The Primary Care PA works as a member of the Patient Aligned Care Team (PACT) and provides care to a panel of approximately 900 patients. They assists with the total care of the patient's medical needs by performing history and physical examinations, promoting preventative health measures, managing acute and chronic conditions, ordering appropriate lab tests, evaluating those tests and acting within the guidelines laid down by the supervising physician to ensure quality care of the patient.

Duties

The Primary Care PA functions as an integral part of a PACT team to coordinate, facilitate and provide patient care and services. The Primary Care PA assists in preparation of the patient to include but not limited to teaching, accumulating data and medical problems, and as needed, presenting patient- centered discussion of medical problems with his/her supervising Physician. The Primary Care PA will be responsible for maintaining medical record entries which reflect the patient's healthcare. Recording will be accomplished using the electronic comprehensive patient record system (CPRS) and will be completed in a timely manner in compliance with documentation requirements and policies. The PA will act as the focal point of the designated outpatient clinic by being the contact person for all other consultant-specialty services regarding patient care. The PA will ensure that the care is coordinated and communicated to the patient. The Primary Care PA will provide services as directed to meet the needs of the patient population being served by the medical center. These duties may include backup coverage to areas under the supervision of Section Chief Primary Care. The Physician Assistant must be flexible in the work assignments based upon the immediate needs of the service line. 1.Effectively evaluates and treats patients with more complex medical problems requiring a higher degree of clinical skill and competency. 2.Orders testing, consults, etc. as appropriate for the Veteran's condition. 3.Performs complete diagnostic and therapeutic procedures as applicable in the provision of primary care. 4.Documents in the medical record in keeping in with the Bylaws of the Medical Center. 5.Provide clinical care to Veterans and provides clinical oversight of the PACT team to which assigned. 6.Ensures that medical treatment or care plans consist of current best medical practices and are evidence based if possible. 7.Ensures practice of medicine is consistent with Joint Commission, CARF, VA policies and procedures, clinical practice guidelines, VISN standards, national statutes and regulations, medical record documentation, mandatory continuing education, and HIPAA policies. 8.Responsible for timely completion of all clinical charting and documentation required by the Medical Center or healthcare system, as appropriate. 9.Actively promotes a customer-oriented culture and promotes the hiring of persons who demonstrate the VA's iCARE values of integrity, commitment, advocacy, respect, and excellence. 10.Encourages an atmosphere of trust, psychological safety and empowerment in all functional areas under her/his oversight. 11.Completes projects or duties as assigned by the Chief, PCSL VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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: 7:00-4:30pm Telework: Not available Virtual: This is not a virtual position.

Requirements

Qualifications

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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: 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. 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. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.

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.

Contacts

• Address Fayetteville NC VA Medical Center 2300 Ramsey Street Fayetteville, NC 28301 US
• Name: Loretta Johns
• Phone: (910) 824-1884
• Email: [email protected]