Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 707953900
PLEASE READ THE COMPLETE ANNOUNCEMENT TO ENSURE YOU UNDERSTAND THE QUALIFICATION REQUIREMENTS AND SUBMIT A COMPLETE APPLICATION PACKET. The Miami VA Healthcare System (Bruce W. Carter VA Medical Center) , Medicine Service is seeking a full-time Physician Assistant - Pulmonary . The incumbent will perform evaluations and treatment recommendations regarding patients with dermatology conditions, colleagues and conduct scholarly activity. 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. BASIC REQUIREMENTS: All applicants must meet the following basic qualifications. Citizenship. Must be a citizen of the United States. Education. Must be a graduate of a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations. Additionally, candidates must meet one of the following: (1) Master's degree in any discipline; OR (2) Bachelor's degree in any discipline with one year of experience as a PA. Certification. Must have successfully passed the PA National Certifying Exam (PANCE). Licensure. Must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State. English Language Proficiency. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Physical Standards. Must pass a pre-employment examination. See below for additional information. GRADE REQUIREMENTS: In addition to the basic requirements above, all applicants must also meet one of the following grade requirements for a specific grade level. Physician Assistant-I (PA-I): None beyond the basic requirements. This is the entry level. 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: i. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. ii. Ability to perform patient history and physical. iii. Ability to formulate a plan and provide treatment to the patient. iv. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Physician Assistant-II (PA-II): 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: (1) Two years of successful practice as a PA. -or- (2) 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- (3) A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education. 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: i. Skills to analyze and solve complex medical problems. ii. Ability to function autonomously and make independent medical decisions. iii. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. iv. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. v. Ability to practice with colleagues and peers collaboratively. Physician Assistant-III (PA-III): PAs at this 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: (1) Three years of successful practice as a PA. -or- (2) 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- (3) 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. 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. APPLICANTS NOTE: Your resume must show that you possess the required specific/specialized experience, or you will be made ineligible from further consideration (due to not being qualified). We will not re-rate your application due to errors on your part. You must meet the qualifications & submit all documentation by the closing date of this announcement. Reference: VA Handbook 5005, Part II, Appendix G8. Please contact your local Human Resources Office for more information on this. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training, and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching, use of hands and fingers, use of cranes and motor vehicles, walking, standing, bending and climbing. The incumbent must be physically and mentally able to efficiently perform the essential functions of this position without hazard to themselves or others. ["The Physician Assistant (PA) is a qualified provider of outpatient specialty care of patients in the outpatient pulmonary clinic, including telemedicine in the Miami VA Healthcare System. The PA is responsible for the continuing management of assigned patients. This includes but is not limited to physical examination and treatment, coordination of medical care with other subspecialists, social worker, data manager, pharmacist, dietitian, nursing, and other personnel as member of a multidisciplinary team. The PA provides comprehensive treatments. Maintains an active knowledge of the patient care processes of the Department of Veterans Affairs, the medical center and its clinics. An essential element is active knowledge of the medical records system (CPRS). This shall include using the computerized medical record system for progress notes, orders, and medical record review and completion of such records in a complete and timely manner. The incumbent shall have knowledge of and abide by Medical Center Bylaws, VHA Rules and Regulations and have a familiarization with existing VA specific clinical guidelines as well as Medical Service rules, regulations, and policies. The incumbent fulfills the requirements for employment and credentials as determined by the Miami VA Healthcare System. This shall include mandatory and continuing educational requirements and maintaining active licensure from a state(s) in the US. The incumbent must demonstrate continuing effort to keep abreast of new medical developments and medical literature. The responsibility to complete timely license renewal, credentials and national certification remains with the nurse practitioner. Other duties and responsibilities include, but are not limited to: Providing an advanced level of care for patients primarily in an inpatient setting with rotations in the out-patient setting in the Pulmonary/Critical Care and Sleep Sections as needed. Understanding that patients will include acute hospitalized surgical, medical, cardiac patients and may be in ICU, ward, ER, step down or outpatient settings. Making appropriate narrative case summaries for transfer or discharge. Maintaining credentialing in procedures including, but not limited to, central venous catheters, arterial lines, pulmonary artery catheterization monitoring, hemodynamic measurement, non-invasive ventilator management, intubations, ventilator management, thoracentesis, paracentesis, Foley catheter placement, wound care, NG and OG tube placement, conscious sedation, BLS and ACLS techniques. Administering special medications via oral, intramuscular, subcutaneous, intradermal, etc. (including intravenous push) routes. Assisting physician with complex or potentially life-threatening procedures such as insertion of invasive lines, e.g., arterial, venous, and pulmonary artery catheters. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.