Physician Assistant (medication Management Team)

Company: Veterans Health Administration
Location: Kernersville
Posted on: September 23, 2022

Job Description:

SummaryThe Physician Assistant (Medication Management Team) position is assigned to Primary Care and located at the Veterans Health Care Center (HCC) located in Kernersville, NCLearn more about this agencyHelpOverviewAccepting applicationsOpen & closing dates09/13/2022 to 09/27/2022Salary$93,954 - $160,712 per yearPay scale & gradeVN 00HelpLocation1 vacancy in the following location:Kernersville, NC1 vacancyRemote jobNoTelework eligibleNoTravel RequiredNot requiredRelocation expenses reimbursedNoAppointment typePermanent -Work scheduleFull-time -ServiceExceptedPromotion potential3Job family (Series)0603 Physician AssistantSupervisory statusNoSecurity clearanceOtherDrug testYesPosition sensitivity and riskNon-sensitive (NS)/Low RiskTrust determination processCredentialingSuitability/FitnessAnnouncement numberCBTA-11646429-22-JAMControl number676986400HelpThis job is open toInternal to an agencyCurrent federal employees of this agency.The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S.Clarification from the agencyOpen to Qualified US Citizens. Note: 1st consideration will be given to current Salisbury Veterans Healthcare System facility employees (submit SF-50 Form -Notification of Personnel Action along with resume to verify status)VideosHelpDutiesThe Physician Assistant (Medication Management Team) collaborates directly with the Assistant Primary Care Chief for services provided by Kernersville HCC. The position functions are conducted via multiple modalities, including virtual and in-person care. Safe and appropriate use of opioids, and all controlled substances, and treatment for Opioid Use Disorder (OUD) requires well-orchestrated, inter-professional, team-based care. As aligned with this need, the Medication Management Pain Management Team (MMPMT) leverages the knowledge and skills of the Physician Assistant in coordination with the Clinical Pharmacist Practitioner (CPP) to collectively provide a highly specialized, coordinated, comprehensive medication management service. This service includes, but not limited to the prescribing or deprescribing of opioids for pain, the assessment, and the treatment of OUD. Primary duties are to provide pain services to a panel of patients at the Kernersville HCC through a combination of virtually and in-person as part of an inter-professional specialty pain care team in the "Biopsychosocial Model of Pain Care" and "VA Stepped Care Model of Pain Care". The Physician Assistant works as part of a virtual and in-person primary care team, together with patient site care team members, to provide pain care to Veterans. In addition to medication management of Opioid Therapy and OUD, and as aligned with the Stepped Care Model for Pain Management (SCM-PM), the MMPMT Physician Assistant will provide high-level focus and support to integrated pain care by prescribing appropriate non-opioid pharmacologic alternatives in coordination and collaboration with other clinicians within the Pain Management Team (PMT) as applicable. Medication Management care includes assessing for, providing, or assisting with appropriate referrals for nonpharmacologic treatment options as clinically indicated. Major Duties of this position include, but are not limited to the following: Provides comprehensive pain care for Veterans via Tele-Health or in-person. Performs initial histories and physical examination on outpatients using Tele-Health and/or in person visits.Provides ongoing pain care for assigned patientsPrescribes medications within defined scope of practiceUtilizes evidence-based approach to medication management for chronic and acute pain. Provides evidence-based approach to medication management for Veterans with Opioid Use Disorder (OUD).Orders and interprets of diagnostic studies such as laboratory tests, x-rays, magnetic resonance imaging (MRIs)Reviews opioid safety metrics (e.g., Provider Drug Monitoring Program (PDMP), drug screening, Stratification Tool for Opioid Risk Mitigation (STORM) reviews).Obtains consent for long term opioid therapy.Initiates, responds to and expediate requests for consultations, special tests, and studiesProvides education and counseling of patients and families in pain self-management, active treatment modalities, and use of prescribed treatments and medications.Participates in multidisciplinary team meetings such as Pain Board,STORM and Kernersville Interdisciplinary team discussions. Performs pain management comprehensive assessments and develops treatment plans for complex chronic pain patients.Manages opioid medications and performs opioid tapers and detoxification when necessary. Complies with current Veterans Affairs/Department of Defense (VA/DOD) Long-term Opioid Therapy Guidelines, and local policies.Treats patients with chronic pain.Develops therapeutic care plans that are intended to achieve defined outcomes that improve the patient's quality of life.Works as part of an interdisciplinary team of pain management providers.Initiates, modifies, or discontinues medication therapies and serves as a consultant for intensive medication therapy management services. Performs other related duties as assigned in functional statement. Work Schedule: 07:45 am - 4:15 pm (Alternate tour of duty may be required based on needs of agency) Telework: Ad Hoc (Determined by supervisor) Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not requiredHelpRequirementsConditions of EmploymentAll qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.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.Selective Service Registration is required for males born after 12/31/1959.Must be proficient in written and spoken English.You may be required to serve a probationary period.Subject to background/security investigation.Selected applicants will be required to complete an online onboarding process.Must pass pre-employment physical examination.Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. QualificationsApplicants 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 as a Physician Assistant in a State, Territory, or Commonwealth of the United States or in the District of Columbia. 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: 1. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. 2. Ability to perform patient history and physical. 3. Ability to formulate a plan and provide treatment to the patient. 4. 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: 1. Skills to analyze and solve complex medical problems. 2. Ability to function autonomously and make independent medical decisions. 3. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. 4. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. 5. 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 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: 1. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. 2. 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). 3. Ability to present clinical findings and recommendations to appropriate management officials. 4. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel. 5. 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. 6. 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. The full performance level of this vacancy is PA-III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA-I to PA-III. 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. Mechanical inpatient lifts are provided. 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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.EducationNote: 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 informationThis job opportunity announcement may be used to fill additional vacancies. 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. 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.Read moreHelpA career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.Review our benefitsEligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.How You Will Be EvaluatedYou will be evaluated for this job based on how well you meet the qualifications above.IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, r--sum--, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy. 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. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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.HelpA career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.Review our benefitsEligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.To apply for this position, you must provide a complete Application Package which includes:Resume The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.Cover LetterDD-214/ Statement of ServiceDisability Letter (VA)Application 2850c Form for Associated Health OccupationsProfessional CertificationResumeSF-50/ Notification of Personnel ActionTranscript VA Form 10-2850c an be found at: Find A VA Form - Veterans Affairs. Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, et

Keywords: Veterans Health Administration, Winston-Salem , Physician Assistant (medication Management Team), Executive , Kernersville, North Carolina