Clarification from the agency

Open to Current permanent employees of the Bedford VA Healthcare Systems including Past/Current/Upcoming Graduates of VHA Health Trainee Programs (HPT) are eligible to apply (must send proof such as an SF-50 with application) and the Public. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

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This Physician Assistant (PA) position is in the Pain Clinic within the Specialty Care Services as the Bedford VA Healthcare System in Bedford, Massachusetts. This is a permanent, full time position with 40 hours per week.

Duties include, but are not limited to:

• Manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice;
• Develops and implements an individualized plan to achieve optimal population health and disease management;
• Demonstrates leadership and works collaboratively with Primary Care Team and other interdisciplinary team members;
• Orders and interprets diagnostic studies;
• Prescribes pharmacologic and non-pharmacologic interventions;
• Initiates referrals/consults to specialty services;
• Provides education to patients and their families;
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes;
• Exemplifies the ICARE core values; and
• Performs other duties as required.

• Acts as a primary provider for chronic pain management;
• Coordinates care for complex patients with chronic pain in their own designated clinic (ex. multiple co-morbidities including mental health diagnoses, polypharmacy, pain that is difficult to manage, on multi-modal therapy and have failed Step 1 of Stepped Care Model of Pain, etc);
• Manages patients with chronic pain, Opioid Use Disorder and dual diagnosis, prescribing of buprenorphine;
• Coordinates pain management for patients referred to the interdisciplinary pain team; and
• Serves as leader of interdisciplinary team for patients seen with dual diagnosis to coordinate care, provide close monitoring of patient compliance, triage any concerns and provide comprehensive care to this high risk population of patients.

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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• 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).
• 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

• 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.

• 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:

1. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care.
2. Ability to perform patient history and physical.
3. Ability to formulate a plan and provide treatment to the patient.
4. Ability to provide patient care that is abreast of changing concepts and advancements in the profession.

• 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:

1. Two years of successful practice as a PA. OR
2. 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
3. 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:

1. Skills to analyze and solve complex medical problems.
2. Ability to function autonomously and make independent medical decisions.
3. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care.
4. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care.
5. Ability to practice with colleagues and peers collaboratively.

• 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.

• Examining, diagnosing and treating patients with chronic pain conditions and providing consults as well as ongoing chronic care for pain patients;
• Working with interdisciplinary teams in caring for patients with chronic pain conditions;
• Ordering labs and radiologic exams in working up pain conditions;
• Utilizing buprenorphine for dual diagnosis opioid use disorder and chronic pain;
• Certification for addiction medicine (Selectee must agree to attend training within the first year of employment if they are not already certified);

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.