1. Executes position responsibilities that demonstrate leadership, experience and creative approaches in management of the complex patient populations.
2. Performs comprehensive psychiatric assessments including mental status examination and differential diagnosis.
3. Orders diagnostic tests and discriminates between normal and abnormal findings and makes appropriate treatment decisions.
4. Collaborates with the physician in the use of protocols/references that will guide the Physician Assistant in the management of specific mental or health problems.
5. Prescribes pharmacological treatment for outpatients in the direct management of acute or chronic mental health disorders
6. Provides direct patient care, including assessing, diagnosing, planning, and may direct the patient in non-pharmacological interventions as related to mental health problems, health promotion, and preventative care, including monitoring pharmacological effectiveness, medication side effects, and pain management.
7. Provides customer focused and cost effective approach to all aspects of patient care.
8. Provides leadership in consultation, education, and quality improvement processes.
9. Ensures that practiceis consistent with Joint Commission, CARF, VA policies and procedures, clinical practice psychiatric guidelines, VISN standards, national statutes and regulations, medical record documentation, mandatory continuing education, and HIPPA policies.
10. Functions as a member of multidisciplinary team through collaboration, consultation, mutual referrals to develop and implement an individualized treatment plan and programs to meet the needs of the patients.
11. Makes referrals to other health professionals and community agencies.
12. Provides psychological and social support measures and counseling to the patient and family regarding psychiatric diagnoses, medications, and plans of care.
13. Assesses, prescribes, administers, and evaluates pharmacotherapeutic and non - pharmacotherapeutic regimens.
14. Manages acute and chronic psychiatric symptoms in patients who have mental illnesses.
15. Assesses, plans, implements, and evaluates care for patients that promotes wellness and prevents disease/ injury/ disability.
16. Consults and collaborates with physicians and other health care professionals to manage complex mental health problems. Develops outcome measures to monitor the quality of care and effectiveness of services. Utilizes research that contributes to the improvement of patient/ family outcomes. Initiates and participates in interdisciplinary development of treatment plans.
17. Identifies and collaborates with the resolution of system issues which influence the provision of patient care.
18. Plans and provides in-service education programs for staff related to mental health topics as needed and requested.
19. May occasionally work in other outpatient clinics on a temporary basis. This may involve: taking histories; brief physical examinations; mental status examinations; ordering routine diagnostic tests; assessing medication needs, medication changes or dose titration, and prescribing medications.
This is a Bargaining Unit Position.
*Must be a citizen of the United States.
*Graduate of a PA training program, or of a surgical assistant program which is accreditedby the
ARC-PA orone of its predecessor organizations; AND
*A Bachelor's degree from an accredited PA training program or in another health sciences related field
froman accredited college or university recognized by the U.S. Department ofEducation;
*Current and continuous certification bythe National Commission on Certification of Physician
Assistants(NCCPA) is required for employment in VHA.
* Recent PA graduates who are eligible to take the Physician Assistant National CertifyingExamination
(PANCE)may be employedtemporary basis (38 U.S.C. 7405), for a period not toexceed two years, as
providedin VAHandbook 5005, Part II, Chapter 3, Section G, Paragraph 5
*English Language Proficiency. Individuals appointed to direct patient care positions must be
proficient inspoken and written English as required by 38 U.S.C. 7402(d).
*Physical Standards. Applicants must undergo a pre-employment medical examination and be
medicallysuitable to perform the essential duties of a Physician Assistant efficiently andwithout
hazard tothemselves and others.
Preferred Experience: Work experience listed in the duties and Proficient in data-entry (typing) skills.
Associate Grade: None beyond basic requirements identified below
Full Grade: Experience/Education: Basic requirements. Clinical Proficiency: (1) Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans, and modify treatment plans when appropriate. (2) Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate. (3) References quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care. (4) Initiates effective actions in emergencies. Professional Development: (1) Obtains additional knowledge and skills appropriate to the practice setting to improve performance. (2) Provides patient education in an effective manner. Ethics: Safeguards patient privacy and confidentiality. Provides care in a nonjudgmental, non-discriminatory manner respecting the patient's values and beliefs. Interpersonal Skills: Works effectively with patients, families, caregivers, and other professional and support personnel. Research: (1) Demonstrates awareness of research application to practice. (2) Researches medical literature and applies evidenced-based medicine to improve clinical practice.
Intermediate Grade: In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements:
Experience / Education: (a) 1 year of professional practice as a PA; or (b) Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or (c) A Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education. Clinical Proficiency: (1) Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill and competency than that expected of the previous grade. (2) Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade. (3) Practices with a higher degree of autonomy and seeks guidance from the assigned physician less frequently than expected of the previous grade. (4) Evaluates the delivery system of patient care within the area of assignment, presents findings and recommendations, and contributes to changes that enhance the quality and timeliness of care. Professional Development: (1) Acquires knowledge and skills to maintain expertise in area of practice. (2) Shares medical literature research findings with colleagues to enhance patient care delivery. (3) Participates in educational activities to improve clinical knowledge and enhance role performance. (4) Serves as a clinical preceptor to healthcare students. (5) Serves on service level committees or subcommittees when assigned. Ethics (1) Identifies medical ethical issues and takes appropriate actions. (2) Supports and enhances patient self-determination. Interpersonal Skills: Collaborates effectively with other occupations and services to identify, analyze, and resolve patient care problems. Research (1) Shares medical literature research findings with colleagues to enhance patient care delivery. (2) Uses a body of research to validate or change group practice.
Senior Grade: In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Intermediate Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment.
Experience / Education: (1) 3 years of professional practice as a PA; or (b) 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or (c) 2 years of professional practice as a PA and a Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; or (d) A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education. Management/Administrative. One of the following responsibilities must be demonstrated: (a) Evaluates service level patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes. (b) Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned. (c) Serves on service or facility committees/task forces if applicable to the assignment. (d) Coordinates consult referrals within the service assigned. (e) Coordinates and facilitates inter-service agreements. Clinical Proficiency: (1)1 Manages patients with complex or multi-system medical problems. (2) Practices with a significant degree of autonomy and seeks guidance from assigned physicians with less frequency than expected at the previous grade. (3) Performs more complex diagnostic and therapeutic procedures beyond what is expected at the previous grade. (4) First or second assists in surgical procedures.Physical Requirements:?, Moderate Lifting, 15-44 lbs; Light Lifting, under 15 lbs; Use of fingers; New vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors; Hearing (aid permitted).
All applicants are required to submit the following supporting document type(s):
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Other(VA Form 10-2850c)
Link to 10-2850, Application for Associated Health Occupations: http://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1936833.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.