Summary

Physician Assistant (Tele-Primary Care) is A Veterans Integrated Service Network (VISN) 20 based position providing Primary Care services to Veterans through virtual and in-person modalities as part of an interprofessional Patient Aligned Care Team (PACT). Serves VISN facilities experiencing gaps in clinicians - delivering high-quality - evidence-based primary care under the general supervision of the VISN Clinical Resource Hub (CRH) Associate Director of Primary Care.

Duties

• This position may be located within 50 miles of any VISN 20 facility - spanning dynamic Pacific Northwest communities that offer a unique blend of urban amenities and outdoor adventure
• Boise and Portland provide major-airport access - diverse dining - and thriving arts and tech sectors
• Roseburg and White City offer small-city living near rivers - forests - and national parks
• Seattle - Vancouver - and Walla Walla feature vibrant waterfronts - renowned wineries - cultural attractions - and quality schools - all with year-round opportunities for hiking - biking - and countless outdoor activities
• Duties The CRH Primary Care Physician Assistant (PA) provides comprehensive primary care to a panel of Veterans at VISN facilities through Clinical Video Telehealth (CVT) - video into the home - telephone - and in-person modalities
• Duties and responsibilities include - but are not limited to: Clinical Functions (80-100%) Provides comprehensive care for Veterans for a panel size of approximately 900 patients or same-day access
• Performs initial histories and physical examinations on outpatients using CVT technology - video into the home - telephone - and/or face-to-face visits
• Provides ongoing outpatient care for assigned patients
• Screens outpatients to determine the need for further care
• Prescribes medications within the defined scope of practice
• Orders diagnostic studies such as laboratory tests - x-rays - and electrocardiograms
• Reviews the need for and orders health promotion and disease prevention measures
• Initiates - responds to - and expedites requests for consultations - special tests - and studies
• Provides education and counseling to patients and families on preventive care - medical conditions - and the use of prescribed treatments and medications
• Works as a member of an expanded healthcare team - including social workers - dieticians - clinical pharmacists - behavioral health clinicians - and care managers - to oversee and coordinate medical care for a population of Veterans in a group practice setting utilizing the PACT model
• Serves as a preceptor for MD/DO - NP - and PA residents and students as requested
• May occasionally work independently - with the ability to request assistance from other medical staff - including telehealth primary care staff and staff in the Emergency Room or inpatient service at the nearest VA medical center when needed
• Telehealth & Travel Requirements Utilizes Clinical Video Telehealth (CVT) as the primary modality for treating patients - with video into the home and telephone used as additional care modalities
• All CRH Primary Care PAs assigned to a PACT team are required to travel to the VA Medical Center every 90 days for face-to-face encounters
• May require occasional travel to VISN medical centers or Community Based Outreach Clinics (CBOCs)
• If hired for locums-type services - in-person care at the patient site will be required for extended periods
• The CRH Mobile Deployment Team (MDT) provides care through on-site patient care as a Mission Act 402 requirement
• In-person deployments for short-term assignments (typically 3-6 months) will be at the discretion of the VISN CRH Associate Director of Primary Care - depending upon clinical needs and available resources
• Administrative Responsibilities (5-20%) Enters time and leave in the VA Time and Leave System (VATAS) and ensures timely completion of TMS and Continuing Medical Education (CME)
• Assists with onboarding and mentoring new staff as requested
• Completes peer-review evaluations and infrequent protected peer reviews as required
• Attends occasional meetings as indicated
• Additional administrative duties may be assigned as needed but will be kept to a minimum due to the administrative burden associated with PACT panel management
• Demonstrated Knowledge - Skills - and Abilities (KSAs) Ability to organize work - set priorities - delegate tasks - and meet multiple deadlines
• Knowledge of and ability to appropriately utilize evidence-based practices and clinical practice guidelines - and guide staff in using these tools
• Ability to deal effectively with individuals or groups representing widely divergent backgrounds - interests - and points of view
• VA offers a comprehensive total rewards package
• Work Schedule: Monday - Friday - 8:00AM - 4:30PM MST Telework: Please see note on Mid-term extension and eligibility for telework based on the MTE/agency clarification
• Applicants must be advised that If there is space available in their location - they may be assigned a space onsite and If the RTO exemption is not approved - they may be required to RTO
• Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not authorized