Physician Assistant/Nurse Practitioner (Ophthalmology)

Employer
USAJobs
Location
Richmond, Virginia
Posted
Sep 10, 2020
Closes
Sep 18, 2020
Hours
Full Time
Duties

Summary

The Physician Assistant/Nurse Practitioner provides direct patient care at a high level of competence and independence. The PA/NP programmatic responsibility for the is unique and differs from person to person. The individual performs complex clinical activities and functions in a position of distinct leadership role such as clinical coordinator or other complex organizational duties.

This position is located at the Richmond, VAMC with rotations at local Community Based Outpatient Care Centers.
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Responsibilities

The individuals' professional practice is characterized by progressively more responsible leadership assignments clinical, administrative, educational and/or research areas.

B. SCOPE OF PRACTICE


The Ophthalmology Surgery Section Physician Assistant or Nurse Practitioner will be responsible for the primary medical and surgical needs of outpatients on the Ophthalmology Surgery Section. Duties will include, but are not limited to, the evaluation of current medical and surgical problems, administrative assistance, quality assurance and educational support as detailed below.

The Scope of Practice detailing clinical responsibilities must be developed and will be updated consistent with VA guidelines for the utilization of physician assistants (VHA Directive 5005 Appendix G8 dated 4/15/2002 or most recent). The PA or NP scope of practice is made part of the functional statement.

CLINICAL PRACTICE
Provide medical and surgical care for both inpatients and outpatients in the Ophthalmology Surgery Section. The Physician Assistants or Nurse Practitioners manages patients that often have concomitant medical problems and are multi-symptomatic. The Physician Assistant or Nurse Practitioner shall coordinate patient care programs based upon the admitting chief complaint and may perform the following duties:

ROUTINE CLINICAL DUTIES
1. Admission History and physicals, admission orders and aftercare plans.

2. Provide medical education /counseling of patients and their families.

3. Primary responsibility for medical care of patients when the resident on the service is absent.

4. Assist the surgeon in the clinic minor surgery and Laser room including prepping and draping, and first or second assist in surgery.

5. Demonstrate the ability to diagnose and treat Ophthalmology patients seen in consultation with other health care providers.

6. Promote patient care programs for the Ophthalmology Section and periodically update them based upon current and new concepts, research as well as findings of the attending physician.

7. Integrates the activities of the Ophthalmology Section with other patient care programs at the facility.

C. ADMINISTRATIVE ASSIGNMENTS
1. Evaluates Ophthalmology Consults and determines the appropriate disposition, routing and priority of those consults.

2. Facilitates access to the Ophthalmology team for other Health Care Providers.

3. Participates in quality assurance program with a multi-disciplinary group-developing criterion for administrative goals in the section.

4. Individual may function as non-physician coordinator for select Ophthalmology clinics as deemed appropriate by the Chief of Ophthalmology.

D. EDUCATIONAL ASSIGNMENTS
As the Physician Assistant or Nurse Practitioner, the incumbent is responsible for the following educational assignments:

1. Develops and implements in-service training as directed by the Chief of Ophthalmology.

E. RESEARCH ASSIGNMENTS
The Ophthalmology Section physician assistant or nurse practitioner shall participate in merit-reviewed, approved research projects to develop publishable material for appropriate professional journals. Activities may include the following:

1. Selection of appropriate patient for participation in clinical research studies; obtaining informed consent for participation in approved studies; obtaining and analyzing data; preparing data for publication.

2. May serve as sub investigator and clinical coordinator for clinical research trials.

F. SUPERVISION AND EVALUATION
Station-level practice will be consistent with the Medical Center Memorandum (MCM) 11-4, Non-Physician practitioners, Advanced Practice Nurses/Physician Assistants/Doctor of Pharmacy-Utilization, Supervision and Scope of Practice." The Physician Assistant or Nurse Practitioner is clinically responsible to the Chief of Ophthalmology and the Chief of the Surgical Service. They retain administrative, clinical and disciplinary responsibility for the performance evaluation, time and attendance, assuring clinical practice complies with the scope of practice and clinical protocols and privileges for the Physician Assistant or Nurse Practitioner.

Work Schedule: 7:45AM - 4:30PM - Monday - Friday ( variable shifts may be required as necessary)
Financial Discloser Report: Not required

Travel Required

Not required

Supervisory status
No

Promotion Potential
13

Requirements

Conditions of Employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Designated and/or random drug testing required
  • 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 a background/security investigation
  • Selected applicants will be required to complete an online onboarding process
  • Must pass pre-employment physical examination


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: Basic Required Qualifications (Per Handbook 5005) Physician Assistant
  • Must be a citizen of the United States. United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • The Physician Assistant is a graduate of a PA training program, which is certified by CAHEA. Additionally, the Physician Assistant must maintain current certification by NCCPA. Clinical and administrative competence and skills are evidenced by postgraduate experience in progressively more complex patient assignments over at least four years. Individual maintains credentialing for procedural assignments.
Must be proficient in spoken and written English as required by 38 USC 7402(d), 7407(d).
Preferred Experience: Preferred Qualifications
  • Minimum of at least two years of successful practice as a Physician Assistant providing medical care to patients
  • Demonstrated ability to work effectively with other disciplines
  • Demonstrated excellence in written/verbal communication and time management
  • Demonstrated ability to use computer systems in support of patient care delivery
  • At least one-year experience with Ophthalmology
Preferred Level of Education Physician Assistant
Masters in Physician Assistant Preferred Certification(s) BLS Basic Required Qualifications (Per Handbook 5005) Nurse Practitioner
  • U.S. Citizenship, Birth or Naturalized (appropriate documentation required)
  • Master's degree from an NLN or CCNE accredited Nurse Practitioner program
  • National Certification as a Nurse Practitioner
  • Current, full, unrestricted license as a Registered Nurse
  • State approval to practice as an NP

Must be proficient in spoken and written English as required by 38 USC 7402(d), 7407(d). Preferred Qualifications
  • Minimum of at least two years of successful practice as a Nurse Practitioner providing medical care to patients
  • Demonstrated ability to work effectively with other disciplines
  • Demonstrated excellence in written/verbal communication and time management
  • Demonstrated ability to use computer systems in support of patient care delivery
  • At least one-year experience with Ophthalmology
Preferred Level of Education Nurse Practitioner
MSN with Adult, Family or Primary NP or DNP
++++++++++++++++++++++++++++++++++++ Preferred Certification(s) BLS
Ophthalmology NP (Nurse Practitioner)
Grade Determinations:
Individuals appointed will have demonstrated the ability to analyze and solve more complex medical problems and meet the
following requirements:
Physician Assistant

(1) 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.
(2) Clinical Competencies
(a) 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.

Nurse Practitioner
  • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
  • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
  • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience.

References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G8, II-G8-4 and VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard

The full performance level of this vacancy is VN-0603-13 for the Physician Assistant and VN-0610-III for the Nurse Practitioner.

Physical Requirements: This work is mostly sedentary and requires some standing, bending and carrying light items.
The incumbent must have the ability to stand and walk for prolonged periods of time to interact with the patients and other services.

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

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 view the following link for information regarding an Alternate Application .

How You Will Be Evaluated

You 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, résumé, 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.

Background checks and security clearance

Security clearance
Other

Drug test required
Yes

Position sensitivity and risk
Non-sensitive (NS)/Low Risk

Trust determination process
Suitability/Fitness

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • License
  • Professional Certification
  • Resume
  • Transcript
(REQUIRED)

VA Form 10-2850c (Physician Assistant) or VA Form 10-2850a (Nurse Practitioner) can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search . (REQUIRED)

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 Letter
  • DD-214/ Statement of Service
  • Disability Letter (VA)
  • License
  • Professional Certification
  • Resume
  • SF-50/ Notification of Personnel Action
  • Transcript


Veterans' Preference: 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, etc.), and 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 Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx .

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

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