This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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: 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. Education: 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: Master's degree in any discipline; OR 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: PAs 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. Preferred Experience: Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; and a Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education. At least 2 years experience with Geriatrics and/or Primary Care The ability to act as a consultant for other health care providers Experience working in a home based patient environment Knowledge of the principles of management Grade Determinations: In addition to the basic requirements you must meet the following grade requirements. 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. 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. 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. 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. 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. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards NOTE: Selected applicant will be required to operate a motor vehicle in order travel to Veteran Home Based locations and must possess a valid state-issued drivers license. The Geriatrics and Extended Care Service Line is seeking to fill a Home Based Primary Care (HBPC) Provider position. This vacancy may be filled by a Physician Assistant through this announcement, or by a Nurse Practitioner through announcement #11867833 . The HBPC Physician Assistant (PA) position will be part of the Geriatrics and Extended Care Service Line. This position is full-time at 40 hours per week. The HBPC PA practices in the outpatient setting in the Togus VA Health Care System at the Bangor CBOC and in the residence of the client. The physician assistant is academically and clinically prepared to perform a broad spectrum of patient care services at the expert level. The PA works collaboratively with other interdisciplinary team members in providing quality care and patient education. The responsibilities of the HBPC Physician Assistant include, but are not limited to the following description: Management of the primary care needs of a panel of assigned patients. Functioning within a Patient Aligned Care Team (PACT), working collaboratively with the other PACT members, including the RN Care Coordinator, the LPN, and the Medical Service Assistant. Works with extended PACT members, including pharmacists, mental health professionals, social workers, and dietitians. Providing effective care to patients using sound judgement in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. Performing history and physical examinations, ordering appropriate lab and other tests, evaluating test results, establishing diagnoses, formulating, and implementing treatment plans, and modifying treatment plans when appropriate. Managing prescriptions for assigned patients, including controlled substances if warranted. Working effectively and making appropriate requests for assistance from the collaborating physician as appropriate. Assisting, as requested, with clinic procedures. Answering patient questions regarding consult placement, follow-up and how to get patients seen. Interacting with consultants as needed for successful referrals. Referencing quality improvement information and organizes patient care needs to assure safe, efficient, and cost-effective care. Serving as clinic level patient advocate. Acting 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 outpatient. Initiated effective actions in emergencies. Work Schedule: Full-Time, Monday-Friday 7:30 a.m. - 4:00 p.m. Compressed/Flexible Work Schedule: Not Authorized Telework/Virtual/Remote Work: Telework Only Authorized - This position is not Virtual or Remote Telework can be performed on a less than full-time basis anywhere other than a VA facility or using VA-leased space (example: home). Relocation, Recruitment, Permanent Change of Station (PCS) or Travel Incentives: Not Authorized EDRP Authorized: Contact Hannah Neilson at Hannah.Neilson@va.gov, the EDRP Coordinator for questions/assistance Financial Disclosure Report: Not required Notifications: This is a Bargaining Unit Position. This position is in the Excepted Service. The Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments based on the candidate's education and experience. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy."]

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