Physician Assistant-Primary Care (PACT SCI/D)

Summary

This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2027. The initial cut-off date for referral of eligible applications and subsequent cut-off dates are on the 1st of each month. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.

Duties

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Position(s) listed under this Open Continuous Announcement (OCA) MAY be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. Applicants selected for an EDRP-eligible position will be notified in their conditional job offer. The selectee must meet specific eligibility requirements per VHA policy and submit an EDRP application within four months of appointment. Program approval, award amount (up to $200,000), and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants are ineligible to apply.

EDRP: May be Authorized.

Telework: Not Authorized.

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized.

Permanent Change of Station (PCS): Not Authorized.

Position Summary: The SCI/D primary care provider has advanced training and knowledge of SCI/D. The primary care provider is a dedicated primary care clinician with training in SCI/D medicine to provide primary care and consultative services throughout the facility for eligible Veterans with SCI/D.

Major Duties of this position include, but are not limited to:

• Provides primary care for veterans within the PACT model (~60% of clinical time), focusing on chronic disease management, wellness, disease prevention, and coordination with the PACT (e.g., nurses, social workers, clerks.)
• Provides specialized SCI/D care (~40% of clinical time) focusing on spinal cord injury/disorder needs
• Utilizes the SCI/D Registry, to enable effective and efficient identification of, communication with, and intervention for Veterans with SCI/D
• Collaborates with the SCI/D Center MIO Coordinator and Chief, SCI/D Center with guidance from the SCI/D National Program Office, to modernize the SCI/D Registry and Outcomes program as it pertains to identifying, tracking, and coordinating care for Veterans with SCI/D who choose to receive care at the SCI/D Spoke facility
• Prescribe medications within the defined scope of practice
• Order diagnostic studies such as laboratory tests, x-rays, electrocardiograms
• Review need for and order health promotion and disease prevention measures
• Initiate, respond to and expedite request for consultations, special tests, and studies
• Provide education and counseling of patients and families in preventive care, medical conditions, and use of prescribed treatments and drugs
• Serve as a preceptor for PA residents and students as requested

The PA is clinically and ultimately responsible to the Physician Team Lead, the Chief of Primary Care, and to the Columbia VA Health Care System Deputy Chief of Staff. These individuals collaboratively retain administrative, clinical, and disciplinary responsibility for the performance evaluation, time and attendance, assuring clinical practice complies within the scope of practice and clinical protocols and privileges for the PA.

• Refer to the Office of the Chief Human Capital Officer (OCHCO) VA Qualification Standards SharePoint, Business Office Qualification Standard, GS-0669 (Appendix G33).
• Meets the needs of all customers while supporting the Medical Center and Service missions. Consistently communicates and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner. Provides the customers with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately.
• Provides care and/or services appropriate to the age of the patients being served, and which is appropriate to the cognitive; emotional, and chronological maturation of the patient. Assesses data reflective of the patient's status and interprets the information needed to identify each patient's requirements relative to their age specific needs and to provide care needed as described in the services' policies and procedures. Take into consideration age-related differences of the various veteran populations with this institution. The incumbent must demonstrate the knowledge of the changes associated with aging and possess the ability to provide care/support based upon age-related factors. Ensure staff receives training in these categories. Sensitivity to the special needs of all patients in respect to age, developmental requirements, and culturally related factors must be consistently achieved.

PA-I $106,331-112,709

PA II- $127,447-135,093

PA III-$151,552-160,643

Work Schedule: Monday -Friday, 8:00am-4:30pm. Subject to change based on the needs of the agency.

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 evaluation/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.
• Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service.
• English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. a7 7403(f).

Preferred Experience:

Grade Determinations: Physician Assistant-I (PA-I)

• Experience and Education. None beyond the basic requirements. This is the entry level for Physician Assistants. AND
• Demonstrated Knowledge, Skills, and Abilities. The following list of knowledge, skills, and abilities (KSA) present the minimum skill set expected of an Entry Level Physician Assistant. This practice may include, but is not limited to:
  
  1. Ability to utilize the principles of Physician Assistant practice in the care of assigned patients to provide appropriate care.
  2. Ability to perform patient history and physical.
  3. Ability to formulate a plan and provide treatment to the patient.
  4. Ability to provide patient care that is abreast of changing concepts and advancements in the profession.

Physician Assistant-II (PA-II)

• Experience and Education. The Physician Assistant 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 Physician Assistant 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 (KSAs). Physician Assistants at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-II:
  
  1. Skills to analyze and solve complex medical problems.
  2. Ability to function autonomously and make independent medical decisions.
  3. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care.
  4. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care.
  5. Ability to practice with colleagues and peers collaboratively.

Physician Assistant-III (PA-III)

• Experience and Education. Physician Assistants at the PA-III 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 Physician Assistants, 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 Physician Assistant 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. Physician Assistants at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-III:
  
  1. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.
  2. 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).
  3. Ability to present clinical findings and recommendations to appropriate management officials.
  4. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.
  5. 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.
  6. Ability to participate clinically in the development of the Physician Assistant 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 3.

The actual grade at which an applicant may be selected for this vacancy is in the range of 1 to 3.

Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. However, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.

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 qualificatio