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Veterans Affairs, Veterans Health Administration Renal Physician Assistant in Boston, Massachusetts

Summary This Renal Physician Assistant is located in the Medical Service at the Jamaica Plain campus location. This is a full-time 40 hour per week position. Responsibilities The Physician Assistant (PA) is accountable for and provides comprehensive wellness care, as well as acute, episodic, and chronic care, of adult clients. He/she holds a scope of practice and practices in collaboration with a physician. The PA provides and oversees the care of renal patients under the supervision of the Medical faculty. The PA will be well organized and able to manage a busy panel of his or her own patients along with providing oversight and coordination of care of patients in the additional MD run clinics and hemodialysis unit. Duties included but not limited to: The PA uses the nursing process and evidence-based practice to work collaboratively with the Renal Medical staff and expanded team (family/caregiver, internal and community-based services and disciplines involved in providing care to the patient) in developing the patient-driven holistic care plan. The PA provides diagnosis and treatment and assistance with care, diagnosis driven teaching and preparation for the next level of care as needed. In addition, the PA will participate in various quality assurance activities as needed. Applies the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) to systems or processes at the practice level to provide patient-driven holistic care. Provide nursing and medical services to Veterans and their families/caregivers in both individual and group settings. Emphasizes health promotion and disease prevention; diagnose and manage acute, chronic and episodic illnesses. Conducts independent PA out-patient clinics delivering general nephrology care to Veterans and reviews patient management with the collaborating physician as appropriate. Provides continuity of care for the MD run clinics including patient communication, medication management, ordering and interpreting tests and imaging as appropriate and assuring the patient has proper follow up for abnormal findings. Manages the patients in the onsite out-patient hemodialysis unit. Acts as VA liaison for veterans who dialyze in the community. Participates in the evaluation and coordination of care of patients for vascular access placement pre-hemodialysis. Coordinates the workup of renal transplant candidates and monitors compliance with the transplant waiting list requirements. Responsible for ordering infusions as needed for all renal patients including iron, blood transfusions, monoclonal antibodies and other treatments based on patient needs. Teaches and counsels Veterans, families/caregivers and groups. This includes patient education regarding options related to dialysis, including kidney transplant, and reviewing factors that are involved in the progression of renal disease. Demonstrates leadership by involving the Team and expanded Team in providing customized, evidence-based patient-driven care. Preferred Experience: Experience as an PA in the management of patients with renal disease in the out-patient and/or in-patient settings, including experience with dialysis and transplantation. Relevant recent experience as an PA in the management of patients with diseases commonly encountered in our renal patient population such as diabetes, hypertension, and coronary artery disease. Experience in the care of geriatric patients. Ability to evaluate, investigate and treat patients independently. Experience in collaborating and communicating effectively with other health care providers. Familiarity with the use of electronic medical records. Experience in the use of telemedicine and conducting virtual clinics. Work Schedule: This is full-time 40 hours per week. Compressed/Flexible: May be authorized. 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. Notifications: This position is a Bargaining Unit position. This position is covered by a special rate. SF-50, Notification of Personnel Action (for Eligibility and/or Time-in-Grade): If you are a current federal employee, you must attach your most recent, non-award SF-50.This SF-50 should not be more than a year old and must show your current position, grade and step. Award SF-50's typically do not provide sufficient information and will not be accepted if they do not include Grade and Step. In order to clearly demonstrate you possess the time-in-grade as required by the announcement, additional SF-50s should be attached which clearly demonstrate the minimum time-in-grade requirement. Examples of appropriate SF-50's include: Within grade increases at the highest grade held. Promotions with an effective date more than one year old. SF-50's at the highest grade held with an effective date more than one year old. Requirements Conditions of Employment Qualifications 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. 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. English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). NOTE: Exceptions for Graduate PAs .PAs who otherwise meet the basic requirements, but do not possess the required licensure, may be appointed, pending licensure, as a graduate PA on a temporary full-time appointment not-to-exceed two years under the authority of 38 U.S.C. § 7405(c)(2)(B). NOTE: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is no longer required for employment in VHA.(2) Exceptions for Graduate PAs:(a) PAs who otherwise meet the basic requirements, but do not possess the required licensure, may be appointed, pending licensure, as a graduate PA on a temporary full-time appointment not-to-exceed two years under the authority of 38 U.S.C. ? 7405(c)(2)(B).(b) Graduate PAs may only be appointed at the entry grade level and may not be promoted/converted until certification is obtained.(c) Temporary graduate PA appointments may not be extended beyond two years or converted to a new temporary appointment. Grade Determinations: 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: 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) 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. 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 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: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: All applicants must be physically able to satisfactorily perform the duties of the position. A pre-placement physical examination shall be completed prior to appointment. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Testing Designated Position: All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application. NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. ? 7402(f)). This requirement does not apply to licensed PAs currently employed by VA as of November 30, 1999, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification.

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