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This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more The Nephrology Nurse Practitioner will be an integral member of the Nephrology Section of the Palo Alto VA HCS and functions as the Clinical and Vascular Access Coordinator. The RNP is responsible for coordination of care in nephrology clinics including pre-clinic patient communication and post-clinic follow up as well as being the provider in RNP clinics under the supervision of the nephrologists. The Nurse Practitioner reports clinically and administratively to the Chief of the Nephrology Section. Work Schedule: Monday- Friday 8am- 4:30pm; with flexibility to meet patient and program needs Telework: Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized EDRP Authorized: Contact V21 CCOE EDRP , the EDRP Coordinator for questions/assistance Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required The major duties and responsibilities include, but are not limited to: Evaluates and manages patients in renal clinics, both at Palo Alto and Livermore sites, under nephrologist supervision Performs history, physical examination and prescribes renal related medications under the supervision of nephrologists Orders and interprets lab results Orders appropriate imaging studies as indicated Coordinates care for patients as appropriate between nephrology, VISN, community, primary care, and other subspecialties Coordinates with Vascular Surgery to schedule patients for vein mapping, vascular surgery pre-op appointments, and access procedures Coordinates with Interventional Radiology to schedule patients for tunneled dialysis catheter placement and removal and other access procedures Coordinates care with Vascular Surgery and Interventional Radiology to manage vascular access problems such as clotted or poor functioning AV fistula, grafts and catheters Processes renal biopsy specimens obtained by interventional radiologist for pathology Provides post-procedure teaching and follow up Troubleshoots access problems in Palo Alto dialysis unit Assists in meeting Performance Measures for Palo Alto dialysis unit Makes community care referrals to outside Nephrology, IR or Vascular Surgery when need arises Provides point of contact for contract dialysis patients who dialyze at outside facilities for any vascular access related issues Provides point of contact for outside dialysis units regarding vascular access issues in veteran patients Manages requests for medication refills from contract dialysis patients who dialyze at outside facilities Educates pre-dialysis patients in renal clinics and inpatient consult service about dialysis options and vascular access for dialysis Leads pre-dialysis education class to educate pre-dialysis patients about vascular access for dialysis and dialysis options Answers and triages pre-dialysis and dialysis patients' phone calls and secure messaging regarding vascular access issues and medication refill request Preview's clinics to assure appropriate scheduling and minimize no-shows. Makes reminder phone calls to patients scheduled for renal clinic and vascular access procedures appointments Makes pre-clinic phone calls to prepare patients for VVC visits Manages and ensures appropriate transportation and lodging for patients coming for face-to-face visits Makes follow up phone calls to patients after clinic visits Reviews no-shows with nephrologist post-clinic to arrange for rescheduling or cancellation Works with discharge planning for inpatient nephrology patients to coordinate transition of care to outpatient dialysis units or home care Covers the renal transplant RNP on days off or vacation days, duties of which can include: Acts as point of contact for pre-renal transplant, post-transplant veterans, Portland and other transplant centers Orders and interprets laboratory tests and imaging studies related to renal transplant patients and triages the results depending on their urgency Completes electronic encounter for each visit Triages secure messaging from renal transplant patients Keeps timely electronic records of all clinical encounters Works as a team with nephrologists, renal fellows, dialysis nurses, social workers, and transplant coordinator
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.