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.

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VA offers a comprehensive total rewards package.
Major duties include but not limited to:
Clinical

1. Direct Patient Care - Responsible for the clinical management of health care to the veterans referred to the Urology service. This includes independent initial consultations in the clinic, emergency department or inpatient setting, complete evaluations, and devising/implementing therapeutic intervention. Has the authority to order all tests and procedures necessary to evaluate and treat these patients. Exercises sound clinical judgment on conditions requiring consultation, referral or evaluation by Urology Chief or other Health care professionals. Will have a Panel of urologic patients, including patients within the subspecialty focus of each PA, which is maintained with appropriate independent continuity of care, in conjunction with the Resident and Attending Urologic Staff. Will have cross-training to other elements of urologic procedures, including straightforward urodynamics procedures, as backup to others on the Provider team.
2. OR Scheduling - Responsible for reviewing patient preparation for upcoming operative interventions, anti-coagulant perioperative management, and postoperative follow-up. Will interact with Operative Scheduling Team to be assured of appropriate time allowance of cases.
3. Urology Fee Basis (Non-VA Care) Process. Help coordinate referrals for outside urologic clinical care if unable to be performed at VA. Reviews the clinical record generated by Urologic Providers and allied specialties and generates a summary statement. A draft Fee Basis format is generated for review by identifying relevant CPRS documentation which must be included (Progress Notes, Op Notes, Imaging Reports, Path Reports). This will be reviewed with possible modification by the Chief of Urology or designee. Once approved, the Fee Basis consult will be generated by this Manager and ordered. Functions as the primary point of contact regarding outside providers and the VA Urology providers and communicates with referring providers if necessary, to coordinate care. Tracks all patients regarding outside care. Maintains records of process and integrates findings into VA CPRS in stipulated Urology Management Notes.
4. Independently performs complete pre-operative H+Ps on GU surgical patients, identifying and alerting the surgeon to any disqualifying conditions that present.
5. Assists as needed in the Operating Room with the full range of GU surgeries at the direction of the Chief of Urology.
6. Facilitates care of urology patients as well as their entry and exit from various Health care systems by establishing and maintaining liaison with a variety of medical specialists and associated staff. Collaborates and coordinates with other Health care resources to ensure timely and appropriate patient continuity of care.
7. Performs invasive interventions under the supervision of Urologic Attending: this includes urethral dilation and cystoscopy, prostatic needle biopsy (if trained), intracorporeal ED penile injections.
8. Other clinical duties as assigned by the Chief of Urology and Chief of Surgery

1. Manages complex process flow of all Urologic Fee Basis patients, this includes:

1. Attends committee meetings and process action teams to represent the Urology Service at the direction of the Chief of Urology.
2. Maintains and coordinates the urology OR Schedule by available software systems to ensure appropriate case scheduling.
3. Establishes schedules and participates in clinical education and training of both medical and allied Healthcare students within the Department of Urology.
4. Facilitate response/actions to patient inquiries to care and treatment received by the Urology service.
5. Functions as the liaison between the Chief of Urology and Sub-specialty services on clinical issues.

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

Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Education: [Graduate of a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations. Additionally, candidates must meet one of the following:
• (1) Master's degree in any discipline; OR (2) Bachelor's degree in any discipline with one year of experience as a PA.]
• Certification: Certification. [Must have successfully passed the PA National Certifying Exam (PANCE)
• Licensure: PAs must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State.
• English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f).

• 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.

1. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.
2. 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).
3. Ability to present clinical findings and recommendations to appropriate management officials.
4. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.
5. 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.
6. Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records.

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.

Area of Consideration - Eligible applications will be reviewed and referred based on Veterans' Preference.

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.