Physician Assistant - Community Care

Job Title

Major duties and responsibilities of the position:

• Reviews and evaluates community care consults and referrals initiated by VA providers to determine medical necessity, clinical appropriateness, and compliance with eligibility requirements.
• Utilizes advanced clinical knowledge and critical thinking to assess Veteran care needs.
• Ensures referrals are appropriate and consistent with the Veteran's treatment plan.
• Address complex consult management issues, including clarification of treatment requests, evaluation of additional service needs, and resolution of clinical concerns related to community-based care.
• Monitors on-going episodes of care delivered in the community to ensure services are consistent with the authorized scope of care and meet quality and safety standards.
• Intervenes and/or escalates concerns when necessary to ensure Veterans receive appropriate and timely care.
• Collaborates with interdisciplinary teams including physicians, nurses, administrative staff, and community providers to facilitate effective coordination of care.
• Manages high volumes of consults, addressing diverse clinical conditions across multiple specialties, and navigating regulatory requirements associated with the Community Care program.
• Interprets and applies national policies, clinical guidelines, and regulatory standards when making determinations regarding referral management and care coordination.

VA offers a comprehensive Total Rewards package.

Work Schedule: Monday - Friday 8:00am - 4:30pm; subject change based on facility needs.

Telework: Not Available

Virtual: This is not a virtual position.

US Department of Veterans Affairs