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U.S. Department of Veterans Affairs

Advanced Practice Nurse (Lung Cancer Screening)

U.S. Department of Veterans Affairs, Spokane, Washington, United States, 99254

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Advanced Practice Nurse (Lung Cancer Screening) U.S. Department of Veterans Affairs

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Pay Range $98,778.00/yr - $173,598.00/yr

Summary The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in Lung Cancer Screening (LCS) within Medicine Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management.

Responsibilities

Practice to the full extent of education, training, and certification.

Core functions outlined in the clinical privileges for the position.

Has prescriptive authority for a panel of patients or program as indicated by the position.

Licensed independent practitioner with advanced education and national certification; provides evidence-based care for a population of patients.

Consult review, triage, and completion of electronic consults (E-consults).

Present all LungRads 4 cases to the radiology review conference and prepare resulting NVC notes with recommendations.

Outpatient lung cancer clinic: Perform comprehensive history and physical exams, imaging review, and diagnostic planning.

Develop and implement individualized care plans.

Ensure appropriate treatment disposition; review and communicate to patients and providers; present patients at the interdisciplinary nodule conference.

Relay recommendations and consult other specialties as appropriate.

Indirect patient care: returning telephone calls, responding to patient emails, reviewing clinical data, communicating results to patients and primary care providers.

Clinical oversight of LCS RNs; manage quality reporting of the LCS program; provide clinical consultation to PCPs and LCS RNs at spoke sites (Spokane – Walla Walla – Boise); provide coverage to the Seattle Pulmonary team as needed.

Demonstrates leadership and works collaboratively with the interdisciplinary team.

Orders and interprets labs, tests, and diagnostic studies.

Prescribes pharmacologic and non‑pharmacologic interventions.

Initiates referrals and consults to specialty services.

Provides education to patients and their families.

Assesses and adjusts plan of care as needed for optimal outcomes.

Exemplifies the ICARE core values: Integrity, Commitment, Advocacy, Respect, Excellence.

Provides surveillance follow‑up of Veterans with lung cancer, especially those treated with radiation who are not typically followed by surgery or oncology.

Evaluates patients with incidental nodules detected outside of the LCS program and assists with diagnostic work‑up and care coordination and surveillance.

Provides smoking cessation counseling.

Cross‑cover and be cross‑covered by the Pugdet Sound ARNP; support diseases with increased risk for lung cancer.

Work Schedule Monday – Friday – 8 hour shifts or 4 10‑hour shifts. Telework not available. Virtual position: no.

Benefits VA Nurse Total Rewards: Competitive salary with regular increases; potential for performance awards. Paid Time Off: 50 days per year (26 days annual leave, 13 days sick leave, 11 federal holidays). Retirement: Traditional federal pension (5 years vesting) and 401(k) with up to 5% contribution by VA. Insurance: Federal health, vision, dental, term life, long‑term care (many programs carried into retirement). Licensure: 1 full unrestricted state license.

Employment Type Full‑time, Mid‑Senior level

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