CRNA $92K-$155K | Buffalo, NY

Compensation

$92,468 - $155,459 per year

Job Summary

The Pre-op Nurse Practitioner Anesthesia is responsible for the comprehensive medical evaluation and optimization of Veterans scheduled for elective and urgent surgical procedures. This role involves high-level clinical decision-making to reduce surgical cancellations, improve patient outcomes, and ensure compliance with VHA national anesthesia standards and Buffalo VA local policies.

Major Duties

Key Responsibilities & Clinical Duties 1. Pre-Anesthesia Risk Assessment Conduct comprehensive history and physical examinations (H&Ps) focusing on cardiovascular, pulmonary, and metabolic stability. Assign ASA Physical Status Classifications and determine the necessity of further specialty clearances (e.g., Cardiology, Pulmonology). Review and interpret diagnostic tests including EKGs, chest X-rays, and laboratory results. Clinical Reporting: Document all findings in the Computerized Patient Record System (CPRS) using standardized Pre-Op templates to ensure data is available for the Anesthesia attending on the day of surgery. 2. Patient Optimization & Education Manage perioperative medication protocols (e.g., anticoagulation bridging, diabetic medication adjustment). Educate Veterans and families on surgical expectations, NPO (fasting) requirements, and post-operative pain management strategies. Identify high-risk "frailty" factors and coordinate with social work or nutrition services as needed. 3. Administrative & Collaborative Leadership Serve as the primary liaison between Surgery, Anesthesia, and Primary Care to close the loop on medical optimization. Assist in managing the "Pre-Op Tracker" to ensure all clinical requirements are met 24-48 hours prior to the procedure. Support the Thursday Morning Anesthesia Team Meeting by identifying systemic bottlenecks in the pre-op workflow. 4. Technical Skills & Systems Proficiency CPRS/VistA: Advanced proficiency in navigating patient records, entering orders, and managing clinical alerts. DSS (Decision Support System): Understanding of how pre-op encounters map to clinical workload and productivity reporting. Microsoft Excel: Ability to utilize departmental tracking tools for surgical volume and optimization metrics. Other Duties as Assigned VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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, 8:00 AM to 4:30PM Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position.

Requirements

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.

How To Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 06/26/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12921932. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Required Documents

To apply for this position, you must provide a complete Application Package which includes: Resume Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field. Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field. The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc. Cover Letter DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) License Other (1) PCS Orders Professional Certification Resume Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Transcript Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Other Information

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.