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Nurse Practitioner - Primary Care

Veterans Health Administration · Department of Veterans Affairs
📍 Clearlake, California 💰 $156511 – $226883/yr

Quick Facts

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Job Summary

The Primary Care Nurse Practitioner (PCNP) at the Clearlake VA Outpatient Clinic provides comprehensive, patient-centered primary care to a diverse Veteran population in an outpatient setting. Working within the VA's Patient Aligned Care Team (PACT) model, the PCNP delivers high-quality, evidence-based care focused on disease prevention, health promotion, chronic disease management, and coordination of services across the continuum of care.

Key Responsibilities

***This position is located at a rural VA outpatient clinic. **This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until January 4, 2027. The initial cut-off date for referral of eligible applications will be November 18, 2026 with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.

**This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application.

Former EDRP participants ineligible to apply. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Major duties and responsibilities of the position: Provides comprehensive primary care to assigned Veterans across the lifespan in an outpatient setting. Performs detailed health histories, physical examinations, and diagnostic evaluations. Diagnoses, treats, and manages acute illnesses, chronic diseases, and complex medical conditions.

Prescribes medications, durable medical equipment, and therapeutic interventions in accordance with VA policies and scope of practice. Orders, interprets, and follows up on laboratory tests, imaging studies, and diagnostic procedures. Provides preventive care services including health screenings, immunizations, and risk-factor modification. Delivers gender-specific and age-appropriate care, including women's health services as applicable.

Manages pain, polypharmacy, and multiple comorbidities common in the Veteran population. Functions as a core provider within the PACT model, emphasizing continuity, access, and coordinated care. Collaborates closely with physicians, RNs, LVNs, pharmacists, social workers, mental health providers, and other interdisciplinary team members. Participates in daily huddles, team meetings, and care planning activities.

Coordinates referrals to specialty care and ensures appropriate follow-up and continuity of care. Utilizes care management and population health tools to monitor patient outcomes and panel performance. Provides care in a rural and geographically isolated setting, addressing access barriers for Veterans. Utilizes telehealth, virtual care, and clinical video visits to expand access when appropriate.

Demonstrates flexibility and adaptability in managing a broad scope of practice due to limited local specialty resources. Documents all patient encounters accurately and timely in the VA electronic health record (CPRS). Ensures compliance with VA clinical practice guidelines, performance measures, and regulatory standards. Participates in quality improvement initiatives, peer review, and clinical performance monitoring.

Maintains licensure, certification, and required VA training. Educates Veterans and their families on diagnoses, treatment plans, medications, and self-management strategies. Promotes VA Whole Health principles, preventive care, and lifestyle modification. Supports shared decision-making and Veteran-centered care. Practices independently within approved scope while seeking consultation as needed.

Serves as a clinical resource and mentor to nursing staff and trainees as appropriate. Participates in clinic operations, policy development, and process improvement efforts. Upholds VA mission, values, and ethical standards in all aspects of care.

Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Full-time, Monday-Friday 8:00am-4:30pm Telework: Available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Requirements & Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contact

Angelica.Ratliff@va.gov · (909) 836-8026

Frequently Asked Questions

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $156511 – $226883/yr.

What is the application deadline?

Applications close on 2027-01-04.

Who is eligible to apply?

This position is open under the 'Fed Excepted' hiring path.

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