PHYSICIAN ASSISTANT (Cardio)

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. 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 in a State, Territory, or Commonwealth of the United States or in the District of Columbia.

01Grade Determinations

Physician Assistant-I (PA-I)(a) Experience and Education. None beyond the basic requirements. This is the entry level for PAs.(b) 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)(a) 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: i. Two years of successful practice as a PA. OR ii.

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 iii. A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education.(b) 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:i. Skills to analyze and solve complex medical problems. ii. Ability to function autonomously and make independent medical decisions. iii. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care.iv.

Ability to work effectively in an interdisciplinary environment for improvement of services for patient care.v. Ability to practice with colleagues and peers collaboratively. Physician Assistant-III (PA-III)(a) 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:i. Three years of successful practice as a PA.ORii.

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.ORiii. 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.(b) 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:i. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.ii.

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).iii. Ability to present clinical findings and recommendations to appropriate management officials.iv.

Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.v. 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.vi.

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.

02Grade Determinations

Will be determined after candidate is selected Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. 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.

03Physical Requirements

Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting. This position requires a pre-employment physical. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Near vision correctable at 13" to 16" to Jaeger 1 to 4.

Far visions correctable in one eye to 20/20 and to 20/40 in the other. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted.

ABOUT OUR GREAT CITY: Columbia has 91 parks and 8 trails totaling 26 miles for walking, running, and biking, with a 30-mile loop addition in the works. Columbia's trail system connects to the 237-mile Katy trail crossing the state. Top collegiate sporting events average 25 per month, with easy access to professional sports in nearby St Louis and Kansas City. Centralized location offers quick access to St.

Louis and Kansas City, as well as the State Capitol, Jefferson City, and the beautiful vacation getaway, Lake of the Ozarks. Columbia is also ranked by Niche.com as #25 best city to live in America, #28 best city to buy a house, and #24 best city to raise a family. VA offers a comprehensive total rewards package.

Work Schedule: Monday- Friday 8-430pm Relocation/Recruitment Incentives: Not Authorized Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Cardio Heart Failure Physician Assistant Duties: The Physician Assistant works closely with the fellows, medical st aff, ancillary staff, students and other medical staff providing quality care to a diverse demographic.

Clinical and administrative duties include but are not limited to: Participating in a team approach to patient care with surgeons, fellows, residents, medical students, ancillary staff, other services, and patient and family members. Primary focus of practice is the clinical management of health care for patients in the cardiology/heart failure outpatient clinics and procedure clinics. Promotes, directs, evaluates and is responsible for the management of safe patient care to cardiology/heart failure patients.

Participates as a member of the multidisciplinary team to assess and monitor cardiology/heart failure patients. Facilitates patient's entry and exit from various health care systems by establishing and maintaining liaison with a variety of medical specialists and associated staff. Utilizes and promotes approved standards of care, procedures, methods and techniques, safety precautions, and protocols in their application to the cardiology/heart failure patient population in all settings.

Collaborates with other health care resources to insure continuity of care. Keeps abreast of latest trends, skills, procedures, and protocols relevant in the area of specialty and serves as a resource person for the medical center staff. Attends and manages outpatient Cardiology/heart failure Clinics I0. Primary resource for outpatient cardiology/heart failure consults, assessing patient acuity and appropriately schedules evaluations. Monitors and maintains consult tracking package.

Monitors laboratory and pathology evaluations for the outpatient cardiology/heart failure population. Completes patient's disability and insurance forms as needed. Arranges for cardiac procedures and interventions. Oversees scheduling to the outpatient cardiology/heart failure clinics with resolution of scheduling conflicts. Other tasks as delegated by the supervisor