Nurse Practitioner (Primary Care)

Nurse Practitioner (Primary Care)

The Veterans Health Administration is seeking Nurse Practitioners for the Montana VA Health Care System. This open continuous announcement may be used to fill current or future Primary Care vacancies across Montana VA locations. The Nurse Practitioner independently manages a panel of patients with acute and chronic health conditions, emphasizes health promotion and disease prevention, develops individualized care plans, orders and interprets labs and diagnostic studies, prescribes interventions, and collaborates with Primary Care teams and interdisciplinary care members.

Location: Billings, MT; Browning, MT; Butte, MT; Cut Bank, MT; Fort Harrison, MT; Glasgow, MT; Glendive, MT; Great Falls, MT; Havre, MT; Kalispell, MT; Lewistown, MT; or Missoula, MT

Vacancies: 1 vacancy per listed location

Salary: $128,045 - $195,832 per year

Salary Note: Salary is contingent on education and experience and may be offered at any point within the listed range.

Pay Scale & Grade: VN-00

Promotion Potential: 3; eligibility for promotion or advancement is evaluated annually and subject to grade standards.

Work Schedule: Full-time, Monday - Friday, 8:00am - 4:30pm

Appointment Type: Permanent

Telework: Not available

Remote/Virtual: Not available

Travel Required: Not required

Relocation/Recruitment Incentives: May be authorized

EDRP: Authorized; student loan reimbursement may be available up to $200,000, subject to eligibility and VHA approval

PCS: Not authorized

Drug Test: Required

Security Clearance: Not required

Position Sensitivity/Risk: Non-sensitive / Low Risk

Union Representation: Yes

Key Responsibilities:

• Independently manage a panel of patients with acute and chronic health conditions.
• Emphasize health promotion and disease prevention using evidence-based practice.
• Develop and implement individualized plans to support optimal population health and disease management.
• Demonstrate leadership and collaborate with the Primary Care Team and interdisciplinary team members.
• Order and interpret labs, tests, and diagnostic studies.
• Prescribe pharmacologic and non-pharmacologic interventions.
• Initiate referrals and consults to specialty services.
• Provide education to patients and their families.
• Assess and adjust plans of care as needed to achieve optimal patient outcomes.
• Exemplify VA ICARE values: Integrity, Commitment, Advocacy, Respect, and Excellence.

Basic Qualifications:

• Must be a U.S. Citizen. Non-citizens may only be appointed when qualified citizens cannot be recruited in accordance with VA policy.
• Must be proficient in basic written and spoken English.
• Must be subject to a background/security investigation.
• Must pass a pre-employment physical examination.
• Must pass pre-employment drug testing and remain subject to drug testing requirements for this testing designated position.
• Selective Service registration is required for males born after December 31, 1959.
• Must complete all application requirements and online onboarding requirements.
• Must provide acceptable identification for employment eligibility verification.
• Must participate in the seasonal influenza vaccination program as required for Department of Veterans Affairs health care personnel.
• Selected applicant may be required to serve a probationary period.

Eligibility:

• This announcement is open to the public, including U.S. Citizens, Nationals, or those who owe allegiance to the United States.
• This announcement is also open to current federal employees of the hiring agency.
• This is an open continuous announcement, and applications may be accepted on an ongoing basis as vacancies become available.
• Initial application review was scheduled for May 29, 2026.
• Applications remain on file through the closing date of the announcement.
• The two-page resume requirement does not apply to this position.

Education and Licensure Requirements:

• Must have a post-master's certificate, master's degree, or doctoral degree as a Nurse Practitioner.
• Must be a graduate of a school of professional nursing approved by the appropriate accrediting agency.
• The nursing program must have been accredited by the Accreditation Commission for Education in Nursing or the Commission on Collegiate Nursing Education at the time the program was completed.
• Foreign nurse practitioner education must be validated through an agency-recognized degree equivalency evaluation agency.
• Must possess and maintain an active, current, full, and unrestricted Advanced Practice Nurse license to practice as a Nurse Practitioner in a U.S. State, Territory, Commonwealth, or the District of Columbia.
• Must maintain full and current basic board certification in the specialty area for which academically prepared.
• Qualifying certifications include Family Nurse Practitioner, Adult Nurse Practitioner, Adult-Gerontology Primary Care Nurse Practitioner, or Gerontology Nurse Practitioner.
• Certification must be from the American Nurses Credentialing Center, American Academy of Nurse Practitioners Certification Board, or another nationally recognized certifying body.

Nurse Practitioner II Qualification Requirements:

• Must meet the basic education requirement for Advanced Practice Nurse / Nurse Practitioner.
• No additional experience is required for Nurse Practitioner II, which is considered the entry grade level for Advanced Practice Nurse / Nurse Practitioner positions.
• Must demonstrate leadership in delivering and improving holistic care through collaborative strategies.
• Must deliver evidence-based health care and demonstrate proficiency in managing a patient panel, population, or program.
• Must use research and evidence-based practice to evaluate patient care delivery and contribute to improvements in quality and timeliness of care.
• Must work effectively as a leader within a team or unit and seek interdisciplinary collaboration as appropriate.
• Must demonstrate effective communication, professional behavior, cooperation, and teamwork.

Nurse Practitioner III Qualification Requirements:

• Must meet the basic education requirement for Advanced Practice Nurse / Nurse Practitioner.
• Must have one year of specialized Advanced Practice Nurse / Nurse Practitioner experience equivalent to the Nurse II grade level.
• Must execute responsibilities demonstrating leadership, experience, and creative approaches to management of complex patient care.
• Must influence and model delivery of evidence-based care and demonstrate expertise in managing a patient panel, population, or program.
• Must lead and implement changes that improve quality and timeliness of Veteran care.
• Must initiate and lead interdisciplinary teams using structured approaches and processes to improve outcomes.
• Must acquire and disseminate knowledge and skills within or outside the medical facility.

Preferred Experience:

• Two years of Primary Care Provider experience.

Physical Requirements:

• Must be able to perform all activities of the position without restriction.
• Requires considerable standing, walking, stooping, bending, reaching, lifting, and turning.
• Requires repositioning patients and assisting with transfers to wheelchairs or stretchers.
• Mechanical devices must be used when available for heavy or difficult-to-lift patients.
• May involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs.
• Requires visual and auditory acuity sufficient to provide safe and effective nursing care.
• May require working with arms above shoulder level or with the neck fully flexed or extended.
• Must be able to physically control or protect self from physically abusive patients.

Required Documents:

• Resume
• Standard Clinical Resume Document uploaded into the restricted resume field
• Full resume or CV may be uploaded separately into the other document upload field
• License, if applicable or required
• Professional certification, if applicable or required
• Transcript, if using education to qualify
• SF-50 / Notification of Personnel Action, if applicable
• DD-214 / Statement of Service, if applicable
• SF-15, if applicable
• Disability Letter, Performance Appraisal, Separation Notice, cover letter, and other supporting documents, if applicable

Benefits and Incentives:

• Competitive salary with regular salary increases and potential performance awards.
• 50 days of paid time off per year, including 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays.
• Federal retirement benefits, including a traditional pension and 401(k)-style plan with up to 5% VA contributions.
• Federal health, vision, dental, term life, and long-term care insurance options.
• One full and unrestricted license from any U.S. State or Territory is accepted for VA practice.
• Education Debt Reduction Program eligibility may provide student loan reimbursement up to $200,000, subject to VHA approval and eligibility requirements.
• Relocation or recruitment incentives may be authorized.

Application Deadline: August 21, 2026 at 11:59 p.m. ET

Status: Accepting applications

This is an open continuous announcement for Nurse Practitioner Primary Care vacancies at the Montana VA Health Care System. Applications will be accepted on an ongoing basis and may be reviewed as vacancies become available.