The PA has primary duties in the Primary Care setting. The direct supervisor of the PA will be the ACOS of Ambulatory Care Service Line and the Clinic Medical Director will be designated as alternate supervising physician. In addition, the PA works with regular staff physicians, and consulting specialists. This announcement will be posted as a Physician, Nurse Practitioner and Physician Assistant for one position. Please apply to the appropriate announcement for consideration. 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: 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is 3. The actual grade at which an applicant may be selected for this vacancy is 3. Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Scope of Practice, duties may include but are not limited to: Performs comprehensive history and physical examinations and initiates treatment when indicated for acute and chronic medical conditions. Orders diagnostic laboratory and imaging tests as needed. Interprets and applies findings to make a medical diagnosis. Uses prescriptive authority granted by licensure to prescribe and administer routine therapeutics including medications, devices and procedures. Uses electronic record for documentation. Initiates consultation requests and records required notes on all procedures or patient visits in the in the electronic medical record. Participates in peer review and process improvement Performs procedures that are delineated by scope of practice. Emergency procedures may be required in situations where the physician is not immediately available and may include initiation and assisting in management of cardiac arrest, acute respiratory failure and first aid for life threatening injuries. Provides customer focused and cost-effective approach to all aspects of patient care. Educates and counsels veterans and families for promotion and maintenance of health as well as prevention of illness and disability. Instructs patients and families concerning treatment, medications and reportable signs and symptoms associated with their diagnoses. Ensures that the practice is consistent with Joint Commission, CARF, VA policies and procedures, clinical practice emergency medicine guidelines, VISN standards, national statutes and regulations, medical record documentation, mandatory continuing education, and HIPPA policies. Engages in systematic evaluation and improvement of the quality and effectiveness of patient care. Expected to act as a surrogate for the patients of colleagues, when one or more colleague is on leave. Timely documentation is expected and necessary in all areas in accordance with facility policy. All administrative work should be completed in a timely fashion. Clinical Reminders should be addressed as medically appropriate. Quality of care will meet professional standards at all times Work Schedule: Typical work hours are Monday through Friday 8:00am-4:30pm. Alternative work hours, if desired, should be agreed upon at the time of hire. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required."]

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