Nurse Practitioner (HOME BASED PRIMARY CARE MANAGER)


Vacancy ID: 817072   Announcement Number: LW-13-YMT-817072   USAJOBS Control Number: 334971200

Social Security Number

Vacancy Identification Number

817072
1. Title of Job

Nurse Practitioner (HOME BASED PRIMARY CARE MANAGER)
2. Biographic Data

3. E-Mail Address

4. Work Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

5. Employment Availability

6. Citizenship

If you are applying by the OPM Form 1203-FX, leave this section blank.

7. Background Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

8. Other Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

9. Languages

If you are applying by the OPM Form 1203-FX, leave this section blank.

10. Lowest Grade

00

11. Miscellaneous Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

12. Special Knowledge

If you are applying by the OPM Form 1203-FX, leave this section blank.

13. Test Location

If you are applying by the OPM Form 1203-FX, leave this section blank.

14. Veteran Preference Claim

15. Dates of Active Duty - Military Service

16. Availability Date

If you are applying by the OPM Form 1203-FX, leave this section blank.

17. Service Computation Date

18. Other Date Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

19. Job Preference

If you are applying by the OPM Form 1203-FX, leave this section blank.

20. Occupational Specialties

001 Nurse Practitioner

21. Geographic Availability

410660039 Eugene, OR

22. Transition Assistance Plan

23. Job Related Experience

24. Personal Background Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

25. Occupational/Assessment Questions:

Select the appropriate answer to each of the following questions based on your current level of education and/or experience that demonstrates your ability to perform the duties of this position. When answering the questionnaire, remember that your experience and education are subject to verification by investigation. You may be asked to provide specific examples or documentation of experience or education as proof to support your answers, or you may be required to verify a response by a practical demonstration of your claimed ability to perform a task.

1. I am a citizen of the United States.

A. YES
B. NO

2. I possess a master's degree from a program accredited by one of the following accrediting bodies at the time the program was completed - 1) The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League of Nursing; or 2) The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN).

A. YES
B. NO

3. I have a current, full, active and unrestricted license from a State, Territory, or Commonwealth (i.e. Puerto Rico) of the U.S. or in the District of Columbia granting independent practice as a Nurse Practitioner.

A. YES
B. NO

4. If you do not have an independent licensure are you willing to obtain one from a state granting independent licensure upon hire?

A. YES
B. NO

5. I possess full and current certification as an Adult care, Family practice, Acute Care, Geriatrics as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body.

A. YES
B. NO

6. I am proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).

A. YES
B. NO

Please select the response below that best indicates how you meet the preferred requirement. For each task in the following group, choose response below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- Yes
B- No

7. Do you have at least two years' experience working in a supervisory/management type position?

If you chose A, please tell us about the type of supervisory/management work you have done (location, type of work performed and examples of things you did).

Please select the response below that best indicates how you meet the preferred requirement. For each task in the following group, choose response below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- Yes
B- No

8. Do you have current or prior experience working in a Home Based Primary Care (HBPC) type position?

If you chose A, please tell us about the type of work you have done (location, type of work performed and examples of things you did).

Please select the response below that best indicates how you meet the preferred requirement. For each task in the following group, choose response below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- Yes
B- No

9. Do you have experience working with multi-discipline areas/programs with various staff such as LPN, RN, Physical Therapy, Social Workers, Psychologist, Registered Dietitian, and Clinical Pharmacist in a supervisory /management type position?

If you chose A, please tell us about the type of work you have done (location, type of work performed and examples of things you did).

Please select the response below that best indicates how you meet the preferred requirement. For each task in the following group, choose response below that best describes your experience and/or training. Darken the oval corresponding to that statement in Section 25 of the Qualifications and Availability Form C. Please select only one letter for each item.

A- Yes
B- No

10. Do you have any special certification skills/training dealing with the elderly population? (Provide copies)

If you chose A, please tell us about the type of training you have done (location, type of work performed and examples of things you did).

11. I certify that, to the best of my knowledge and belief, all of the information included in this questionnaire is true, correct, and provided in good faith. I understand that if I make an intentional false statement, or commit deception or fraud in this application and its supporting materials, or in any document or interview associated with the examination process, I may be fined or imprisoned (18 U.S.C. 1001); my eligibilities may be cancelled; I may be denied an appointment; or I may be removed and debarred from Federal service (5 CFR, Part 731). I understand that any information I give may be investigated and that responding "No" or providing no response to this item will result in my not being considered for this position.

A. Yes, I understand the information provided above and certify that the information provided in this questionnaire and in my application/resume is true, correct, and provided in good faith.
B. No, I do not certify this information and do not wish to be considered for this position.

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