The VISN Clinical Resource Hub (CRH) Primary Care PA position is a VISN based position located in VISN 20. This Primary Care PA position is under the general supervision of the VISN CRH Associate Director of Primary Care. A Clinical Resource Hub (CRH) is a clinical and administrative staff repository that serves Veterans Affairs facilities within a Veterans Integrated System Network (VISN). Staff within the CRH are expected to provide interprofessional services to underserved VISN facilities.
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: Primary Care and Telehealth experience, Electronic Medical Records proficient Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignment of candidates:(1) Physician Assistant-I (PA-I) Experience and Education. None 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. (2) Physician Assistant-II (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: Two years of successful practice as a PA. OR 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 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. (3) Physician Assistant-III (PA-III) 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: Three years of successful practice as a PA. OR 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 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. 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 delivery 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: Moderate lifting (15-44 lbs.); Moderate carrying (15-44 lbs.); Light carrying (under 15 lbs.); Pushing (1 hours); Reaching above shoulders; Use of fingers; Ability for rapid mental and muscular coordination simultaneously; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of color; Hearing (aid may be permitted); sitting up to 8 hours Environmental Factors: Working closely with others; Working alone; Protracted or irregular hours of work; possible extended hours
This position is not a remote position and will be based out of either Boise, ID or Vancouver, WA depending on needs of the service and candidate experience. Boise, Idaho blends urban sophistication with outdoor thrills. Take a stroll through Downtown Boise & Old Boise, where history meets modern design, or the Boise River Greenbelt. The city offers a vibrant and diverse dining and night life scene, Visit Boise's food guide, and is home to Boise State University's Bronco Stadium. Boise is a Kid friendly and Pet friendly destination. For more adventure head to Bogus Basin Ski Resort & Boise Foothills, or to the world-famous Sun Valley or scenic McCall. Vancouver, Washington sits on the north bank of the Columbia River directly across from Portland, Oregon. The Pacific Coast is less than 90 miles to the west. The Cascade Mountain Range rises on the east. Mount St. Helens National Volcanic Monument Mount St. Helens National Volcanic Monument and Mt. Hood are less than two hours away! Get out and enjoy nature along the Columbia River! The Columbia River provides wonderful opportunities to take in the evergreen forests, agriculture and vast wildlife. It is the largest river in the Pacific Northwest region of North America. You can visit the Columbia River Gorge and the Vancouver Waterfront Park Vancouver Waterfront Park which is approximately 7.3-acres. From hiking or biking trails, Vancouver's best fall foliage to history, Historic Sites, dance and art festivals Arts & Culture Vancouver WA has a lot to offer. If you want to enjoy a plethora of family filled activities you can enjoy a mix of a major metropolitan area with a small-town charm, this is the place to call home. VA offers a comprehensive total rewards package. Primary duties are, but not limited to: Provides Primary Care services to a panel of patients at one of the VISN facilities through virtual and in-person as part of an interprofessional primary care team in the VHA Patient Aligned Care Team (PACT) model. Works as part of a virtual and in-person primary care team and patient site care team members to provide primary care to Veterans. Clinical Video Telehealth (CVT) is the primary modality for treating patients, with 'video into the home' and telephone modalities used for additional care modalities. However, this position may require occasional travel to VISN medical centers or Community Based Outreach Clinics (CBOC). Provides interprofessional services to VISN facilities underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand. Services provided by CRH staff are conducted via multiple modalities, including virtual and in-person care. The CRH Mobile Deployment Team (MDT) provides care through on-site patient care and is a Mission Act 402 requirement. In-person deployments of clinical staff for short-term assignments (typically 3-6 months) will be at the VISN CRH Associate Director of Primary Care discretion. They will depend upon clinical needs and available resources. Note: All CRH Primary Care PAs assigned to a PACT team will be required to travel to the VA Medical Center every 90 days for face-to-face encounters. If hired for locums-type services, in-person care at the patient site will be required for extended periods. Work Schedule: Monday- Friday, 8am- 4:30pm PST/MST, Schedule may vary for deployments, with hours worked in PST, MST, or AKST Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized