The Physician Assistant or Nurse Practioner (GI Endoscopy) works in collaboration with, and with available guidance and supervision of, an Attending Physician(s) in the field of Gastroenterology and Surgical GI Endoscopy. The primary practice site for GI Endoscopy is in the Operating Room/Endoscopy Suite in Building 104 and the Specialty Clinics in Building 17 located on the campus of the Lebanon VA Medical center.Learn more about this agency
This job announcement was updated 12-20-18 to include influenza verbiage.
The Physician Assistant or Nurse Practioner (GI Endoscopy) will be responsible for evaluating and facilitating Gastrointestinal Endoscopy which is generally defined as but not limited to:
- Outpatient evaluation of patients who are being evaluated for Gastrointestinal Endoscopy including esophagogastroduodenoscopies (EGD) and colonoscopies including endoscopic interventions such as biopsy, polypectomy, esophageal dilatation, management of bleeding, etc.
- Review medical history and conducting a detailed physical exam in the preprocedural environment.
- Interpreting laboratory and diagnostic results as related to the planned intervention.
- Review and update reconciliation of medications.
- Review and take action on all GI and Surgical GI consult requests to ensure they are scheduled appropriately to provide the requested services.
- Ensuring the Endoscopy suite is fully utilized during operating ours in coordination with the providers outpatient clinics and other clinical duties.
- In collaboration with a supervising physician, the PA is also authorized to write orders on outpatients who will be receiving their care at the Lebanon VA medical center and in the periprocedural endoscopy area.
Financial Discloser Report: Not required
Conditions of Employment
- You must be a U.S. Citizen
- Designated and/or random drug testing required
- 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 a background/security investigation
- Selected applicants will be required to complete an online onboarding process
- Must pass pre-employment physical examination
- English Language Proficiency. NPs and PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d).
QualificationsPhysician Assistant Specific Requirements
- Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations AND a bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.
- Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA. PAs on VA rolls prior to March 12, 1993 who are not NCCPA certified remain exempt from the NCCPA certification requirement. However, a PA who subsequently became or becomes certified is no longer exempt and must maintain certification as a condition of employment.
Full Grade. There is no experience or education beyond the basic requirements in paragraph 2 of this standard.
- Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans, and modify treatment plans when appropriate.
- Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate.
- References quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care.
- Initiates effective actions in emergencies
- Obtains additional knowledge and skills appropriate to the practice setting to improve performance.
- Provides patient education in an effective manner.
Interpersonal Skills: Works effectively with patients, families, caregivers, and other professional and support personnel.
- Demonstrates awareness of research application to practice.
- Researches medical literature and applies evidenced-based medicine to improve clinical practice.
Experience / Education
- 1 year of professional practice as a PA; or
- Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or
- A Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education.
- Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill and competency than that expected of the previous grade.
- Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade.
- Practices with a higher degree of autonomy and seeks guidance from the assigned physician less frequently than expected of the previous grade.
- Evaluates the delivery system of patient care within the area of assignment, presents findings and recommendations, and contributes to changes that enhance the quality and timeliness of care.
- Acquires knowledge and skills to maintain expertise in area of practice.
- Shares medical literature research findings with colleagues to enhance patient care delivery.
- Participates in educational activities to improve clinical knowledge and enhance role performance.
- Serves as a clinical preceptor to healthcare students.
- Serves on service level committees or subcommittees when assigned.
- Identifies medical ethical issues and takes appropriate actions.
- Supports and enhances patient self-determination.
- Shares medical literature research findings with colleagues to enhance patient care delivery.
- Uses a body of research to validate or change group practice.
Experience / Education
- 3 years of professional practice as a PA; or
- 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or
- 2 years of professional practice as a PA and a degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; or
- A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education.
- Evaluates service level patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes.
- Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned.
- Serves on service or facility committees/task forces if applicable to the assignment.
- Coordinates consult referrals within the service assigned.
- Coordinates and facilitates inter-service agreements.
- Manages patients with complex or multi-system medical problems.
- Practices with a significant degree of autonomy and seeks guidance from assigned physicians with less frequency than expected at the previous grade.
- Performs more complex diagnostic and therapeutic procedures beyond what is expected at the previous grade.
- First or second assists in surgical procedures.
- Acts as a consultant/mentor to PAs in lower grades and other clinical and support staff.
- Serves as a clinical preceptor for students or organizes and participates in facility clinical educational programs.
- Makes sustained contribution to health care by sharing expertise within and/or outside the medical facility.
- Communicates and collaborates effectively with other facility staff and outside institutions when applicable to the area of assignment.
- Effectively promotes the physician assistant profession to health care staff, patients and other stakeholders at the local level.
- Makes significant contributions which serve to enhance the distinctive role of PAs within the local institution and the health care system.
- Collaborates with others in research activities to improve patient care, or;
- Authors, or collaborates with others, on a paper or study for publication.
Nurse Requirements listed below under Education.
Nurse Practioner Specific Requirements
- Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing.
- The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6)
- Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
- A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in psychiatry or mental/ behavioral health.
- Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
- Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
- Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
- Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
- Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree in nursing or related field and approximately 2-3 year's of nursing practice/experience
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.
This job opportunity announcement may be used to fill additional vacancies.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer competitive status.
United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
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.
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.
If you are unable to apply online view the following link for information regarding an Alternate Application.
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: Applicant's education and experience will be reviewed by a Professional Standards Board and utilized 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 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.
Background checks and security clearance
Drug test required
To apply for this position, you must provide a complete Application Package which includes:
- VA Form 10-2850
VA Form 10-2850c for Physician Assistant or VA Form 10-2850a for Nurse Practioner can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search. Required at time of application
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), etc.
- Cover Letter
- VA Form 10-2850
- Other Veterans Document
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
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. Learn more about federal 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 to Apply
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 04/10/2019 to receive consideration.
- To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
- Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). HCP are individuals who, during the influenza season, work in VHA locations where patients receive care or who come into contact with VA patients as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased facilities. HCP include all VA licensed and unlicensed, clinical and administrative, paid and unpaid, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, students, researchers, volunteers, and trainees who work at these facilities. HCP that are unable to receive or otherwise decline a flu shot will be expected to wear a face mask throughout the influenza season.
Agency contact information
AddressLebanon VA Medical Center
1700 South Lincoln Avenue
Lebanon, PA 17042
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
Fair & Transparent
The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
Equal Employment Opportunity Policy
The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Reasonable Accommodation Policy
Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.
Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when:
- An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
- An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
- An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.
You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.
Legal and regulatory guidance
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/515324700. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.