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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**This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until July 01, 2026. The initial cut-off date for referral of eligible applications will be May 08, 2026, with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.**

VA offers a comprehensive total rewards package.

Work Schedule: Monday - Friday 8:00am-4:30pm
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact V21CCOEEDRP@VA.GOV, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized

The purpose of this position is to ensure a high level of healthcare for patients with a wide variety of urgent disorders of low-to high-risk of intensity. The Physician Assistant (PA) will manage patient care under the auspices, authority and supervision of an assigned Physician provider. The incumbent will serve as an integral part of the team for the delivery of care. Orders written by the PA are to be considered as coming from the supervising physician.

Serves as a direct health care provider in the capacity of a credentialed Physician's Assistant to provide primary urgent and emergent medical services to patients of all ages. The incumbent serves in Urgent Care, Northern California Health Care System (NCHCS). Duties include care and management for patients presenting to Urgent Care with responsibility for the independent examination, diagnosis and treatment within personal credentials and privileges delineated by the medical center.

Major duties include but are not limited to:
The incumbent performs a variety of professional direct health care clinical duties within Urgent Care. Assignments include a wide range of activities including assessing, planning, evaluating and modifying the plan of acute and chronically ill patients.

• Secures a health and medical history from the patient or family member, records findings and makes clinical evaluation.
• Examines patients and performs initial patient work-up and assessment of patients' care and treatment; and determines the need for and orders laboratory tests, X-rays and other procedures necessary to complete assessment of the patient.
• Makes decisions concerning urgent/emergent care needs of patients with physicians; works collaboratively with the physician in patient management evaluation and revision of therapeutic plans; and refers extremely or selected complex medical problems for additional evaluation and management.
• Diagnoses urgent/emergent conditions, illness disorder or injury; institutes treatment of patients; and seeks the advice of appropriate physicians for more serious or uncommon conditions.
• Prescribes for and treats a variety of diseases, disorders, and injuries; treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in patients' medical records; writes routine orders on outpatients.
• Provides a full range of Urgent Care services or crises interventions in the absence of the physician, including life-saving Urgent Care procedures in order to stabilize a patient within the scope of practice and approved protocols. Define unknown conditions and resolve critical problems.
• Discriminates between normal and abnormal findings to recognize early stages of urgent/emergent conditions.
• Writes prescriptions, orders the administration of medications, dispenses medications and prescribed controlled substance in accordance with treatment protocols.
• Records entries into patient's charts including progress notes, treatment rendered, tests or procedures ordered, and notations of prescriptions or orders, and drugs dispensed or administered in accordance with approved protocols.
• Provides surveillance adherence to medical care practices and procedures to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other Urgent Care members.

Emergency and/or Urgent Care DUTIES:
The following Urgent Care duties are to be carried out for patients in life threatening situations when a physician is not immediately available. The PA is to initiate these activities, but makes every effort to summon a physician as soon as possible:

• Cardiopulmonary resuscitation (CPR) including electro defibrillation
• Treatment of acute respiratory failure
• Treatment of life-threatening traumatic injuries
• Endotracheal intubation

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. 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).

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: 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(KSAs).

• 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.

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:

• 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.

Demonstrated Knowledge, Skills, and Abilities (KSAs).

• 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.

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:

• 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.

Demonstrated Knowledge, Skills, and Abilities(KSAs).

• 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.

Reference: 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.

The full performance level of this vacancy is 4. The actual grade at which an applicant may be selected for this vacancy is in the range of 1 to 3.

Physical Requirements:

The position requires visual and auditory acuity at a level to provide safe and effective patient care. Use and function of all normal motor and sensory anatomy for provision of patient care, reading, writing, listening, observing/seeing, heavy lifting, bending, pulling, pushing, stooping, squatting, walking, standing, use of fine motor muscles; In an eight-hour day, must be able to sit for 3 ½ hours, stand for 3 ½ hours, and walk for 1 hour. The position also requires ability to work on computers for extended periods of time. Requires use of hands for actions such as typing, simple grasping, fine manipulation, and repetitive actions.

Requires the ability to frequently respond to multiple demands and priorities. Emotional intelligence to respond to stressful and/or emergent situations and crises appropriately and calmly; Self-care skills to maintain physical, psychological, and emotional health. Heavy lifting of 45 pounds and over, heavy carrying of 45 pounds and over, straight pulling, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, kneeling, repeated bending, ability for rapid mental and muscular coordination simultaneously. Has potential for exposure to infectious diseases, hazardous waste and chemicals.

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.