Skip to main content
U.S. flag
Back to results

Physician Assistant - Primary Care

Department of Veterans Affairs
Veterans Health Administration
Spokane VA Healthcare System (Wenatchee CBOC)
This job announcement has closed

Summary

The Primary Care Physician Assistant provides direct patient care to the Veteran population full time and works as a member of a Patient Aligned Care Team (PACT). A PACT Team is Veteran centered, interdisciplinary in nature, and is responsible for the longitudinal management of the Veteran.

Education Debt Reduction Program (Student Loan Repayment): APPROVED! Learn more.

Overview

Help
Hiring complete
Posted 03/17/26
Location
Work site options
Telework eligible
No
Remote job
No
Relocation expenses reimbursed
No
Salary
$105,261 - $181,124 per year

Education and length of practice will be considered in determining salary (grade and step)

Pay scale & grade
VN 00
Pay scale and grade determines the salary of the job.
Work schedule
Full-time
Travel Required
Not required
Appointment type
Permanent
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Excepted Service
Represented by a union
No
Drug test
Yes
Security clearance
Other
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Jobs require a background check and some require a security clearance. The type depends on the job.
Background check type
Financial disclosure required
No
Some jobs require financial disclosure to identify conflicts of interests.
Announcement number
CBSV-12912990-26-ML
Control number
861508900

This job is open to

Help

Clarification from the agency

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. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

Videos

Duties

Help

Duties include but are not limited to:

  • Provides medical care with the cognizance of the Chief, Primary Care, by collecting data required for diagnosis and performing procedures and services as approved by the Credentials Review Committee.
  • Obtains and evaluates medical histories, performs physical examinations, performs therapeutic and diagnostic procedures, and orders laboratory studies, radiographs, electrocardiograms, and other special examinations.
  • Analyzes and interprets data, formulates problem lists, and establishes plans for solution of clinical problems.
  • Counsels patients on medical problems, use of medications, and expected effects of treatment. Makes entries in patient's permanent medical records via the current EHR.
  • Coordinates patient care with the specialties within the department.
  • Initiates, communicates and coordinates care with VISN 20 tertiary care specialists.
  • Initiates Fee Basis consultation requests to other health professionals to provide more comprehensive patient management as appropriate.
  • Accomplishes narrative summaries and other documentation
  • The incumbent will be directly involved clinically as a Physician Assistant coordinating all aspects of providing the right medical care to the right patient most efficiently and effectively.
  • Performs and dictates/types initial histories and physical examinations as well as progress notes on all procedures performed for which he or she is responsible.
  • Dictating/typing discharge and transfer summaries.
  • Provides comprehensive physical assessment.
  • Evaluates, diagnoses, and treats new and existing patients' conditions.
  • Orders appropriate tests.
  • Types/Dictates medical notes in patients' charts using the current EHR, indicating patient status, treatment, & procedures.
  • Conducts follow-up patient care.
  • Provides health education to patients and families.
  • Supervises and/or coordinates the activities of patient care and support staff within the Primary Care clinics.
  • Actively participates in community health education.

VA offers a comprehensive total rewards package.


Work Schedule: Monday-Friday, 8:00am-4:30pm
Compressed/Flexible: Available
EDRP Authorized: This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
EDRP: Former EDRP participants ineligible to apply for incentive.Contact VHA.ELRSProgramSupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more

Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Telework: Not available
Virtual: This is not a virtual position.

Requirements

Help

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

  • Citizenship. Citizen of the United States [in accordance with section 7402(c) to title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a).]
  • English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f).
  • Education: Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant
  • Certification: Successfully passed the PA National Certifying Exam (PANCE) (or you are in the process to taking the exam)
  • Licensure: 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 Determination. 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 Officeof 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 Officeof 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.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Preferred Experience: Three(3) to five(5) years of Outpatient Primary Care Experience

Physical Requirements: Light lifting, under 15 pounds; Light carrying, under 15 pounds; Pushing (5 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (5 hours); Standing (5 hours); Both legs required; 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; Depth perception; Ability to distinguish basic colors; Hearing (aid may be permitted)

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.

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.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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.

Veterans Health Administration

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?

Spokane is a family-oriented city located in beautiful eastern Washington with a regional population of 470,000. Our four season climate and pristine surroundings offer an abundance of exceptional recreation opportunities. Spokane is known for its affordable housing and excellent schools and universities. Set an early tee time at any of the scenic and well-designed golf courses in the area, then walk, bike or canoe along the Centennial Trail. Cool off in one of 76 regional lakes, camp in gorgeous state parks, wrestle with whitewater rapids and ski through fresh powder. Enjoy the vibrant arts and entertainment scene. Take a walk around Riverfront Park and then catch a performance of the Spokane Symphony, see a show at the Opera House or take in a play at the Civic Theater. The indoor and outdoor possibilities are limitless!

Agency contact information

Melody Laughlin
Phone
253-583-1173
Email
Melody.Laughlin@va.gov
Address
Mann-Grandstaff Department of Veterans Affairs Medical Center
4815 North Assembly Street
Spokane, WA 99205
US

Visit our careers page

Learn more about what it's like to work at Veterans Health Administration, what the agency does, and about the types of careers this agency offers.

https://www.va.gov/jobs/

Your session is about to expire!

Your USAJOBS session will expire due to inactivity in 8 minutes. Any unsaved data will be lost if you allow the session to expire. Click the button below to continue your session.