Home-Based Primary Care Nurse Practitioner

The Nurse Practitioner practices in Geriatrics and Extended Care Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The PA provides advanced clinical practice, consultation, and management. The NP practices to the full extent of their education, training, and certification. Core functions are outlined in the clinical privileges that correspond with this position. The NP is a licensed independent provider with advanced education and national certification who provides evidence-based care for a population of patients. Major duties and responsibilities of the position are, but not limited to:

Preferred Experience: Experience working with a diverse population of patients, Veterans, Geriatric, and High-Risk patients. Prefer 2-3 years Nurse Practitioner Experience.

Both primary medical and mental health services are available at the CBOCs. Those Veterans in need of services not available at a particular CBOC are either referred to the Sheridan VAMC, another VA facility within VISN19, or are scheduled locally for purchased care within the local community. For emergency care, all CBOCs activate the local 911 system and Veterans are taken to the local medical facility. Hours of operation are Monday through Friday, 8:00 am to 4:30 pm, with extended hours on Tuesdays to 6p.m., excluding holidays.

Casper Community-Based Outpatient Clinic

Casper CBOC Primary medical services include general medical care, preventive health, and basic diagnostic exams. Referrals to inpatient programs are made as appropriate. Both physicians and physician assistants are available to provide care on site, in addition to nursing and social work staff. Mental health services include individual and group therapy, medication adjustment, and smoking cessation. Prescriptions: Routine prescriptions are processed through the mail orMy HealtheVet.

Paid Time Off:

• 26 Days paid annual (vacation/personal) leave
• 13 Days paid sick leave each year with no limit on accumulation
• 11 Federal holidays with pay annually
• 5 Days paid absence to attend approved CME courses

Insurance:

• Health Insurance: VA employees have an outstanding number of health insurance plans from which to choose (premiums are partially paid by VA) Lifetime Healthcare Insurance options available
• Dental & Vision: Our insurance options also include exceptional vision and dental plans (premiums are partially paid by VA)
• VA employees have the option to use Flexible Spending Accounts, which allow you to use tax-free dollars to pay for medical, dental, and vision care expenses that are not reimbursed by your health insurance plan
• Term life insurance, family, and additional coverage options are available with the cost shared by the Federal Government
• Long-term care insurance is available as an option

Federal Retirement Plan:

• VA employees are covered by the Federal Employees Retirement System (FERS). FERS is a three-tiered retirement plan composed of 1) Social Security benefits, 2) FERS-RAE basic benefits (pension), and 3) Thrift Savings Plan (TSP) which is a 401K-type plan
• How is the pension funded? VA employees automatically contribute 4.4% of their salary each pay period and the VA contributes 12.2% of the employee’s salary each pay period for a total annual contribution percentage equal to 16.6% of the employee’s salary
• Similar to the 401(k) savings plans widely available in the private sector, the TSP allows employees to tax defer a portion of their income each year, subject to the requirements of the Internal Revenue Service. For calendar year 2025, employees under the age of 50 may contribute up to $23,500, while those over age 50 are eligible to make catch-up contributions that allow them to defer up to $31,000.
• The Federal Government also provides an automatic basic contribution (1% of salary) and up to 4% of salary in matching contributions, depending on the amount of the employee contribution
• For retired military personnel, these benefits are in addition to full monthly retirement pay or pension
• In addition to FERS, VA provides health care insurance coverage for retired personnel
• Disability Retirement
• Employees are vested in a federal pension after only 5 years service

153 miles S of Sheridan; 178 miles NW of Cheyenne; 300 miles S of Billings; 240 miles NW of Denver

Casper is a pleasant little city between the Great Plains and Rocky Mountains that owes much of its success to the oil and gas industry. Its first oil refinery was built in 1895, and though, like most boom towns Casper has had its share of ups and downs, the petroleum industry continues to help the economy keep rolling along. But what keeps many residents here, and what makes the community of interest to many visitors, is not what's under the ground but what is on the ground.

Casper has a small but fun ski area, and there is a lot of wildlife in the vicinity, including more than 75% of the world's pronghorn. Also look for mule and white-tailed deer, fox, and a variety of birds. The North Platte River, which meanders through the city, is a premier year-round trout fishery.

This is also an ideal spot to see the real history of the West. Casper stands at the crossroads of westward expansion, and in the ruts of the Oregon, Mormon, California, and Pony Express trails. Fur traders stopped here in 1812 on their way back East, building a hovel from rocks and buffalo hides, perhaps the first building constructed by non-Indians in Wyoming. Later, pioneers and Mormons crossed the North Platte River here. Then came the oil miners, and Casper boomed.

Today, Casper is the second-largest city in the state, with about 50,000 residents. It is also the former hometown of U.S. Vice President Dick Cheney.