Physician Assistant-Primary Care

US Veterans Health Administration


Date: 1 week ago
City: Cleveland, OH
Salary: $80,346 - $141,494 / year
Contract type: Full time
US Veterans Health Administration

Duties


This announcement will remain open until November 22, 2023. All qualified applications will be forwarded to the selecting official for a review based on the hiring needs of the service. A selection may be made at any time during the open period of the announcement.

The successful candidate will have a high level of medical knowledge and possesses all the qualities for providing comprehensive and compassionate care for "those who served". The position calls for excellent interpersonal and leadership skills and offers input into projects pertaining to the development of the clinic. Will provide comprehensive primary care services to a defined panel of patients. Duties include history taking, physical examination, ordering laboratories and diagnostic studies, diagnosis and formulation of treatment plans for acute and chronic conditions within the scope of Medicine practice.

This provider is the leader of a Patient Aligned Care Team (PACT) (physician, RN, LPN, and clerical associate) which provides direct care for Veterans enrolled in Primary Care.
This provider is assigned responsibility for a panel of patients at a specific location. However, the provider may be asked on some occasions to assist in patient care or administrative duties at the main hospital or at another site.



  • Provides clinical examination, diagnosis, and treatment of acute and chronic diseases, preventive care, and coordination of care for a panel of primary care patients. Appropriate documentation of patient care in clinical records is expected. The provider refers to specialists when additional input and treatment outside of the scope of the physician's experience and training is required.

  • Responsible for monitoring PACT teamlet performance to assess adherence to VA standards, assure quality and effectiveness of care, and meet VA performance measures.

  • Outstanding customer service is expected.

  • Leads the team in assisting the patient advocate and administration in resolving patient concerns and inquiries.

  • Exercises medical decision-making and provides a broad range of diagnostic and therapeutic services for a specific group of patients.

  • Must have excellent communication skills and relations with staff and community and is able to elicit cooperation from others. The primary care provider serves as a member of a larger multidisciplinary treatment team which includes social work, pharmacy, mental health, nutrition, and on occasion, other services.

  • Performs other duties as assigned.




Work Schedule: Monday-Friday from 8:00a to 4:30p


Virtual: This is not a virtual position


Financial Disclosure Report: Not required



Requirements


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.

  • 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.




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:


    • Master's degree in any discipline; OR



    • 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.

  • 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.


Grade Determinations:

  • Physician Assistant-I (PA-I)


    • Experience and Education. None beyond the basic requirements.



    • 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.


      • Two 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; 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.


      • 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.





    • 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.






References: VA Handbook 5005 Part II Appendix G8



The full performance level of this vacancy is PA-III



The actual grade at which an applicant may be selected for this vacancy is in the range of PA-I to PA-III




Physical Requirements: Physical qualifications required the ability to stand, walk, bend, and move freely. Must be emotionally stable and cooperative. Work is accomplished predominantly on the inpatient unit. The physical surroundings involve working with the acute and chronically physically and mentally ill patients, which may cause discomfort related to negative verbal and physical activities from these patients. Work involves regular and recurring exposure to infection and contagious diseases





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.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

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.








  • Benefits



    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.



    Review our benefits



    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.








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.

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.

Areas of Consideration - Applicants will be considered based on the following 3 areas of consideration.



  • First Area of Consideration (Facility Employees) - Current, permanent VA Northeast Ohio Healthcare System employees (this includes Outpatient Clinics, permanent employees of the Veteran Canteen Service assigned to this facility, Office of Information & Technology employees assigned to this facility, CPAC bargaining unit employees located at the Cleveland VAMC, and Virtual CBOPC bargaining unit employees under station 741 located at the Cleveland VAMC.

  • Second Area of Consideration (Other VA Employees) - Current, permanent Department of Veterans Affairs Employees (VA employees who are located somewhere other than the VA Northeast Ohio Healthcare System).

  • Third Area of Consideration (External Candidates) - All other United States Citizens.


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.





  • Benefits



    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.



    Review our benefits



    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.




  • Required Documents



    As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.


    To apply for this position, you must provide a complete Application Package which includes:



    • Resume (when listing previous employment please include month and year).

    • If prior military service, include all copies of your DD-214 or proof of service as well as proof of disability, if applicable. You must submit your documentation showing character of discharge.

    Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc



    VA Form 10-2850 can be found at: Find A VA Form | Veterans Affairs






    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.



    If you are relying on your education to meet qualification requirements:


    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.


    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.




  • How to Apply




    All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 11/22/2023 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11743963.




    • To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.



    • Click Submit My Answers to submit your application package.





    NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date



    To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete




    Agency contact information


    Nichole Justice




    Phone

    513-834-2439


    Email

    [email protected]




    Address



    VA Northeast Ohio Healthcare System


    10701 East Boulevard


    Cleveland, OH 44106


    US




    Next steps



    Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

    You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

    NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.




  • Fair and Transparent



    The Federal hiring process is set up to be fair and transparent. Please read the following guidance.



    • Equal Employment Opportunity (EEO) Policy

    • Reasonable accommodation policy

    • Financial suitability

    • Selective Service

    • New employee probationary period

    • Signature and false statements

    • Privacy Act

    • Social security number request






Required Documents



To apply for this position, you must provide a complete Application Package which includes:



  • Resume (when listing previous employment please include month and year).

  • If prior military service, include all copies of your DD-214 or proof of service as well as proof of disability, if applicable. You must submit your documentation showing character of discharge.

Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc



VA Form 10-2850 can be found at: Find A VA Form | Veterans Affairs






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.



If you are relying on your education to meet qualification requirements:


Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.


Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.









Help

This job is open to






  • The public


    U.S. Citizens, Nationals or those who owe allegiance to the U.S.





Clarification from the agency


United States Citizens

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