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• Provides quality patient-centered patient care to both inpatients and outpatients for adults age 18-65 and older adults age 65+ as assigned by Service Chief, Emergency Medicine Service.
• Has approved clinical privileges in the areas of his/her expertise as related to the Emergency Department and in all areas required to carry out the duties of his/her assignments and/or responsibilities within the Emergency Medicine Service.
• Demonstrate sound decision making skills, both clinical and administrative, which bring credit to the profession and serve to enhance the distinctive and contributory role of physicians.
• Facilitate the delivery of appropriate patient care in collaboration with other health professionals, medical center staff, and management.
• Participates in the peer review process when requested.
• Participates in multidisciplinary activities involving the treatment plan and discharge plans of patients in the Emergency Department.
• Systematically evaluates patient care programs in the Emergency Department.
• Exhibits leadership in initiating changes in patient care programs based on current concepts and finding from research and studies.
• Keeps informed of developments in the management and treatment of diseases and illness through continuing medical education, both formal and informal.
• Successfully integrates patient care activities on Medical Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes.
• Consistently demonstrates expertise in diagnosing and treating seriously ill, multi-symptomatic patients when clinical assignments so dictate.
• Completes all medical record documentation in CPRS within prescribed timeframes.
• Includes patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plan and in planning care on a continuum; assists staff in the process of mutual goal setting
• Demonstrates skill in implementation of clinical practice guidelines and protocols for patients with complex medical care needs.
• Documents and rates administrative and clinical information in a thorough and accurate manner
• Utilizes problem solving methodologies to resolve problems that impact on patient care or staff performance.
• Plans implements, and evaluates care based on age specific requirements of the patient.
• Serves as a role model in assessing and evaluating patient status and identifying priority needs for care.
• Develops the initial plan of care and updates the plan, serving as a resource person to less experienced staff, and acts as a leader in developing standards of care.
• Makes decisions based on current professional standards and evidence based practice guidelines
• Assesses veterans by utilizing advanced clinical judgement and physical assessment skills.
• Identifies acute/non-acute/chronic health problems.

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
Work Schedule: rotating days and the shifts will be 8am-8pm
Telework: not available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: none
Required Experience: Required experience Advance Practice Provider (Physician Assistant) with ENP or Acute Care Equivalent with > 5 years experience in an Emergency Department with at least 25,000 visits. Physician assistants with >5 years experience in an Emergency Department with at least 25,000 visits.

ABOUT KANSAS CITY:

• The Kansas City area boasts more than 100 barbecue restaurants, all feeding guests and locals alike with dishes such as smoked ribs, pulled pork and burnt ends.
• Located in the heart of the country, Kansas City is only a 3-hour flight from either coast.
• 142.2 decibels at Arrowhead Stadium set the Guinness World Record for the loudest stadium on the planet
• The City of Kansas City, Missouri, touts 220 parks, 134 miles of trails and bikeways, 29 lakes, 103 playgrounds and 119 monuments.

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.
• English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Selective Service Registration is required for males born after 12/31/1959.
• 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.
• 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 Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

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.

Preferred Experience and Certifications -- Basic Life Support (BLS) - Talent Management System (TMS)The incumbent will be responsible for promoting a culture of safety and will fully cooperate in efforts to improve patient safety and eradicate potential events including the reporting of events resulting in actual or potential injury to a patient. The incumbent must demonstrate knowledge of the reporting procedures involving safety issues relating to patients.

The candidate must meet the following:
1. Education: a. Graduate of a PA training program or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC_PA) or one of its predecessor organizations
b. A Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.

2. Certification. Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years, as provided in VHA Directive 1063(1), amended May 17, 2022. If a PA's NCCPA certification is suspended, revoked, or expires, the PA must be removed from the occupation which may result in termination of employment.
b. Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) as provided in VA Handbook 5005, Staffing, Part II, Appendix II-G38, dated September 27, 2020.

3. Physician Assistant appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S>C. 4102(d).

4. Grade Requirements-Full Grade: a. Experience/Education: b. Clinical Competencies(1) Clinical Proficiency(a) Provides effective care to patients characterized using sound judgement in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate, and implement treatment plans, and modify treatment plans when appropriate.(b) Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate.(c) References quality improvement information and organizes patient care needs to assure safe, efficient, and cost-effective care.(d) Initiates effective actions in emergencies.(2) Professional Development(a) Obtains additional knowledge and skills appropriate to the practice setting to improve performance.(b) Provides patient education in an effective manner.
(3) Ethics. Safeguards patient privacy and confidentiality. Provides care in a non-judgmental, non-discriminatory manner respecting the patient's values and beliefs.

(4) Interpersonal Skills. Works effectively with patients, families, caregivers, and other professional and support personnel.

(5) Research
(a) Demonstrates awareness of research application to practice.(b) Research medical literature and applies evidenced-based medicine to improve clinical practice.

Reference: VA Regulations, specifically VA Handbook 5005

Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. however, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: Candidate's education, scope, and length of PA (experience) will be considered by a PA Professional Standards Board in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

Qualifications for each level can be found in VA Handbook 5005Experience 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' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.