Summary

The Physician Assistant practices in the Community Living Center to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The Physician Assistant provides advanced clinical practice, consultation, and management.

Duties

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VA offers a comprehensive total rewards package.

Duties include, but are not limited to:

-Obtains medical history send perform physical examinations and admission to CLC and annually.

-Documents discharge note and coordinates discharge care for veterans including medication reconciliation, follow-up appointments, consultations and coordination with other team members, in accordance with VHA standards.

-Orders and interprets diagnostic tests, orders therapeutic procedures such as lab tests, ECG, radiological studies, oxygen therapy, etc., based on current CLC treatment guidelines.

-Response to medical emergencies for CLC patient's and coordinates transfer to higher level of care when necessary.

- Orders VA specialty service consults and initiates request from non-VA medical care and consults and accordingly VHA policy and local facility availability. Orders interfacility transfers and other transportation for CLC veterans.

- Orders are prescribed devices, supplies, and durable medical equipment.

- Orders were prescribed medications for patients for their every day care.

- Conduct goals of care conversations with high risk patients regarding any desired limitation and life-sustaining treatments and choice of surrogate and then enters life-sustaining treatment (LST) progress note and corresponding orders.

- Provides clinical oversight and participates in peer review other community living center providers through periodic chart reviews as needed.

- Acts as a surrogate for absent CLC providers as needed to include review of EMR view alerts and other duties as assigned. Participates in team coverage for vacations, sick days, etc.

- Regularly attends all provider meetings, departmental meetings, and medical staff meetings as requested

- Participates in formulating multidisciplinary treatment plans.

- Provided health education to patient's and other team members.

- Coordinates with CLC admissions team, determining appropriateness for admissions and discharges from the CLC.

- Refers patient's to appropriate VA or community programs.

- Other necessary duties as reasonably assigned by supervisor within the scope of practice of the provider.

Work Schedule:

Compressed/Flexible: Yes, compressed schedules are available.

Telework: Not Available other than weather and safety leave. Approval of service chief required.

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years). For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at [email protected].

Requirements

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Conditions of employment

• All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.
• 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.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• 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 identification 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.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Physician Assistant Basic Requirements

• Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~
• Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~
• Currently hold, or will hold, a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia.

Preferred Experience: One year in Geriatrics or Acute Medicine

Grade Determinations: In addition to the basic qualification requirements, the grade level of a PA is based on a combination of training and experience.

• Physician Assistant-I (PA-I):
  
  
  • Experience and Education. None beyond the basic requirements.
  • Demonstrated Knowledge, Skills, and Abilities. PAs at this grade are expected to present the following minimum skill set:
    
    
    • Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care.
    • Ability to perform patient history and physical.
    • Ability to formulate a plan and provide treatment to the patient.
    • Ability to provide patient care that is abreast of changing concepts and advancements in the profession.

• Physician Assistant-II (PA-II):
  
  
  • Experience and Education. PAs at this grade is at the intermediate grade level and has had progressively increasing responsibility and experiences as indicated in the KSAs listed below. Individuals will have demonstrated the ability to analyze and solve more complex medical problems than at the entry level grade and can utilize their training in the successful practice of patient care and participate in team problem solving. Individuals demonstrate the KSAs of PA-II intermediate level by:
    
    
    • Two years of successful practice as a PA. -or-
    • Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency. -or-
    • A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education.
  • Demonstrated Knowledge, Skills, and Abilities. PAs at this grade should be able to demonstrate, develop, or acquire the following skill set not met upon appointment for PA-II:
    
    
    • Skills to analyze and solve complex medical problems.
    • Ability to function autonomously and make independent medical decisions.
    • Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care.
    • Ability to work effectively in an interdisciplinary environment for improvement of services for patient care.
    • Ability to practice with colleagues and peers collaboratively.

• Physician Assistant-III (PA-III):
  
  
  • Experience and Education. PAs at this grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate all aspects of patient care across the health care system. They utilize advanced clinical knowledge and judgment in decision-making and evaluating outcomes. They function as experts in clinical practice and/or in areas related to the assigned roles and responsibilities, may serve as mentors for transitioning PAs, and may provide training for health care students. Individuals can demonstrate the KSAs for the full performance level by:
    
    
    • Three years of successful practice as a PA. -or-
    • Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency and one year of professional practice as a PA. -or-
    • A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education and one year of professional practice as a PA.
  • Demonstrated Knowledge, Skills and Abilities. PAs at this level should be able to demonstrate, develop, or acquire the following skills set not met upon appointment for PA-III:
    
    
    • Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.
    • Skill to consistently demonstrate an elevated level of expertise and autonomy in diagnosing and treating seriously ill, multi-symptomatic patients through facility Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE).
    • Ability to present clinical findings and recommendations to appropriate management officials.
    • Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.
    • Ability to implement and initiate clinical changes to established treatment protocols based upon new medical literature research findings to enhance patient delivery care for improved patient outcomes.
    • Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is PA-III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA-I to PA-III.

Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching above shoulder, use of fingers, hands and legs, use of cranes and motor vehicles, walking & standing up to 8 hours, bending and climbing and able to hear whisper. The incumbent must be physically, emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

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.

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to uphol