The VA Northeast Ohio Healthcare System is recruiting for a Physician Assistant (Home Based Primary Care) The Physician Assistant (Home Based Primary Care) will function within Home Based Primary Care section within in Community Outpatient Services. *Northwest PACT team covering all northwestern territories. Coverage area will be provided upon request*

Duties

Duties include, but are not limited to: Serves occasionally as a Home Based Primary Care Northern and Southern Patient Aligned Care Teams float provider to provide additional coverage for complex and homebound/bedbound Veterans located throughout the Cleveland geographic area. This position covers all Northwestern territories. Acts as the primary clinician for patient in the Home Based Primary Care program; entering orders and other documentation for Veterans; entering orders for specialized diagnostic studies; evaluating results of diagnostic studies and consultations; and initiating appropriate follow up. Obtains relevant health and medical history, completes documentation in the Veteran's record. Performs comprehensive physical examination, based on age and history. Performs psychiatric evaluations with assessment of potential for suicidal or homicidal ideation as needed. Acts as the primary clinician for on-going treatment of Veterans. Conducts preventative screening procedures based on age and history (including all mandated screening); educating Veterans regarding preventative health care. Identifies medical and health risks and needs assessment; screening Veterans to determine their need for further care. Initiates medical/surgical or appropriate referrals and consultations in accordance with medical practice and/or specified protocols. Formulates appropriate differential diagnosis based on history, physical examination and clinical findings. Identifies needs of the individual, family or community, based on evaluation of the data collected. Identifies, implements and evaluates appropriate plan of care, including pharmacologic and nonpharmacologic interventions. Conducts medical history to facilitate prescription of psychotropic medications. Provides relevant Veteran and family education. Refers to other health professionals and community agencies. Enters orders for Veterans including but not limited to: diagnostic studies, consultations, medications and supplies. Performs Phlebotomy as indicated/Administers immunizations/medications as indicated. Obtains informed consent for procedures, transfers, or opioid contracts. Creates and/or develops best practice standards. Other duties may be assigned at the discretion of Home Based Primary Care leadership. Work Schedule: Monday - Friday, 8:00am to 4:30pm Telework: Not Available Virtual: This is not a virtual position. Financial Discloser Report: Not required

Requirements

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. 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. Preferred Experience: At least 2 - 3 years of current experience in a primary care practice and/or home care setting Grade Determinations: Physician Assistant - Full Grade (PA-I):Experience and Education: Non beyond the basic requirements. This is the entry level for PAs. 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-Intermediate Grade (PA-II):Experience and Education: The PA at this grade is at the intermediate grade level and has had progressively increasing responsibility and experiences as indicated in the KSAs listed below. Individuals will have demonstrated the ability to analyze and solve more complex medical problems than at the entry level grade and can utilize their training in the successful practice of patient care and participate in team problem solving. Individuals demonstrate the KSAs of PA-II intermediate level by: i. Two 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. OR iii. 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-Senior Grade(PA-III):Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient are 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 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 deliver 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position may require potentially extended periods of continued walking, standing, stooping, sitting, bending, pulling, lifting and pushing. Setting up or transferring equipment, supplies and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may require protective clothing in isolation primarily if in direct areas.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address VA Northeast Ohio Healthcare System 10701 East Boulevard Cleveland, OH 44106 US
• Name: Marquis Belton
• Phone: 216-701-1726
• Email: [email protected]