Veterans Affairs, Veterans Health Administration Physician Assistant in San Francisco, California

Veterans Affairs, Veterans Health Administration
2 vacancies in the following location:
  • San Francisco, CA
Work Schedule is Full Time - Excepted Service Permanent

Opened Monday 9/26/2016 (147 day(s) ago)

** Closes Monday 9/25/2017 (217 day(s) away)

Job Overview
Summary

About the Agency

Vacancy Identification Number (VIN): 1809374

NOTE: This announcement is an "open continuous announcement" and will establish a "standing register" of eligible applicants to be considered for this position. Applications of eligible candidates will be referred, as received, beginning one week after the opening date of this announcement. Referrals will continue until the vacancy is filled. All applicants may receive consideration for six months from the date of application. If you wish to be considered after that time, and the announcement is still open to receive applications, you must re-apply to indicate your continued interest.

NOTE: A Recruitment Incentive may be authorized to a highly qualified candidate for this position.

Our Mission: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.

As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the Nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. For more information on the Department of Veterans Affairs, go to: http://www.vacareers.va.gov/

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.

Duties

The San Francisco VA Medical Center (SFVAMC) is recruiting a Physician Assistant (PA) with a genuine motivation to work in a teaching facility in both inpatient and outpatient settings. This position is located within the Surgical Service, at SFVAMC, California.

As a Surgical PA, you will prescribe medical treatment and provide personal care services to our veteran population. Care is based on Veterans Health Administration, and national standards and outcomes research.

Duties include, but are not limited to: documenting observations, assessments, and changes in patient's condition, collaborating with medical management team members to facilitate positive patient care outcomes, and providing a full range of physician assistant care to patients with a variety of physical problems. Candidates must possess good organizational skills which enable completion of work, a demonstrated ability to assume leadership in a patient centered program, and the ability to establish effective communication with patients, families, visitors and members of the interdisciplinary team.

The PA is responsible for managing the care of patients who suffer from a range of conditions. Other Duties include, but are not limited to:

  • Perform initial histories and physical examinations on patients and outpatients; prescribe medication within defined scope of practice
  • Order diagnostic studies such as lab tests, x-rays, CT scans and MRIs
  • Screen consultations, conduct pre-operative workups, and participate in outpatient clinics
  • Perform procedures such as injections and aspirations of joints and other areas; joint and fracture reductions, apply and remove casts and splints, post op wound care as needed, including removal of sutures and change of dressings
  • Inpatient rounds to observe and record each patient's medical progress, updating and summarizing medical records, writing admission orders, and notifying the responsible physician of significant changes in the patient's condition
  • Review Consultations and respond first to requests from the Emergency Department
  • Provide education and counseling of patients and families in preventive care, medical conditions, and use of prescribed treatment and medications
  • First-assist alongside the attending in surgery and other procedures
  • Timely fulfillment of VA's required internal education modules and complying with all applicable Federal, VA, VHA, and facility policies and regulations are expected

Incumbent is accountable for providing health care to veterans in accordance with individual patient needs determined by standards of adult health care practice, hospital policy and procedures, and in collaboration with other members of the medical management team. This responsibility includes the utilization of specialized and advance clinical skills and knowledge in patient health and illness assessment, direct care, and preventive health. Incumbent will work closely with residents and staff surgeons.

Scope of practice will be set based on the core elements for PAs and any expanded scope will be individualized based on documentation of additional training and demonstration of clinical competence.

  • Work schedule: Monday through Friday, 8:00AM to 4:30PM.
  • Fair Labor Standards Act (FLSA) Status: Exempt (not covered).
  • Bargaining Unit Position: Yes.
  • Position Title / PD#: Physician Assistant, Title 38 - position covered by a Scope of Practice.

BASIC REQUIREMENTS:

  • Must be a citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens.)
  • Physician Assistants (PAs) appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
  • Education. Must be 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; AND; possess 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.
  • Certification. (a) Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA. (b) 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 VA Handbook 5005, Part II, Chapter 3, Section G, Paragraph 5. (c) 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.
Travel Required
  • Not Required
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • You must be a U.S. citizen to apply for this job.
Qualifications

To qualify for this position, applicants must meet all requirements (basic requirements above and grade requirements below) by 11:59 PM (EST) Monday, September 25, 2017.

GRADE REQUIREMENTS:

  • Full Grade (GS-09). In addition to meeting the basic requirements above, individuals appointed to this grade must meet all the following requirements: (1) Education/Experience. None beyond the basic requirements outlined above; (2) Clinical Competencies and Clinical Proficiency. (a) Provides effective care to patients characterized by the use of sound judgment 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. (3) Professional Development. (a) Obtains additional knowledge and skills appropriate to the practice setting to improve performance. (b) Provides patient education in an effective manner; (4) Ethics. Safeguards patient privacy and confidentiality. Provides care in a nonjudgmental, non-discriminatory manner respecting the patient’s values and beliefs; (5) Interpersonal Skills. Works effectively with patients, families, caregivers, and other professional and support personnel; (6) Research. (a) Demonstrates awareness of research application to practice. (b) Researches medical literature and applies evidenced-based medicine to improve clinical practice.
  • Intermediate Grade (GS-11). In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements: (1) Education/Experience. (a) 1 year of professional practice as a PA; OR; (b) Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; OR; (c) A Master’s degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education. (2) Clinical Competencies and Clinical Proficiency. (1) Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill and competency than that expected of the previous grade. (2) Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade. (3) Practices with a higher degree of autonomy and seeks guidance from the assigned physician less frequently than expected of the previous grade. (4) Evaluates the delivery system of patient care within the area of assignment, presents findings and recommendations, and contributes to changes that enhance the quality and timeliness of care. (b) Professional Development. (1) Acquires knowledge and skills to maintain expertise in area of practice. (2) Shares medical literature research findings with colleagues to enhance patient care delivery. (3) Participates in educational activities to improve clinical knowledge and enhance role performance. (4) Serves as a clinical preceptor to healthcare students. (5) Serves on service level committees or subcommittees when assigned. (c) Ethics. (1) Identifies medical ethical issues and takes appropriate actions. (2) Supports and enhances patient self-determination. (d) Interpersonal Skills. Collaborates effectively with other occupations and services to identify, analyze, and resolve patient care problems. (e) Research. (1) Shares medical literature research findings with colleagues to enhance patient care delivery. (2) Uses a body of research to validate or change group practice.
  • Senior Grade (GS-12). In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Intermediate Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment. (1) Education/Experience. (a) 3 years of professional practice as a PA; OR; (b) 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; OR; (c) 2 years of professional practice as a PA and a Master’s degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; OR; (d) A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education. (2) Management/Administrative. One of the following responsibilities must be demonstrated: (a) Evaluates service level patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes. (b) Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned. (c) Serves on service or facility committees/task forces if applicable to the assignment. (d) Coordinates consult referrals within the service assigned. (e) Coordinates and facilitates inter-service agreements. (3) Clinical Competencies and Clinical Proficiency. (1) Manages patients with complex or multi-system medical problems. (2) Practices with a significant degree of autonomy and seeks guidance from assigned physicians with less frequency than expected at the previous grade. (3) Performs more complex diagnostic and therapeutic procedures beyond what is expected at the previous grade. (4) First or second assists in surgical procedures. (b) Professional Development. (1) Acts as a consultant/mentor to PAs in lower grades and other clinical and support staff. (2) Serves as a clinical preceptor for students or organizes and participates in facility clinical educational programs. (3) Makes sustained contribution to health care by sharing expertise within and/or outside the medical facility. (c) Ethics. Identifies and addresses ethical issues that impact patients and staff including participation in ethics consultations if appropriate to the area of assignment. (d) Interpersonal Skills. (1) Communicates and collaborates effectively with other facility staff and outside institutions when applicable to the area of assignment. (2) Effectively promotes the physician assistant profession to health care staff, patients and other stakeholders at the local level. (3) Makes significant contributions which serve to enhance the distinctive role of PAs within the local institution and the health care system. (e) Research. (1) Collaborates with others in research activities to improve patient care, OR; (2) Authors, or collaborates with others, on a paper or study for publication.

  • Chief Grade (GS-13). In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Senior Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Appointment or promotion to Chief Grade is based on the individual’s demonstrated high level of clinical expertise, leadership ability, and the ability to function with a high degree of autonomy. Further, the PA candidate for Chief Grade will have demonstrated all the requirements of one or more of the following categories: Management/Administrative, Clinical Proficiency, Professional Development and Research. (1) Education/Experience. (a) Generally, an individual in this grade is able to demonstrate the behaviors listed in the areas below after 5 years of professional practice as a PA; AND; (b) The minimum education for this grade is a Master’s Degree from a PA training program accredited by ARC-PA or in a health-related field of study. However, experience as a PA may be substituted for the Master’s degree where the individual has an equivalent knowledge of the profession and has successfully undertaken a combination of difficult or complex assignments in several clinical, administrative, research and educational arenas which required a high degree of competence. (2) Management/Administrative. (a) Accepts substantial and continuing responsibility for managing or coordinating a healthcare program including follow-up actions to ensure compliance with regulatory bodies required by internal and external review organizations and accrediting bodies, AND; (b) Successfully integrates the activities of the employee’s assignment with other patient care programs at the facility or with similar programs on a broader geographic basis, AND;

(c) Develops policies and procedures and participates in executive level decision making deliberations, AND; (d) Participates in long range program planning and model development for effective delivery of services, AND; (e) Performs a full range of administrative duties relative to the assignment. (3) Clinical Competencies and Clinical Proficiency. (1) Evaluates facility patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes, AND; (2) Exhibits leadership in initiating changes in patient care programs based on current concepts and findings from research and/or studies, AND; (3) Facilitates the delivery of patient care in collaboration with health professionals, health managers and other health care personnel, AND; (4) Exhibits exceptional clinical skills and consistently demonstrates a high level of expertise in diagnosing and treating seriously ill, multi-symptomatic patients. (b) Professional Development. (1) Develops and implements education and training programs involving a variety of specialties in widely diversified activities, AND; (2) Provides personnel with the vital link between education and practice. (3) Coordinates clinical training of healthcare students including facilitation of clinical rotations, recruitment preceptors and evaluation of student, AND; (4) Maintains close relationships with affiliated schools and healthcare training programs and coordinates clinical rotations with curriculum needs, AND; (5) Serves on education and training committees, advisory groups and special task forces concerned with managing education and career development activities. (c) Ethics. (1) Provides leadership in addressing ethical issues that impact patients and staff at the medical facility and the local health care community. (2) Participates in the education of facility staff in ethical concepts and encourages staff participation in ethics educational programs. (d) Interpersonal Skills. (1) Demonstrates leadership in developing productive working relationships with groups in other programs, services, academic settings, and community agencies. (2) Effectively collaborates and interacts with other regional medical facilities to enhance seamless coordination of inter-facility patient care.

Security Clearance

Other

Additional Information
What To Expect Next

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. During our review, if your resume and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by e-mail (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. 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 USAJOBS account and clicking on “Application Status.” For a more detailed update of your status, click on “more information.” Information regarding applicant notification points can be found in the USAJobs Resource Center: https://help.usajobs.gov/index.php/WhyhaveInotheardanythingbackafterapplying%3FHowlongdoesittaketohearfromanagencyafterIhaveapplied%3F

BENEFITS

Review our benefits

  • The VA offers a comprehensive benefits package.
  • Annual leave shall accrue at the rate of 26 days per leave year (1 day per pay period) for full-time employees in this position.

Veterans' Preference: When applying for Federal jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD-214(s) and documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or 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 Veterans Preference" (http://www.opm.gov/forms/pdffill/sf15.pdf) with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist found here: http://www.va.gov/OHRM/joblistings/applicantchecklist.pdf or visit: http://www.fedshirevets.gov/job/vetpref/index.aspx.

Your application, resume, C.V., and/or supporting documentation will be reviewed. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. In describing your experience, please be clear and specific. We may not make assumptions regarding your experience.

Other Information
  • It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
  • This job opportunity announcement may be used to fill additional vacancies.

Salary Range: $58,132.00 to $130,325.00 / Per Year

Series & Grade: VN-0603-00/00

Supervisory Status: No

Who May Apply: United States Citizens

Control Number: 451422600

Job Announcement Number: NQ-16-KEB-1809374-OCA-BU