Physician Assisant - Primary Care

Summary

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. 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 complete review of the EDRP application.

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Overview

• Accepting applications

• Open & closing dates

04/11/2024 to 10/10/2024

• Salary

$115,687 - $193,189 per year

• Pay scale & grade

VN 00

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Location

1 vacancy in the following location:

• Fayetteville, NC

• Remote job

No

• Telework eligible

No

• Travel Required

Not required

• Relocation expenses reimbursed

No

• Appointment type

Permanent -

• Work schedule

Full-time -

• Service

Excepted

• Promotion potential

None

• Job family (Series)

0603 Physician Assistant

• Supervisory status

No

• Security clearance

Not Required

• Drug test

Yes

• Position sensitivity and risk

Non-sensitive (NS)/Low Risk

• Trust determination process

Credentialing

Suitability/Fitness

• Announcement number

CBTA-12382514-24-LJ

• Control number

786201800

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This job is open to

• Federal employees - Excepted service

Current excepted service federal employees.

• The public

U.S. Citizens, Nationals or those who owe allegiance to the U.S.

Clarification from the agency

This is an Open Continuous Announcement (OCA) and will remain open until October 10, 2024. Qualified applicants will be considered and referred as vacancies become available. Open to current employees of the Department of Veterans Affairs

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Duties

This is an Open Continuous Announcement that will be used to fill vacant positions through out the Fayetteville VA Medical Center at the Fayetteville VHA Health Care Center location. This position is open to all licensed, qualified Physician Assistants currently seeking employment in Fayetteville, NC. Resumes will be referred to hiring managers as a vacancy occurs.

VA offers a comprehensive total rewards package.

The Primary Care PA works as a member of the multidisciplinary Patient Aligned Care Team (PACT) and

provides care to a panel of approximately 900 patients. The Primary Care PA assists with the total care of

the patient's medical needs by performing history and physical examinations, promoting preventative health

measures, managing acute and chronic conditions, ordering appropriate lab tests, evaluating those tests

and acting within the guidelines laid down by the supervising physician to ensure quality care of the

patient. The Primary Care PA functions as an integral part of a PACT team to coordinate, facilitate and

provide patient care and services. The Primary Care PA assists in preparation of the patient to include

but not limited to teaching, accumulating data and medical problems, and as needed, presenting

patient- centered discussion of medical problems with his/her supervising Physician.

Assigned Duties:

1.Effectively evaluates and treats patients with more complex medical problems requiring a higher degree

of clinical skill and competency.

2.Orders testing, consults, etc. as appropriate for the Veteran's condition.

3.Performs complete diagnostic and therapeutic procedures as applicable in the provision of primary care.

4.Documents in the medical record in keeping in with the Bylaws of the Medical Center.

5.Provide clinical care to Veterans and provides clinical oversight of the PACT team to which assigned.

6.Ensures that medical treatment or care plans consist of current best medical practices and are evidence based

if possible.

7.Ensures practice of medicine is consistent with Joint Commission, CARF, VA policies and procedures,

clinical practice guidelines, VISN standards, national statutes and regulations, medical record

documentation, mandatory continuing education, and HIPAA policies.

8.Responsible for timely completion of all clinical charting and documentation required by the Medical

Center or healthcare system, as appropriate.

9.Actively promotes a customer-oriented culture and promotes the hiring of persons who demonstrate the

VA's iCARE values of integrity, commitment, advocacy, respect, and excellence.

10. Encourages an atmosphere of trust, psychological safety and empowerment in all functional areas under

her/his oversight.

11. Completes projects or duties as assigned by the Chief, PCSL.

Work Schedule: Monday through Friday 0800-1600

Compressed/Flexible: Not Available

Telework: Not Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

Financial Disclosure Report: Not required

Pay: Competitive salary, annual performance bonus, regular salary increases.

Paid Time Off: Receive 13 to 26 days paid time off per year, not to include 10 paid federal holidays; and 13 sick days annual with no limitation on accumulation.

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).

For More Information on Benefits: https://www.vacareers.va.gov/Benefits/EmploymentBenefits

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Requirements

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.

• You may be required to serve a probationary period.

• Subject to background/security investigation.

• Selected applicants will be required to complete an online onboarding process.

• 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).

• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

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.

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.

References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard. This can be found in the local Human Resources Office.

The full performance level of this vacancy is VN-0603-03. The actual grade at which an applicant may be selected for this vacancy is in the range of 01 to 03.

Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position may involve standing, walking, stooping, bending, reaching, lifting, and turning. The work may involve going up and down flights of stairs.

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.

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.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

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.

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• 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 window

Learn more about federal benefits.

Review our benefits

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.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.