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Physician Assistant -Tele-Specialty Care

Department of Veterans Affairs
Veterans Health Administration
This job announcement has closed

Summary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more




Overview

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Job canceled
Open & closing dates
01/06/2022 to 01/11/2022
Salary
$64,649 to - $161,564 per year

Actual Salary will be determined upon selection based off location

Pay scale & grade
VN 00
Location
1 vacancy in the following location:
Location Negotiable After Selection, United States
Telework eligible
Yes—as determined by the agency policy.
Travel Required
Occasional travel - Occasional travel between spoke sites, community partner locations, and host facility as needed for training, coordinating scheduling requirements between providers and Veterans, meetings, auditing, and patient care.
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Excepted
Promotion potential
None
Job family (Series)
Supervisory status
No
Security clearance
Other
Drug test
Yes
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Announcement number
CBSR-11339926-22-SDG
Control number
630125500

This job is open to

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Clarification from the agency

Areas of Consideration - Applicants will be considered based on the following 3 areas of consideration. First Area of Consideration: Current, Permanent VISN 10 employees Second Area of Consideration (Other VA Employees) - Current, permanent Department of Veterans Affairs Employees (VA employees who are employed with another VISN other than VISN 10 Third Area of Consideration (External Candidates) - All other United States Citizens

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Duties

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Primary duties are to manage remote Vascular &Cardiac-Thoracic care for the VISN 10 facilities. The provide may accomplish this through a combination of chart review and telehealth visits. The incumbent works as part of a virtual care team, together with patient site care team members, top provide care tot Veterans. Clinical Video Telehealth (CVT), VA Video Connect (VVC), and e0consults are the primary modalities for treatment, though this position may require occasional travel to VISN medical centers and/or Community Based Outreach Clinics (CBOCs)

  • Provide clinical VISN-level coordination of Cardio-Thoracic & Vascular referrals between sites.
  • Serves as a Subject Matter Expert (SME) with knowledge of specific Cardio-Thoracic & Vascular procedures done at all VISN sites.
  • Manage Vascular imaging at sites.
  • Provide post endovascular aneurysm repair (EVAR) surveillance and follow up.
  • Assist with gap-coverage for consult management for sites, especially when solo providers are on leave.
  • Screen consults and complete required work up which may include and is not limited to a complete History & Physical and review of systems to identify need for any additional tests.- Order tests at Veteran's home facility, assess results, notify the Veteran of the results, and facilitate scheduling.
  • Provide timely review of medical records for patients referred for surgery, evaluating for any indicators demonstrating need for urgent referral to community care vascular and/or cardio-thoracic surgery.- Initiate, respond to, and expedite requests for consultations, special tests and studies.
  • The practice emphasizes evidence-based medicine, the use of computerized medical records including but not limited to CPRS, CERNER, and JLV and continuous quality improvement based on individualized provider data.
  • Works independently, however, coordinates with various VISN and facility stakeholders as deemed necessary.
  • Attends and contributes to staff meetings, committees, and completes Peer Review evaluations.
  • Assigned other duties, to include administrative work in nature, as necessary.

Work Schedule: Monday-Friday, 8am-4:30pm EST; some evenings, nights, weekends and/or holidays may be necessary based on spoke-site need
Telework: Available
Virtual: This is a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Education Debt Reduction Program (EDRP) Offered: Yes
Permanent Change of Station (PCS): Not Authorized
Financial Discloser Report: Not required

Requirements

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Conditions of employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • 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 a background/security investigation
  • Selected applicants will be required to complete an online onboarding process
  • 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)
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Department of Veterans Affairs Personnel

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.

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: Must have successfully passed the PA National Certifying Exam (PANCE)
Preferred Experience:
  • Experience with delivery of clinical services via various Telehealth modalities, including but not limited to VA Video Connect (VVC), Clinical Video Telehealth (CVT), and Store and Forward (SFT).
  • Experience with other clinically based technology and virtual environments.
  • At least three years of successful practice as a PA- Past clinical experience in a surgical or critical care service.
Grade Determinations:
Physician Assistant-I (PA-I)
(a) Experience and Education. None beyond the basic requirements. This is the entry level for PAs. (b) 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: 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)
a) 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.

Physician Assistant-III (PA-III) (a) 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. (b) 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: 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.

References: VA Handbook 5005/134 Part II Appendix G8

The full performance level of this vacancy is VN-03. The actual grade at which an applicant may be selected for this vacancy is in the range of VN-01 to VN-03

Physical Requirements: The work is mostly sedentary and requires some standing, bending and carrying light items. The incumbent must have the ability to stand and walk for prolonged periods of time to interact with the patients and services.

Education

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.

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 to fax a document you do not have in electronic form, 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:
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.

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.

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