Summary

Provides comprehensive urologic care across outpatient and procedural settings. Evaluates and manages acute and chronic conditions, performs histories and physicals, orders and interprets diagnostic tests, develops treatment plans, prescribes therapies, assists with procedures, educates patients and families, coordinates multidisciplinary care, and supports quality, safety, and evidence-based practice.

Duties

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San Antonio offers a unique blend of rich history, vibrant culture, outstanding food, and year-round recreation. As the seventh-largest city in the United States, San Antonio combines the amenities of a major metropolitan area with a strong sense of community. Known as "Military City USA" the city has deep ties to service members, Veterans, and their families. San Antonio is home to the iconic River Walk, the Alamo, Texas' only UNESCO World Heritage Site, and a nationally recognized culinary scene as a UNESCO Creative City of Gastronomy. With abundant outdoor recreation, professional sports, family attractions, festivals, and a diverse arts and entertainment scene, San Antonio offers an outstanding quality of life for individuals and families alike.

VA offers a comprehensive total rewards package.

Duties include, but are not limited to the following:

• Evaluates and manages patients with acute and chronic urologic conditions through comprehensive histories, physical examinations, and clinical assessments.
• Orders, reviews, and interprets laboratory tests, imaging studies, and other diagnostic procedures to support diagnosis and treatment decisions.
• Develops, implements, and modifies individualized treatment plans based on patient needs, clinical findings, and established standards of care.
• Prescribes medications, treatments, and other therapeutic interventions within approved scope of practice.
• Performs and assists with urologic procedures and other clinical interventions appropriate to training, privileges, and patient needs.
• Provides follow-up care, monitors treatment response, and adjusts care plans based on patient progress and changing clinical conditions.
• Educates patients and families regarding diagnoses, treatment options, medications, procedures, preventive care, and self-management.
• Collaborates with physicians, nurses, specialists, and other healthcare professionals to coordinate safe and effective patient care.
• Documents assessments, diagnoses, treatment plans, procedures, and patient outcomes accurately in the medical record.
• Participates in quality improvement, patient safety, evidence-based practice, and other activities designed to improve healthcare delivery and outcomes.

Work Schedule: Monday-Friday, 7:30am to 4:00pm

Telework: Not Available.

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized.

Permanent Change of Station (PCS): Not Authorized.

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.
• Pre-Employment/Post-Employment Physical Examination: May be required, depending on the needs of the organization.
• 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

• Citizenship. Citizen of the United States in accordance with section 7402(c) to title 38,United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a).
• 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.

Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignment of candidates:

• Physician Assistant-I (PA-I)
  
  • Experience and Education: None beyond the basic requirements. This is the entry level for PAs.
  • Demonstrated Knowledge, Skills, and Abilities: The following list of knowledge, skills, and abilities (KSA) present the minimum skill set expected of an Entry Level PA. This practice may include, but is not limited to:
    
    • 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: The PA 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 (KSAs): PAs 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:
    
    • 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 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 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 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:
    
    • 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/.

Physical Requirements: The work is sedentary. Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work. Work may also require walking/standing, in conjunctions with travel to and attendance at meetings and/or conferences away from the work site. Incumbent may carry and lift light items weighing less than 15 pounds.

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/.

Note: If your school has changed names, or is no longer in existence, you must provide this information in your application.

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.

Recency and Quality of Experience. To be creditable, experience must demonstrate possession of knowledge, skills and abilities related to the current practice of a PA.

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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 upholding the rule of law and the United States Constitution.

Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.