Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 701294500
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. 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 complete review of the EDRP application. 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. Determinations: Physician Assistant - I (PA-I): Experience and Education: Non 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 Physician Assistant 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 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: i. Two years of successful practice as a PA.OR ii. 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 iii. 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. Physician Assistant at the PA-III grade are at the full performance level and lead and organize patient are 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: i. Three years of successful practice as a PA.OR ii. 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 ii. A doctoral degree in 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 deliver 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. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard. 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: Lifting and carrying (up to 45 lbs.); pushing or pulling (1 hour); reaching above shoulder; use of fingers; both hands required; walking (up to 4 hours); standing (up to 4 hours); repeated bending (up to 2 hours); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other eye; hearing (aid permitted); clear speech; mental and emotional stability. ["A offers a comprehensive total rewards package: VA Nurse Total Rewards Major duties include, but are not limited to the following: Participates in functions of the interdisciplinary Pain Management Team (PMT), by evaluating patients with complex pain conditions; Provides consultation for medication management, and review of patients with \"high risk\" opioid prescriptions identified by VA risk assessment tools (e.g. STORM); Collaborate with PMOP Field Representatives (PMOP Coordinator, PACT/Pain Champion, POC/Pain Consultant) to expand access to safe and effective opioid and non-opioid pharmacological management of chronic pain; Works with the Clinical Pharmacy Practitioner to provide comprehensive medication management services for Pain Management and Opioid Use Disorder (OUD); Maintains DEA registration to prescribe schedule II and schedule III-V controlled substances; Supports a model for integration of Medication-Assisted Treatment of Opioid Use Disorder (MOUD) into primary care clinics; Incorporates advanced knowledge of VA/DoD Clinical Practice Guidelines for pain management; Assess patients for appropriate referral to other integrated pain care programs and services; Participates in facility-wide efforts to improve access, timeliness, and quality of pain care, thereby reducing unnecessary patient referrals to Care in the Community (CITC) providers; Expands access to pain care services utilizing various telehealth modalities (e.g. Clinical Video Telehealth (CVT) to Community-Based Outpatient Clinics (CBOC), VA Video Connect (VVC) to home, and telephone encounters; Serves on the facility Pain Management Committee, which provides oversight, coordination, and monitoring of pain management activities and processes Assists the PMOP Coordinator with meeting initiative-specific expectations [e.g. training requirements, workload documentation, productivity standards, and project updates Work Schedule: Monday - Friday; 8:00 am - 4:30 pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact Corey Hickman at Corey.Hickman@va.gov, EDRP Coordinator for questions/assistance Financial Disclosure Report: Not Required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.