical duty hours are Monday through Friday from 0730-1600. 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 DUTIES: Provide individualized nursing care to patients of all ages based upon the physician’s medical care plan, the nursing assessment, and the physical, mental, and emotional needs of the patient. Assist the physician with various examinations and diagnostic procedures. Prepare medications and immunizations for administration. Perform routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages. Perform specialized procedures such as cardiac stress testing on treadmills or bicycles. Administers necessary medications for echocardiogram bubble studies and stress testing echocardiograms. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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 Practical Nurse:Licensure: A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below: Experience: One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures, performing duties such as assisting professional health care providers with minor medical procedures; providing individualized nursing care; and administering oral medication and immunizations within an outpatient setting. This definition of experience is typical of work performed at the next lower grade level in the federal service (GS-04).
NP Outpatient Other
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (Family Medicine)

Overview ADVANCED PRACTICE NURSE (Family Medicine), Fort Carson, CO A This is a Direct Hire Solicitation Recruitment or relocation incentive MAY be authorized for highly qualified candidates. Student loan repayment MAY be authorized Salary negotiation MAY be available for those candidates who are new to Federal service. Fort Carson, CO: Located just south of Colorado Springs, Ft. Carson combines scenic beauty, pleasant residential areas, and cultural activities to satisfy every taste. It is an unusually well-rounded military community which offers a variety of recreational and cultural opportunities. World-class ski resorts are available within a short 2 1/2 hour drive, golf courses and biking trails are available on the installation as well as in the surrounding community. Numerous colleges and universities are available for continuing education. 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: Diagnoses disease, illness, disorder or injury, institutes treatment of patients. Evaluates the urgent or emergent care aspects of patient care. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Provides a full range of urgent care and emergency services or crises interventions in the absence of the physician. Writes prescriptions, orders the administration of medications, dispenses medications, and prescribes controlled substance in accordance with scope of practice for Advanced Practice Nurses. Provides supervision and education to rotating nurse practitioner and physician assistant students rotating in the assigned clinical care area Records entries into patients electronic medical record. Performs other duties as assigned. Qualifications Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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 Advance Practice Nurse (Practitioner/Emergency): Degree: A graduate or higher level degree from an accredited professional nursing educational program in Family 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. 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: Specialized Experience: One or more full years of professional nursing experience which includes evaluating and providing care in an urgent care or emergency setting; Making decisions concerning acute care needs of patients and ordering an/or interpreting lab results; Diagnosing disease, illness and/or injury; and instituting treatment of patients by 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.
LPN Other
Defense Health Agency (DHA)

Practical Nurse

Overview Practical Nurse About the Position: This position is located at CBMH Olympia, Washington. The position falls under the leadership of Madigan Army Medical Center, Tacoma, WA- A recruitment or relocation incentive may be authorized.- Salary negotiation may be available for those candidates who are new to Federal service 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 DUTIES: Obtain information from patient and/or family to identify major complaints, symptoms, or reason for seeking health care. Take all vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length. Document patients' chief complaints and other pertinent information in the health record. Set up, operate and monitor specialized equipment, such as cardiac monitor and/or defibrator. Administer oral, intradermal, subcutaneous, intramuscular immunizations to all age groups in accordance with established protocols. Perform teaching to patients and/or family regarding self-care procedures and documents teaching. Recognize adverse signs and symptoms immediately and call for assistance if the situation warrants it. Performs other duties as assigned. Qualifications Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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 Practical Nurse: Licensure: Applicants must possess a current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained. Note: Applicants must upload/submit a copy of their license with their application package. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below: Experience: One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures, performing duties such as taking vital signs; assisting healthcare providers with medical procedures; utilizing a health care information system to input patient data/update records. This definition of experience is typical of work performed at the next lower grade level in the federal service (GS-05). Education 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.
LPN Other
Defense Health Agency (DHA)

Practical Nurse

Overview Practical Nurse. Joint Base Lewis-McChord, Tacoma, WA About the Position: This position is located in the Internal Medicine Clinic at Madigan Army Medical Center in Tacoma, Washington.Typical duty hours are Monday thru Friday from 0730 to 1600.This is a Direct Hire Solicitation. Joint Base Lewis-McChord, WA 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.Tacoma-Pierce County Chamber of CommerceMadigan Army Medical CenterJoint Base Lewis McChord 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 individualized nursing care to patient and/or family members of all ages based upon the physician’s medical care plan, the nursing assessment, and the physical, mental, and emotional needs of the patient. Assist the physician with various examinations and diagnostic procedures. Prepare medications and immunizations for administration. Perform routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages. Recognize adverse signs and symptoms immediately and calls for assistance and if the situation warrants it, performs CPR immediately. Sets up, operates, and monitors specialized equipment. Performs other duties as assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the 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 Practical Nurse:Licensure: A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below: Experience: One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures, performing duties such as assisting professional health care providers with minor medical procedures; providing individualized nursing care; and administering oral medication and immunizations within an outpatient setting. This definition of experience is typical of work performed at the next lower grade level in the federal service (GS-04).
RN OB/GYN Other
Defense Health Agency (DHA)

Nurse (Inpatient Clinical/OB-GYN)

Overview Nurse (Inpatient Clinical/OB-GYN) , Tacoma, WA About the Position: This position is located in the Directorate of Nursing, Labor and Delivery Unit at the Madigan Army Medical Center in Tacoma, WA.This is a Direct Hire Solicitation Salary negotiation may be available for those candidates who are new to Federal service. A recruitment or relocation incentive may be authorized 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 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. 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. Serve as Charge Nurse on a rotational basis. Perform procedures, treatments, and medication administration. Participate in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. Coordinate case management needs with the case and outcomes management team. Provide sufficient information to patients, parents, on pre- and post- admission and/or operative education, disease process and complications, and medication administration. 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 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 Schools (CGFNS). Official certification from the Commission on Graduates of Foreign Nursing Schools (CGFNS) 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 Specialize 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 comprehensive obstetric and gynecologic nursing care to adolescent and adult patients; educate patients on care plans and assist with 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/.
NP Outpatient Other
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (FAMILY MEDICINE)

Overview ADVANCED PRACTICE NURSE (FAMILY MEDICINE) Fort Leonard Wood, Missouri is home of the U.S. Army Maneuver Support Center of Excellence, Army Chemical, Biological, Radiological, and Nuclear School, Army Engineer School, and U.S. Army Military Police School. Fort Leonard Wood trains and educates nearly 90 thousand troops a year. Surprisingly, the Fort also trains Marines, Airmen, Sailors, Coast Guardsmen and international students from allied nations. With more than 22,000 military members and their families, Ft Leonard Wood provides us with a diverse and well skilled population. Fort Leonard Wood, situated in the heart of the Ozark Mountains, is a sportsman’s paradise with some of the most beautiful scenery, hosting many large lakes, rivers, streams, and forests ideal for fishing and hunting. Fort Leonard Wood covers more than 61,000 acres located in Pulaski County with a population of nearly 52,607. Bordering the installation to the north are the towns of Waynesville and St. Robert, with an estimated combined population of 9,170. The installation is situated between St Louis and Springfield, Missouri 1 ½ to 2 hours respectively. Also 30 minutes equidistant between Rolla and Lebanon along I-44. It is also a great place to raise a family along with a low cost of living. 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: Employee provides independent and collaborative specialty, comprehensive and therapeutic health care services, integrating the art and science of nursing into medical practice. Medical management functions performed include assessment of acute, non-acute and chronic clinical and psychological diagnosis, new patient intake/screening, history and physical examination, laboratory and diagnostic studies; to include interpretation, ordering appropriate medications and treatments, providing staff education, and the initiation of a therapeutic plan in accordance with medical practice. Formats a therapeutic plan of care in collaboration with specialty physicians. Implementation includes major emphasis in the areas of patient/family education, assessment, comprehension, and support. The incumbent is responsible for the initiation, implementation and supervision of treatment plans and education for chronic conditions such as; but not limited to, coronary artery disease, endocrine diseases such as diabetes, hyperthyroidism, obesity, hyperlipidemia, and chronic kidney disease. Collaborates with physicians and other team members regarding patient management, to include evaluating and revising therapeutic plans. Provides educational management to patients and their families regarding disease processes and diagnostic tests; the therapeutic regimen including medication, diet and follow-up care; methods of adapting medication and treatment to current lifestyles. Provides counseling to patients and their families for prevention of illness and maintenance of health, in order to assist patients in attaining physical, mental, and social well-being. Oversees compliance with the preventive healthcare needs of adult patients visiting the cinic. Refers high-risk, unstable, or extremely complex patients to the physicians and emergency medicine. Performs emergency care as appropriate. Incumbent will be presenting patient cases and classes for patient care conferences in collaboration with other members of the health care team. Communicates patient management strategies to members of the patient care team. Collaborates with physicians regarding patient management, to include evaluating and revising therapeutic plans. Serves in a leadership position and is recognized as a consultant and role model to other health care professionals both within, and outside, the institution. Develops and/or conducts in-service education programs for other health care professionals. Serves as advisor/member of committees as needed. Develops, reviews, and appropriately updates policies, protocols, standards of nursing practice, standard operating procedures and scope of practice regarding adult, adolescent, pediatric and geriatric patient care in collaboration with the multidisciplinary members of the health care team. Performs other duties as 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 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.
NP Other
Defense Health Agency (DHA)

Advanced Practice Nurse ( Family Practice)

Overview Advanced Practice Nurse ( Family Practice) Tacoma, WA (Madigan AMC) A recruitment or relocation incentive may be authorized. Salary negotiations may be available for those candidates who are new to Federal service. 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 DUTIES: Provide 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. Direct primary health care provider in the capacity of a credentialed Nurse Practitioner to provide primary care services to patients. Perform a variety of complex duties involving the full range of medical care that involves isolating and defining unknown medical conditions. Develop new techniques and establish criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Plan with other professionals, and agencies involved in providing primary care services to patients and their family members, and coordinates the primary care provided. Examine 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 assessment of the patient. Performs other duties as assigned. Qualifications US Citizenship required At least one year of licensed clinical experience AFTER finishing APRN program Applicants must have passed the National Council Licensure Examination and 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.
NP Outpatient Other
Defense Health Agency (DHA)

Advanced Practice Nurse Practitioner (Family Medicine)

Overview Advanced Practice Nurse Practitioner (Family Medicine) Fort Leavenworth, Kansas About the Position: This position is located at Army Health Clinic Munson, Fort Leavenworth, Kansas.This is a Direct Hire SolicitationA recruitment or relocation incentive may be authorized.Non-Federal work experience may be creditable for leave purposes.Salary negotiation may be available for those candidates who are new to Federal service. Fort Leavenworth is located near the Greater Kansas City metropolitan area. The immediate area is considered a national treasure with historic sites and homes filled with small-town charm and friendliness merged with Kansas City retail, attractions and entertainment. Kansas City, well known for its BBQ, Jazz and fountains, is rich in culture with a thriving performing arts scene. Honored as one of the World's 15 Most Beautiful Concert Halls, the Kauffman Center attracts some of the world's most renowned performers and entertainers. For the sports enthusiasts, Kansas City hosts professional sports with the Royals, Chiefs and Sporting Kansas City soccer club. An international airport is conveniently located within a 30 minute drive of Fort Leavenworth. 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: Work as a primary health care provider in a clinical setting. Provide urgent and non-urgent care for all patients. Obtain a health history from the patient and records findings. Perform special screening and diagnostic tests, request laboratory tests and radiographic studies and uses the results in assessing the patient's medical problems. Provide advice and screens patients by telephone and in person to determine nature and urgency of their problems. Assess the physical and psychological health status of patients and their families through health and developmental history-taking and physical examination in accordance with (IAW) established protocols. Develop and provide individual and group patient health teaching as appropriate on topics related to health promotion. Prescribe a variety of medications to patients based on the medical treatment facility (MTF) formulary. 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 (Nurse Practitioner):Degree: A graduate or higher level degree from an accredited professional nursing educational program in Advanced Practice Nursing 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.). 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. Licensure: Applicants must have passed the National Council Licensure Examination and 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 License Requirements: 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. 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:Experience GS-12: At least one full year of professional nursing experience equivalent to the next lower grade GS-11. Professional Nursing Experience is defined as: performing physical examinations, ordering or interpreting lab results, and prescribing medications.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.
NP OB/GYN Other
Defense Health Agency (DHA)

Advanced Practice Nurse (OB/GYN)

Overview Advanced Practice Nurse ( OB/GYN) Tacoma, WA 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 1. Serve as an Advanced Practice Nurse (APRN) for Madigan Army Medical Center (MAMC) at Joint Base Lewis McChord (JBLM). As an APRN, serve as a direct Obstetrics and Gynecology (OB-GYN) health care provider in the capacity of a credentialed Nurse Practitioner to provide OB-GYN care services to female patients; making 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 APRN 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. Provide independent, primary, comprehensive and therapeutic health care services, to include examining, assessing, diagnosing, and treating patients in the OB-GYN Clinic. Identify and manage, according to outlined protocols, own case load of antepartum and postpartum patients, and those with gynecologic problems: counsel on menopausel, infertility, contraceptive and related health concerns. See unscheduled walk-in patients at specified times for identification and management of acute minor gynecologic or obstetric illnesses. See patients with abnormal pap screens. Obtain and record a problem oriented health history, to include chief complaint, a history of present illness, past medical history, family history and review of systems. Perform a systematic physical examination and interpret abnormal and normal findings. Perform routine gynecologic examinations, to include abdominal palpation, breast examination, and pelvic examination. Pap smears, and laboratory specimens to rule out vaginal infections. Order and interpret related laboratory and diagnostic tests. Discriminates between normal and abnormal findings in order to make a nursing diagnosis regarding physical, emotional, or social disabilities. Develop a problem list if indicated, implementing a therapeutic plan for each problem. Prescribe medications approved by the Therapeutic Agents Board. Provide teaching to patients and their families regarding the disease process, diagnostic tests, the therapeutic regimen including medication, diet and follow-up care; methods of adapting medication and treatment to current life styles; pregnancy, labor and delivery, and postpartum; methods of contraception; infertility, menopause, and prevention and treatment of sexually transmitted diseases. Provide counseling to patients for prevention of illness and maintenance of health; in order to assist patients in attaining physical, mental and social well-being. Secure a health and medical history from the patients or family member, record findings and make clinical evaluation. Examine patients and perform initial patient work- up and assessment of patient's care and treatment; and determine the need for and order laboratory tests, X-rays and other procedures necessary to complete assessment of the patient. Discriminate between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Provide surveillance of adherence to medical and primary care practices and procedures to care for OB-GYN patients; adjust regimens within established protocols recognizing when to refer the patient to the physician or other primary care members. Make decisions concerning care needs of patients that impacts the care of other healthcare professionals and ancillary staff; work independently and collaboratively with physicians in patient management, evaluation and revision of therapeutic plans; and refer extremely or selected complex medical problems to physician. 2. Independently develop new techniques and establish criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Collaborate with other professionals, and agencies involved in providing OB-GYN care services to patients and their family members, and coordinate the care provided. Develop and recommend new approaches for providing improved, quality primary care for military and their family members and other clients of the hospital. Provide consultation, teaching, and coordination with patients and their family members regarding treatment and medical care. Document in patients’ record all observations, plans, treatments, and other important findings. Identify those components of the care plan which may be appropriately delegated to other nursing personnel. 3. Consult with other professional and paraprofessional staff throughout the institution on women’s health issues. Supervise and instruct students in clinical experiences. Coordinate or conduct in-service education programs for other health care professionals. Serve as advisor/member of committee as needed. Participate in ongoing peer review with other APRNs. Develop protocols in collaboration with physicians. Involved in continuous professional self-growth through attendance at seminars and classes and by subscription to professional journals. Initiate emergency care as appropriate. Perform other duties assigned. Qualifications US Citizenship required At least one year of licensed clinical experience AFTER finishing APRN program Applicants must have passed the National Council Licensure Examination and 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.
NP Other
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (NURSE MIDWIFE) GS-12

Overview ADVANCED PRACTICE NURSE (NURSE MIDWIFE) GS-12 Tacoma, WA About the Position: This position is located at Madigan Army Medical Center (MAMC), Tacoma, WA.This is a Direct Hire Solicitation 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 Duties: Provide independent, preventive, therapeutic, and comprehensive obstetric and gynecologic care. Collaborate with Obstetricians and Gynecologists when caring for women with obstetric, gynecologic, and general medical complications in both the ambulatory and inpatient settings. Perform and/or requests laboratory, radiological, and other diagnostic and screening tests. Administer appropriate analgesia and anesthesia. Teach hospitalized OB/GYN patients on the nursing unit. Perform other duties 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 Advanced Practice Nurse (Nurse Midwife) : 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. AND Degree for Advanced Practice Registered Nurse Positions: A graduate or higher level degree in nursing from an accredited educational program in Midwifery. OR 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. AND Licensure: Applicants must have passed the National Council Licensure Examination and 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. In addition, applicants must possess licensure or registration by a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States in Midwifery. In addition to meeting the basic requirement above, to qualify for this position you must meet the qualification requirements listed below: Experience: At least one full year of professional nursing experience (equivalent to the GS-11 grade level). Professional Nursing Experience is defined as: One year of professional experience performing physical exams on obstetric or gynecologic patients, ordering or interpreting lab results and providing postpartum care. 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.
LPN Outpatient Other
Defense Health Agency (DHA)

Practical Nurse (Family Medicine)

Overview This position is located at Fox Army Health Clinic, Redstone Arsenal, Hunstville, AL. Fox Army Health Center (FAHC) provides access to quality and cost-effective primary care for patients while maintaining a state of readiness for mobilization. The mission of the health center is “Provide responsive, innovative and reliable health services, influencing health to improve readiness, save lives and advance wellness in support of the force, military Families, and all those entrusted to our care.” It is striving to become the premier model of organizational and beneficiary wellness through the Army’s medical community. FAHC’s Patient Centered Medical Home is comprised of three teams, Blue Team, Red Team and White Team. The mission of the FAHC Blue Team is to optimize the health, well-being, and medical readiness of Soldiers. They accomplish this through our dedicated approach to Warfighter Medicine, and provide physical exams, medical readiness and deployment screenings in support of the military’s wartime mission. The Red & White Team provides comprehensive medical care to the beneficiaries of FAHC, and offers a range of services including adult and family medicine as well as pediatrics and minor outpatient procedures. All TRICARE Prime patients enrolled to FAHC and assigned to this clinic will have a Primary Care Manager (PCM). TRICARE Prime patients will coordinate specialty care through their PCM, thereby ensuring continuity, timeliness and appropriateness of referrals. The Advice Nurse system is available after normal business hours. In addition to an extremely busy outpatient pharmacy service, FAHC provides laboratory and radiological service. The Behavior Health Division provides mental health treatment. The Wellness Center’s functions are to provide patient and community health education and promotions, environmental health activities, and surveillance of communicable diseases. Responsibilities As a Practical Nurse you will: Obtains information from patient and/or family to identify major complaints, symptoms, or reason for seeking health care. Takes all vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length); performs a behavioral health screening. Documents patients' chief complaints and other pertinent information in the health record. Documentation will also include medication reconciliation, screening tools, and behavioral health intake surveys. Participates in promoting patient compliance with health activities in accordance with RESPECT-Mil. Coordinates and facilitates follow-up care, communicates relevant information according to the medical plan of care and nursing assessment, and documents accordingly in the health record. Provides individualized nursing care to patients of all ages based upon the physician’s medical care plan, the nursing assessment, and the physical, mental and emotional needs of the patient. Assists the physician with various examinations and diagnostic procedures. Sets up and maintains a sterile field; understands the proper positioning of patients required for various procedures. Administers oxygen, IV fluid and prescribed oral, rectal, subcutaneous and intramuscular medications. Performs inhalation treatments, finger-stick glucose, urine dipsticks, visual acuity, phlebotomy, dressing changes, and surgical instrument cleaning and packaging after use. Educates patients and family members on childcare and school requirements for children on medications. Assures accurate care and handling of specimens. Performs routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages. Recognizes adverse signs and symptoms immediately and calls for assistance and if the situation warrants it, performs CPR immediately. Sets up, operates and monitors specialized equipment, such as cardiac monitor, defibrillator, etc. Assists with complete examinations dealing with the surety missions.Screens and reviews immunization records IAW AR 40-562 and unit Standard Operating Procedures to select required immunizations, correct dosages, and routes of administration. Review requires transcription of information to medical records and official school forms. Documents administration on SF 601 and PSH 731, IAW AR 40-562 in AHLTA or manually. Administrative duties include inputting data into the computer and retrieving information such as laboratory and diagnostic procedure results. Other computer related duties include the use of the Composite Health Care System (CHCS), the completion of workload accountability documents through the Ambulatory Data System (ADS forms) on same day service and Medpros entry. Documents administration utilizing IAW Ambulatory Quality Assurance criteria. Administers oral, intra-dermal, subcutaneous, intramuscular immunizations to all age groups IAW established protocols. Maintains accountability for actions and control of vaccines. Documents interventions and patients’ response to care. Communicates relevant information to healthcare team. Recognizes signs and symptoms of untoward effects of immunization and/or allergen extracts. Maintains certification in Basic Cardiac Life Support and demonstrates ability to initiate cardiopulmonary resuscitation in the event of an anaphylactic reaction and/or cardiopulmonary arrest. Performs teaching to patients and/or family regarding self-care procedures and documents teaching. Instructs parents/guardians regarding normal verses adverse reactions to immunizations and treatment for normal reactions of discomfort. Reviews laboratory results and brings abnormal results to attention of physician. Per physician’s instruction, telephones patient regarding follow-up required and documents in records. Performs patient education for special needs such as medication administration, inhaler and spacer use, self dressing changes, ostomy care, finger-stick and glucose meter use, drawing up and injection of insulin and glucagon, and asthma home monitoring with peak flow meters and nebulizer use. Educates patients and family members on childcare and school requirements for children on medications. Completes necessary paperwork for school (sick slips, asthma care plan, etc.), for provider signature. Also teaches patients early warning signs for early detection of diseases. Performs both administrative and logistical tasks as a member of the healthcare team for the clinic by contributing to maintaining the environment and resources to deliver healthcare. Reviews expiration dates for medications, vaccines, and supplies; and initiates the reorder. Coordinates with designated clinic administrative staff for maintenance of adequate vaccines and supply levels. In the absence of the medical receptionist, assists with the responsibilities for checking patients into the system, completion of records and other clerical duties as assigned. Reviews laboratory results and brings abnormal results to the attention of the physician and per physician’s instructions, telephones patients regarding any follow-up care that is required. Duties include the use of automated systems (i.e. Armed Forces Health Longitudinal Technology Application (AHLTA), Composite Health Care System (CHCS), Medical Operational Data System (MODS) and the Medical Protection system (MEDPROS). Reviews chart for coding compliance and ensures all procedures are documented to obtain accurate capture of workload. Attends mandatory training as directed by supervisor or command. Will be trained in documenting adverse medication reactions in the VAERS or local system. Participates in and may coordinate performance improvement activities. Qualifications US Citizenship required Special incentives that may be authorized include: recruitment/relocation incentive; student loan repayment; and advance in-hire A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia. At least one year of experience which prepared you to do the work in this job.
Defense Health Agency (DHA)

Supervisory Nurse (Clinical/Neonatal Intensive Care Unit) GS-0610-12

Overview This position is with the Defense Health Agency at Womack Army Medical Center in Fort Bragg, North Carolina. This is an employed civilian Supervisory Nurse (Clinical/Neonatsal Intensive Care Unit)position that affords job security, a competitive base salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 11 days paid Federal Holidays, a sick leave benefit, CME opportunities, and a first-class health and retirement benefit package. Named after Medal of Honor recipient, PFC Bryant H. Womack, we are a fully accredited 110-bed, evidenced-based regional medical center and GME facility serving Fort Bragg, the home of Airborne and Special Operations and the largest U.S. Army installation in the world. We manage several outstanding Primary Care practice sites located in Fort Bragg, Fayetteville, Hope Mills, and Linden Oaks. Womack is located in Fayetteville, Fort Bragg which is 2 hours from the beach and 5 hours from the Appalachian Mountains with easy access to I-95 and all points north and south. This central North Carolina location enjoys seasonably palatable weather year-round. Many facilities and services are offered such as first class golfing venues and renowned universities, a skeet range, riding stables, ice skating rink, state-of-the-art fitness centers, daycare, star-quality dining, full service banking, convenience shop, barbershop, and florist. Responsibilities As a Clinical/Neonatal ICU Supervisory Nurse you will: Performs a variety of supervisory, administrative, and clinical duties as the Supervisor (Head Nurse) of the NICU Plans work to be accomplished by subordinates, sets and adjusts short term priorities and prepares schedules for completion of work Develops staff in effective interpersonal communication and critical thinking skills Evaluates nursing interventions based on patient's response and revises nursing care plan accordingly. Develop nursing care assignments to various skill levels of professional and nonprofessional personnel. Supervise nursing staff, managed shift assignments, and conducted performance evaluations. Lead training programs, ensuring cross-training and neonatal education for staff. Contribute to policy development and revisions, focusing on quality and infection control. Complete reports and maintain records to ensure compliance and efficient neonatal care. Monitors and oversees staff performance to assure work is accomplished in a timely manner Reviews and assists in the revision of nursing care plans as needed. Provide advanced NICU care, administering treatments and managing neonatal equipment. Qualifications US Citizenship required Must have passed the National Council Licensure Examination and 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. Possession of a diploma, associate's degree, bachelor's degree, or master's degree from a professional nursing educational program and at least one full year of professional nursing experience as an Registered Nurse.
RN ICU Other
Defense Health Agency (DHA)

Nurse (Clinical/Critical Care)

Overview This position is located at Womack Army Medical Center, Fort Bragg, NC. WOMACK Army Medical Center is located in Fayetteville, Fort Bragg, NC which is a progressive city of 175,000 nestled between the Appalachian Mountains and the white sandy beaches of the Atlantic Ocean. The region offers numerous historic sites, museums, entertainment venues, a historic downtown and award-winning golf courses. One of the area's greatest assets is its thriving arts and cultural community. Theatre, symphony orchestras, and museums are available, in addition to the numerous festivals and special events held throughout the year. Fayetteville city parks offer a variety of leisure activities, programs and facilities. The city is home to professional hockey and indoor football teams. The region is served by three institutions of higher learning: Fayetteville State University, Methodist University and Fayetteville Technical Community College. Responsibilities As a Nurse( Clinical Critical Care) you will: Provide an advanced level of specialized nursing care to all critically ill patients.Within given parameters, initiates advanced cardiovascular life support measures by mixing and administering special, potent and lethal drugs (nipride, dopamine, atropine, nitroglycerin dobutamine, etc.) as well as intravenous fluids. Administers special medications via oral, intramuscular, subcutaneous, intradermal, etc. (including intravenous push) routes. Defibrillates if ventricular fibrillation occurs without physician in attendance, under established guidelines. Performs various pulmonary ventilation treatments such as administration of oxygen and compressed air through various means. Administers a variety of respiratory therapy treatments as prescribed. Qualifications US Citizenship Required 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. At least one year experience working as a Nurse (Clinical/Critical Care)
LPN Other
Defense Health Agency (DHA)

Practical Nurse GS-0620-05

Overview Serves as a Licensed Practical Nurse in the Department of Surgery Anesthesiology Service Pain Management Clinic at Medical Treatment Facility (MTF) WOMACK Fort Bragg, NC. Retention Incentive: MAY Relocation Bonus: MAY Student Loan Repayment: MAY Advanced In-Hire: MAY WOMACK is located in Fayetteville, Fort Bragg, NC which is a progressive city of 175,000 nestled between the Appalachian Mountains and the white sandy beaches of the Atlantic Ocean. The region offers numerous historic sites, museums, entertainment venues, a historic downtown and award-winning golf courses. One of the area's greatest assets is its thriving arts and cultural community. Theatre, symphony orchestras, and museums are available, in addition to the numerous festivals and special events held throughout the year. Fayetteville city parks offer a variety of leisure activities, programs and facilities. The city is home to professional hockey and indoor football teams. The region is served by three institutions of higher learning: Fayetteville State University, Methodist University and Fayetteville Technical Community College. Responsibilities As a Practical Nurse you will: Documents patients' chief complaints and other pertinent information in the health record. Participates in promoting patient compliance with health activities. Obtains information from patient and/or family to identify major complaints, symptoms, or reason for seeking health care. Takes all vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length); performs a behavioral health screening. Provides individualized nursing care to patients based upon the physician’s medical care plan, the nursing assessment, and the physical, mental, and emotional needs of the patient. Obtains intravenous (IV) access when indicated. Prepares medications and immunizations for administration. Administers oxygen, IV fluid and prescribed oral, rectal, subcutaneous, and intramuscular medications. Screens and reviews immunization records and unit Standard Operating Procedures to select required immunizations, correct dosages, and routes of administration. Administers oral, intradermal, subcutaneous, intramuscular immunizations to all age groups via established protocols. Maintains accountability for actions and control of vaccines. Performs teaching to patients and/or family regarding self-care procedures and documents teaching. Instructs parents/guardians regarding normal verses adverse reactions to immunizations and treatment for normal reactions of discomfort. Reviews laboratory results and brings abnormal results to attention of physician. Qualifications US Citizenship required Special incentives that may be authorized include: recruitment/relocation incentive; student loan repayment; and advance in-hire Basic Requirement for Practical Nurse: Licensure: A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia; OR must have applied for a license to practice. Applications of candidates possessing a license must be accompanied by a certified or photostatic copy of the license, a notarized statement attesting to the fact, or a citation of the license number and State issuing it. Non-licensed candidates who have completed their training may be appointed subject to obtaining the required license during the probationary period. Those not licensed must furnish the date on which they applied for a license and the jurisdiction involved. No person appointed pending licensure may be retained beyond the probationary period if licensure has not been attained.In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirement listed below: Experience: One year of nursing experience in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures, performing such duties as measuring patient's vital signs, administering immunizations or medications via various routes, and screening or updating patient medical records.This definition of experience is typical of work performed at the next lower grade/level position in the federal service (GS-04).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.
LPN Other
Defense Health Agency (DHA)

Practical Nurse GS-0620-06

Overview Licensed Practical Nurse Fort Polk Leesville, LA Fort Polk is an Army post located in Vernon Parish in Louisiana seven miles from Leesville, Louisiana. The city of Leesville, population 6700, is situated between Shreveport and Lake Charles. It is 63 miles to Lake Charles, Louisiana and 50 miles to Alexandria where the nearest municipal airport is located. Fort Johnson is the second largest employer in the state of Louisiana and has a huge economic impact on the entire state. The Army is situated on 198,000 acres. The Department of the Army actually owns 100,000 acres with the remaining acreage belonging to the United States Forest Service and part of the Kisatchie National Forest. The land that the post is on is both of historical and archeological value. Living in Leesville, LA is a wonderful experience. This small city of about 6,000 people offers a unique rural charm and plenty of outdoor activities to explore. Residents can enjoy the nearby lakes and woods for fishing, camping, hiking, and all other sorts of outdoor adventures. The city also boasts numerous attractions such as the local museum, library, and performance venues, providing the community with a variety of cultural activities to take part in. There is also a wide selection of restaurants and shops that offer something for everyone to enjoy. The atmosphere in Leesville is friendly and welcoming; it's easy to make friends there! Working for the Department of War 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. Responsibilities As a Practical Nurse you will: Obtains information from patient and/or family to identify major complaints, symptoms, or reason for seeking health care. Takes all vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length); performs a behavioral health screening. Documents patients' chief complaints and other pertinent information in the health record. Documentation will also include medication reconciliation, screening tools, and behavioral health intake surveys. Participates in promoting patient compliance with health activities in accordance with RESPECT-Mil. Coordinates and facilitates follow-up care, communicates relevant information according to the medical plan of care and nursing assessment, and documents accordingly in the health record. Provides individualized nursing care to patients of all ages based upon the physician’s medical care plan, the nursing assessment, and the physical, mental and emotional needs of the patient. Assists the physician with various examinations and diagnostic procedures. Sets up and maintains a sterile field; understands the proper positioning of patients required for various procedures. Administers oxygen, IV fluid and prescribed oral, rectal, subcutaneous and intramuscular medications. Performs inhalation treatments, finger-stick glucose, urine dipsticks, visual acuity, phlebotomy, dressing changes, and surgical instrument cleaning and packaging after use. Educates patients and family members on childcare and school requirements for children on medications. Assures accurate care and handling of specimens. Performs routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages. Recognizes adverse signs and symptoms immediately and calls for assistance and if the situation warrants it, performs CPR immediately. Sets up, operates and monitors specialized equipment, such as cardiac monitor, defibrillator, etc. Assists with complete examinations dealing with the surety missions.Screens and reviews immunization records IAW AR 40-562 and unit Standard Operating Procedures to select required immunizations, correct dosages, and routes of administration. Review requires transcription of information to medical records and official school forms. Documents administration on SF 601 and PSH 731, IAW AR 40-562 in AHLTA or manually. Administrative duties include inputting data into the computer and retrieving information such as laboratory and diagnostic procedure results. Other computer related duties include the use of the Composite Health Care System (CHCS), the completion of workload accountability documents through the Ambulatory Data System (ADS forms) on same day service and Medpros entry. Documents administration utilizing IAW Ambulatory Quality Assurance criteria. Administers oral, intra-dermal, subcutaneous, intramuscular immunizations to all age groups IAW established protocols. Maintains accountability for actions and control of vaccines. Documents interventions and patients’ response to care. Communicates relevant information to healthcare team. Recognizes signs and symptoms of untoward effects of immunization and/or allergen extracts. Maintains certification in Basic Cardiac Life Support and demonstrates ability to initiate cardiopulmonary resuscitation in the event of an anaphylactic reaction and/or cardiopulmonary arrest. Performs teaching to patients and/or family regarding self-care procedures and documents teaching. Instructs parents/guardians regarding normal verses adverse reactions to immunizations and treatment for normal reactions of discomfort. Reviews laboratory results and brings abnormal results to attention of physician. Per physician’s instruction, telephones patient regarding follow-up required and documents in records. Performs patient education for special needs such as medication administration, inhaler and spacer use, self dressing changes, ostomy care, finger-stick and glucose meter use, drawing up and injection of insulin and glucagon, and asthma home monitoring with peak flow meters and nebulizer use. Educates patients and family members on childcare and school requirements for children on medications. Completes necessary paperwork for school (sick slips, asthma care plan, etc.), for provider signature. Also teaches patients early warning signs for early detection of diseases. Performs both administrative and logistical tasks as a member of the healthcare team for the clinic by contributing to maintaining the environment and resources to deliver healthcare. Reviews expiration dates for medications, vaccines, and supplies; and initiates the reorder. Coordinates with designated clinic administrative staff for maintenance of adequate vaccines and supply levels. In the absence of the medical receptionist, assists with the responsibilities for checking patients into the system, completion of records and other clerical duties as assigned. Reviews laboratory results and brings abnormal results to the attention of the physician and per physician’s instructions, telephones patients regarding any follow-up care that is required. Duties include the use of automated systems (i.e. Armed Forces Health Longitudinal Technology Application (AHLTA), Composite Health Care System (CHCS), Medical Operational Data System (MODS) and the Medical Protection system (MEDPROS). Reviews chart for coding compliance and ensures all procedures are documented to obtain accurate capture of workload. Attends mandatory training as directed by supervisor or command. Will be trained in documenting adverse medication reactions in the VAERS or local system. Participates in and may coordinate performance improvement activities. Qualifications US Citizenship required Special incentives that may be authorized include: recruitment/relocation incentive; student loan repayment; and advance in-hire A current license to practice as a practical or vocational nurse in a State, territory of the United States, or the District of Columbia. At least one year of experience which prepared you to do the work in this job.
RN Outpatient Other
Defense Health Agency (DHA)

Nurse (Administration/Ambulatory) GS-0610-11

Overview This position is located at Bayne Jones Army Community Hospital in Fort Polk, Louisiana. Salary negotiation may be available for those candidates who are new to Federal service. This is an employed civilian Nurse (Inpatient Clinical/OB/GYN) position that affords job security, a competitive base salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 11 days paid Federal Holidays, a sick leave benefit, CME opportunities, and a first-class health and retirement benefit package. Responsibilities As a Nurse (Adminstration/Ambulatory you will: Assist with standardizing Disease Management across the patient care continuum. Conduct specific quality improvement (QI) studies to assist in process improvement related to population health. Apply epidemiological methods to describe the population and its risks, identifying and employing evidence-based interventions and managing information. Conduct population health and medical management program evaluation and feedback, interprets data and makes evidence-based recommendations. Promotes and optimizes medical readiness of active-duty members. Qualifications Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education 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 (Administration/Ambulatory) : 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 comprehensive nursing care to patients, collecting or reviewing medical data, and providing education to patients or medical staff.OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.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. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.
RN Labor and Delivery Other
Defense Health Agency (DHA)

Nurse (Labor and Delivery)

Overview NURSE (Labor and Delivery), Tacoma, WA This position is located in the Directorate of Nursing, Labor and Delivery Unit at the Madigan Army Medical Center in Tacoma, WA. This is a Direct Hire Solicitation Salary negotiation may be available for those candidates who are new to Federal service. A recruitment or relocation incentive may be authorized 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 War 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: Perform the full range of professional nursing duties for antepartum, postpartum, newborn and GYN/post-surgical patients for all ages from infant to geriatric and support the MAMC MCH Department through cross-training in support of providing professional nursing care across the department. Responsible for planning comprehensive family centered nursing care and carries out the therapeutic plan of care based on Nursing Standards of Care to include: a. Patient Assessment of both mother, infant/pediatric and GYN patients (physical, emotional, and social aspects), evaluation, monitoring and intervention. b. Patient and family education (assess educational needs of patient and family age group ranging from 12 to 50 plus years). c. Patient Safety (maintains supports and preserves safe environment). d. Patent Comfort. e. Patient Rights (protects patient's basic rights and promotes effective customer service/relations, adheres to advance medical directives per hospital protocols) and maintains patient confidentiality. 1. Provides nursing care to low and high-risk obstetrical patients their newborn infants and GYN/post-surgical patients. The high-risk postpartum population includes cesarean section, post-delivery bilateral tubal ligation, hypertensive disorders in pregnancy, post-partumMgSO4 therapy, and those patients complicated with postpartum infection, hemorrhage, or prior medical/surgical history placing them at risk for complications. The high risk antepartum population includes, but is not limited to, patients diagnosed with gestationaldiabetes, premature labor, hyperemesis gravidarum, multiple gestation, placenta previa, hypertensive disorders in pregnancy, premature rupture of membranes, infectious disease processes and medical/surgical conditions directly during the pregnancy such as appendicitisand gastroenteritis, etc. The newborn infant population includes well newborns cared for at the mother's bedside. High-risk infants include infants requiring phototherapy or bili blankets, infants with temperature instability, hypoglycemic, Early-onset sepsis, and infants with feeding difficulties. For the gynecology and post-surgical patients patient, provides care and support to patients undergoing change in body image, women responding to grief or suffering pregnancy loss, and terminally ill patients. Provides comprehensive lactation support for patients opting to breastfeed; promotes alternative feeding methods in support of breastfeeding, and provides family-centered education and support. 2. As a Charge Nurse, performs a variety of administrative and managerial duties as an extension and in support of the Chief Nurse Officer In Charge (CNOIC). a. Assigns and adjusts patient care duties in accordance with staff's expertise and scope of practice, patient condition and acuity, and changing needs of patient, family and unit. Makes nursing care assignments and provides work direction and technical guidance to nonprofessional personnel. b. Monitors, oversees, and evaluates staff performance, orientation, and training, nursing care and services. Ensures appropriate priorities; responsiveness to emergencies; effectiveness of practice, patient management, bed utilization; customer service and relations; open communications; and a safe environment. c. As required, prepares and revises personnel time schedules; is active in unit to hospital level activities to include, but not limited to, committee meetings, staff development, continuing education, and preceptor programs; performance improvement process and preparation of reports and/or research related to nursing issues and concerns. d. Assesses, intervenes, and evaluates mother and infant according to standards of care and specific unit guidelines. e. Provides family centered care involving patients and family in the plan of care and teaching activities. Identifies mother and infant discharge planning need and coordinates with other members of the health care team, the necessary interventions to provide support prior/after discharge. 3. Administers oxygen, IV fluids, electrolyte solutions, blood and blood products, prescribed medications, and treatments following the five rights for administering medications. Passes unit specific medication verification test. Manages nasal-pharyngeal, oropharynx, tracheal and gastric suction and other drainage tubes, specialized biomedical equipment and physiologic monitors such as infusion pumps, pulse oximeter, vital sign machines, radiant warmers, isolettes, phototherapy lights, bili blankets, apnea monitors, oxygen support devices, etc. a. Performs/assists with invasive/non-invasive procedures to include collection of laboratory specimens and other samples as required. Performs diagnostic screens, such as urine for sugar and acetone, specific gravity, blood for glucose monitoring, and emergency life support measures. Performs catheterization, inserts nasogastric tubes and performs gavage feedings. Transports patients to other services, departments, and/or facilities, when necessary. b. Provides sufficient information to patient(s), parent(s) and/or guardian on: pre and Post-operative education; disease process and complications; medication administration c. Documents nursing process, patient status, care and services. Orients, trains and supervises assigned personnel, students and volunteers. Manages unit operations, personnel, bed utilization, and mission requirements. Completes 24 hour and ward status report for both infant and mother. d. Must successfully complete unit specific competency based orientation program for both mother and infant which includes: Accucheck III Glucose Monitoring, EKG Lifepack 15, Apical and fetal heart rate, fetal movement counts, staple removal, catheterization, administration of blood products, Rhogam administration, Depoprovera and Rubella vaccine, phlebotomy, wound care, oxygen therapy, obtaining blood specimens via venipuncture and heelstick, insertion and maintenance of nasogastric tubes, gavage feeding and administration of antibiotics. Use of specific equipment includes; IV infusion pumps, Patient Control Analgesia (PCA), Patient Control Epidural Analgesia Pump (PCEA), Doppler, Tympanic Thermometer, Vital Sign and Accucheck machines, Infusion syringe, suction and oxygen in crash cart and patient rooms. Additionally, must complete an abbreviated department level competency based orientation in support of the obstetric/gynecologic/post-surgical adult, neonate, and pediatric patient population. e. For the gynecological patient, provides pre and post-operative education, family planning counseling, contraceptive information and sexual counseling. On admission, and throughout hospitalization g. Participates in Quality Improvement, Internal Control Management Program, and Utilization Training. Provides neonatal resuscitation measures as necessary. Assess infant thermoregulation, infant feeding patterns and identification of problems with the newborn infant. h. Enters, retrieves and updates information on the Composite Health Care Computer (CHCS), and Essesntris Workload Management System for Nurses (WMSN), Defense Human Resources Information Systems internet (DMHRSi), and Automated Time Attendance and Production System (ATAAPS); data entry proficiency is required. As required, serves in absence of the Head Nurse. Perform other duties as assigned. Qualifications US Citizenship required At least one year of licensed clinical experience AFTER licensure as a registered nurse at the time of application
NP Other
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.
NP Other
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. Performs clinical duties Monday through Friday 0730-1600 and/or 12 hour labor and delivery shifts. Routinely scheduled for 80 hours every 2 weeks.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/.
NP Outpatient Other
Defense Health Agency (DHA)

Advanced Practice Nurse (Family Medicine)

Overview Advanced Practice Nurse (Family Medicine), Irwin ACH Ft Riley, KS About the Position: This position located at the Irwin Army Community Hospital in Fort Riley, Kansas. 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 comprehensive health care to eligible beneficiaries in an ambulatory setting in association with staff physicians and other medical staff. Provide care and treatment of acute illness or injury, chronic illness, preventative health measures, health Maintenace, and health education service. Provide follow-up care to patients to ascertain the patient's compliance with recommendations for therapy and response to treatment. Analyze and interpret routine laboratory results. Prescribe and dispense controlled medications. Maintain a complete electronic medical record for each patient by recording subjective and objective findings for each visit and ensure that an assessment plan and plan are formulated and documented for each visit. 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 (Nurse Practitioner/Family Practice): 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 Family Practice 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 conducting physical examinations, prescribing medications, and ordering and interpreting laboratory or diagnostic test results. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-0610-11) . 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.
NP Other
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.
NP Other
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).