Primary Care Nurse Practitioner

LMR seeks Primary Care Nurse Practitioners to deliver crucial onsite healthcare services to veterans, ensuring high standards of care and compliance with medical regulations at the Fayetteville VA Medical Center. This role demands dedication to enhancing veterans' health outcomes through expert medical practices and continuous education.

Location: Fayetteville VA Medical Center, Fayetteville, NC

Scope of Care: Primary Care Nurse Practitioners will provide Family Practice and interventional consultative services, including comprehensive assessment, diagnostic work-up, and clinic intervention. Responsibilities include complete health histories, physical examinations, patient education, and managing both scheduled and unscheduled outpatient visits. Personnel will order and evaluate diagnostic tests, recommend treatments or referrals, and document all encounters in the electronic Comprehensive Patient Record System (CPRS), ensuring records are completed on the day of the encounter. 

• Direct Patient Care: Estimated 95% of the time involved in direct patient care. Primary Care Nurse Practitioners will be responsible for clinic appointments and follow-up of labs/imaging/procedures ordered during these appointments, interpretation, phone call consultation from hospitalists and intensivists on inpatients, and availability for case review with nurse practitioners on service. 
• Clinic Responsibilities: Primary Care Nurse Practitioners are required to be present and punctual for all scheduled clinic start times, with adherence documented by physical presence in the clinic. 
• Medications: Primary Care Nurse Practitioners must adhere to all established medication policies and procedures. Provision of sample medications to patients is strictly prohibited. 
• Discharge Education: Primary Care Nurse Practitioners will provide thorough discharge instructions and coordinate follow-up care with the next care setting, particularly for emergency department patients. 
• Administrative Duties: Approximately 5% of time will be dedicated to administrative tasks, including section meetings, peer review case reviews, participation in Ongoing Providers Performance Evaluation (OPPE), and attendance at morbidity and mortality conferences as appropriate. 
• Quality Improvement Meetings: Primary Care Nurse Practitioners will actively participate in continuous quality improvement activities, attending all meetings required by the facility Chief of Service or Chief of Staff. 
• Staff Meetings: Attendance at staff meetings is mandatory as required by the facility leadership.   
• Patient Safety Compliance and Reporting: Primary Care Nurse Practitioners will adhere to established patient safety and infection control standards. Immediate documentation and disclosure of any incidents, including medication errors or patient injuries, are required.  Primary Care Nurse Practitioners must complete Compliance Awareness Training before accessing the facility and are obligated to report any observed fraud, waste, or abuse. 

Key Responsibilities: 

• Provide comprehensive and continuous primary healthcare services as outlined by the Department of Veterans Affairs. 
• Maintain adherence to Fayetteville VA Medical Center’s Medical Staff By-Laws, rules, and regulations. 
• Demonstrate technical proficiency in primary care, ensuring all medical services are rendered with the highest quality and compliance. 
• Manage and fulfill continuous medical education requirements to uphold and extend professional qualifications. 
• Document and verify educational and training experiences, maintaining transparency and accountability in professional development. 
• Other duties as assigned.

Technical Proficiency: 

• Proficient in English with the ability to speak, understand, read, and write fluently. 
• Ensure all credentials, certifications, and licenses are current and in accordance with national and state regulations. 
• Regularly update CME/CEU to meet the facility’s standards and maintain privileges. 

Required Qualifications: 

• U.S. Citizenship. 
• Unencumbered license to practice as a Nurse Practitioner in any U.S. state, territory, or commonwealth. 
• Current certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) from the American Heart Association. 
• Board Certification by the American Nurses Credentialing Center (ANCC) in Family Practice. 
• Minimum of five years of experience in a related field within the last five years, with preference given to those with VA system experience. 
• Must have valid professional liability insurance.
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. 

Health and Vaccination Requirements  

• Tuberculosis Testing. Must submit proof of a negative Tuberculosis Skin Test (TST) or Interferon-Gamma Release Assays (IGRA) for all healthcare personnel upon hire, as per CDC guidance. These tests must be current within the past year. 
• Follow-Up Measures: In cases of a positive TST or IGRA result, a negative chest radiographic report for active tuberculosis must be provided. 
• Measles, Mumps, and Rubella (MMR). Proof of immunity is required for measles, mumps, and rubella. 
• Varicella (Chickenpox). Proof of immunity to varicella is required. 
• Acellular Pertussis (Tdap). Proof of a single dose of Tdap vaccination is required. 
• Hepatitis B (Hep B). Must provide proof of immunity to Hepatitis B. 
• COVID-19. Proof of receiving the annual COVID-19 vaccine is required, unless medically contraindicated. Those with a medical contraindication must wear a mask throughout the year. 
• Influenza. Proof of having received the annual Influenza vaccine is required, unless medically contraindicated. Those with a medical contraindication must wear a mask during the Influenza season. 

OSHA Bloodborne Pathogens Regulation Training and Compliance: 

• Must provide evidence of having completed and passed generic self-study bloodborne pathogen training. 
• Must provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the series. 
• Required to submit all proof of immunizations and test results. 

Work Environment:

• VHA facilities are smoke free and have a strict no smoking policy including vapes. 

Benefits Include:

• Medical, Dental, and Vision Insurance
• Life, AD&D, and Short-Term Disability Insurance
• 401(k)
• Paid Time Off
  
• Paid Holidays
• Employee Assistance Program
• Continuing Education Reimbursement Program

About LMR:

LMR is a service-disabled veteran-owned small business that supports technology development and provides comprehensive joint warfighter training by leveraging the skills, experience, and knowledge of its personnel.  Our team consists of personnel with diverse backgrounds.

LMR is an equal opportunity organization. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, gender, sexual orientation, gender identity, marital status, disability, protected veteran status, or any other basis protected by applicable federal, state or local law.

LMR will not discriminate against persons because of their disability, including disabled veterans, and will make reasonable accommodations for known physical or mental limitations of qualified employees and applicants with disabilities. If you are interested in applying and require special assistance or accommodations due to a disability, please contact our Human Resources department at hr@lmrtec.com.

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