Physician Assistant Pain Clinic

Summary

Relocation/Recruitment Approved

Education Debt Reduction Program (EDRP) Authorized: This position is eligible for 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 your start date.

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Overview

• Accepting applications

• Open & closing dates

03/20/2024 to 04/02/2024

• Salary

$104,264 - $179,575 per year

• Pay scale & grade

VN 00

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Location

1 vacancy in the following location:

• Danville, IL 1 vacancy

• Remote job

No

• Telework eligible

No

• Travel Required

25% or less

• You may be expected to travel for this position.

• Relocation expenses reimbursed

No

• Appointment type

Permanent -

• Work schedule

Full-time -

• Service

Excepted

• Promotion potential

2

• 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

CAZP-12352002-24-AW

• Control number

782594200

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This job is open to

• Internal to an agency

Current federal employees of this agency.

• The public

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

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Duties

The Physician Assistant is a professional with advanced clinical knowledge and competence to function in a variety of roles. She/he is accountable for the management and evaluation of patient care under her/his care. She/he holds clinical privileges and practices in collaboration with a physician. The Physician Assistant provides comprehensive wellness care, as well as acute, episodic, and chronic care, of adult veterans in chronic pain. The Physician Assistant is prepared by advanced practice in adult health care across the health continuum. This practice includes independent and interdependent decision making, and direct accountability for clinical judgment. The Physician Assistant will evaluate and treat adult and elderly patients in a number of possible settings, including outpatient, in the Community Living Center, inpatient, and at the Community Based Outpatient Clinics.. The Physician Assistant will also perform activities related to follow-up of abnormal lab and radiology results, keeping communication open with veterans and their families, and ensuring that staff is kept abreast on the veteran's clinical condition.

FUNCTIONS OR SCOPE OF ASSIGNED DUTIES:PRACTICE: Provides leadership in the application of clinical care processes as they relate to patient care, organizational processes, and/or systems, thus, improving outcomes at the program or service level.

CRITERIA:

1.Conducts a comprehensive assessment to determine veteran's nature and degree of health care problems & constructs and implements an appropriate plan of care.

2.Develops a data base on veterans by performance of:(1) Health history(2) Physical assessment(3) Diagnostic testing

3.Assesses and interprets patient data differentiating between normal and abnormal findings; formulating differential diagnosis; Develops appropriate diagnosis and treatment plans.

4.Prescribes and performs selected laboratory and other diagnostic tests, treatments, referrals, and consultations deemed pertinent, as defined in individual clinical privileges as delineated by PA/NP board.

5.Manages veterans with acute and chronic diseases or other health problems, as well as preventive health where appropriate; thorough health teaching for veterans, family, peers, and community, increases veteran and family understanding of disease processes, self-care, and treatment plans.

6.Reviews patient management with collaborating physician as appropriate; Collaborates & makes recommendation with other disciplines and community resources to ensure continuity of care.

7.Maintains up-to-date records of all veteran interactions to document care provided, and facilitates intervention of various other health care providers.

8.Demonstrates the skills and knowledge necessary to provide care appropriate to the veterans served, including the ability to obtain and interpret information to identify veteran needs and to provide the care needed.

9.Maintains compliance with the various standards of care & practice. These include but are not limited to H&P completion, Medication Reconciliation, "Hand Off" communication standardization, patient education and documentation and assisting with patient flow and discharge processes.

The PA will also actively participate in risk review meetings, VISN wide pain meetings, and pain committee meetings. They will participate as pain champion.

Work Schedule: Monday

• Friday, 8:00 am

• 4:30 pm, May be required to work off tour hours, opportunity for compressed scheduled.

Education Debt Reduction Program (EDRP) Authorized: This position is eligible for 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 your start date. 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. Former EDRP Participants are ineligible to apply.

Contact VHA.ELRSProgramSupport@va.gov for questions/assistance.

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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: 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.

• 1. Physician Assistant-I (PA-I)
  
  

• (a) Experience and Education. None beyond the basic requirements. This is the entry level for PAs.

• (b) 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:

• i. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care.

• ii. Ability to perform patient history and physical.

• iii. Ability to formulate a plan and provide treatment to the patient.

• iv. Ability to provide patient care that is abreast of changing concepts and advancements in the profession.

• (2) Physician Assistant-II (PA-II)

• (a) 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:

• 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.

• (b) 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:

• i. Skills to analyze and solve complex medical problems.

• ii. Ability to function autonomously and make independent medical decisions.

• iii. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care.

• iv. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care.

• v. Ability to practice with colleagues and peers collaboratively.

• (3) Physician Assistant-III (PA-III)

• (a) 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:

• 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

• iii. 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.

• (b) 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:

• i. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.

• ii. 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).

• iii. Ability to present clinical findings and recommendations to appropriate management officials.

• iv. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.

• v. 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.

• vi. 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

Physical Requirements: The incumbent must be physically and mentally able to efficiently perform the essential functions of the position without hazard to themselves or others. Normal work of the position requires visual acuity (with the ability to read typewritten characters without strain, corrective lenses permitted), keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially moderate levels of lifting and carrying (15-44 pounds). The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

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.

As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. 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 exception from this requirement using the reasonable accommodation process.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

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• Benefits

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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, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.