refer to Required Documents below. The PA is directly responsible to the HBPC Program Director. The scope of practice for the PA includes responsibilities
diagnosis and treatment authorities prescribing privileges for drugs
devices
tests and procedures
and referral authority. The PA functions as an advocate for patients in meeting their unique physical and psychological needs. Qualifications To qualify for this position
you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement.

Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.

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 Proficiency in spoken and written

English Grade Determinations:

In addition to the basic requirements stated above

the following qualification criteria must be met: 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 AA 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

Preferred Requirement:

Experience working in

Primary Care Reference:

For more information on this qualification standard

please visit https://www.

va.gov/ohrm/QualificationStandards/.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

Physical Requirements:

Lifting up to 35 pounds

intermittently moderate carrying (15-35 pounds)
intermittently lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care pulling
intermittently pushing
intermittently reaching above the shoulders
intermittently
both hands required walking
intermittently standing
intermittently kneeling
intermittently and repeated bending.

Duties This is

OPEN CONTINUOUS

ANNOUNCEMENT and will remain open until September 30

2026 The initial cut-off date for referrals of eligible application will be April 20
2026 with subsequent cut-off dates every month Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available Assuming primary medical responsibility for assigned patients Delivering care in the home Assessing care needs of patients and caregivers Identifying a patient's medical problems and defining the medical management Prescribing medications and treatment in accordance with their individual scope of practice or delineation of privilege Determining the need for consultation from subspecialties Determining the need for•and facilitating admission to•the VA medical facility and other transitions of care Participating in the development of the individual plan of care at interdisciplinary care meetings for assigned panel of patients Writing orders and prescriptions•as necessary for the care of the patient in accordance with Federal and State law•and within VA policy•using the Louis A Johnson VAMC approved formulary•excluding controlled substances in Schedules I-II Participating in the development and implementation of HBPC's process for continuous performance improvement Participates in collecting and collating data required for team reports Coordinates referrals and evaluation of veterans at the DC Veteran Affairs Medical Center in addition to outside VA's and private sector referrals of Veterans for evaluation and management Facilitates response/actions to patient inquires for care and treatment provided by the Section Other administrative duties as needed A PA is authorized to perform the following duties for patients in life-threatening situations where a physician is not immediately available PA will initiate these activities but will make every effort to summon a physician as soon as possible Cardiopulmonary resuscitation in accordance with current CPR standards Treatment of acute respiratory failure Treatment of life-threatening traumatic injuries If ACLS certified•may initiate Advance Cardiac Life Support in accordance with current ACLS protocols•to include defibrillation/cardioversion

Work Schedule:

Monday to Friday

7:30am
4:00pm
8:00am
4:30pm and or 7:00
5:30pm
however tour of duty may change based on the needs of the facility VA offers a comprehensive total rewards package

VHA Physician Total Rewards Pay:

Competitive salary

annual performance bonus
regular salary increases

Paid Time Off:

50-55 days of paid time off per year (26 days of annual leave

13 days of sick leave
11 paid Federal holidays per year and possible 5 day paid absence for CME)

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

CME:

Possible $1

000 per year reimbursement (must be full-time with board certification)

Malpractice:

Free liability protection with tail coverage provided

Contract:

No Physician Employment Contract and no significant restriction on moonlighting

Promotion Potential:

The selectee may be promoted to the next level or grade level without further competition when all regulatory

qualification
and performance requirements are met Selection at a lower grade level does not guarantee promotion to the higher level

Contract Buy Out Program:

This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP)

which authorizes VHA to buy out service contracts (Locum agreements
loan repayments
sign-on bonus contracts
Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years) For additional information and eligibility requirements
contact the VHA Contract Buy Out Program Manager at vacontractbuyoutprog@va.

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