Physician Assistant (PA)

Physician Assistant (PA)

STGi is currently seeking a Physician Assistant to provide services at our Community Based Outpatient Clinic.

The general duty of the Physician Assistant is to provide professional clinical services under the direction of the Community Based Outpatient Clinic (CBOC) Primary Care Provider (PCP). The Physician Assistant is an Advanced Practice Generalist who provides a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems; and comprehensive, integrated primary health care which addresses a majority of the client's health care needs on an ongoing basis. The Physician Assistant is knowledgeable in the assessment, treatment and evaluation of a comprehensive range of health care problems; emergency measures; preventive health; prescribing medications and other treatments; ordering, conducting, interpreting laboratory, diagnostic studies and procedures; and patient and family education utilizing community, social, and health resources. The Physician Assistant maintains knowledge of current practice, acts as role model and mentor to other PA's, acts as client advocate, and participates in professional activities at local and state level.

Essential functions include providing primary and preventive medical care to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within his/her skills and training. The Physician Assistant functions within the scope of practice of the state Physician Assistant Practice Act, the Joint Commission standards, VA Medical Center guidelines, and Officer of the Inspector General. The Physician Assistant works closely with the Patient Aliened Care Team (PACT) and extended support staff including daily huddles with the team. The Physician Assistant emphasizes wellness, prevention, and early detection. The Physician Assistant supervises support staff in delivery of care to patients. The Physician Assistant maintains universal precautions and infection control practices. The Physician Assistant provides smooth and timely flow of patients in accordance with the Veteran Administration's (VA) access standards and triage protocol. The Physician Assistant performs cardiopulmonary resuscitation (CPR) and assists during respiratory and cardiac arrest procedures. The Physician Assistant investigates health problems or health needs by gathering and assessing historical information. The Physician Assistant performs a physical examination appropriate to the patient's history. The Physician Assistant diagnoses health problems based on interpretation of the patient's history, physical exam findings, and diagnostic test results. The Physician Assistant develops a treatment plan, tailored to the patient's needs, which includes health education, pharmacologic and non-pharmacologic treatment. The Physician Assistant prescribes medications, as appropriate. The Physician Assistant evaluates the results of the treatment plan, modifying the plan as needed to achieve the treatment goals. The Physician Assistant makes referrals for specialty evaluation or treatment. The Physician Assistant directs and coordinates the provision of health care services for patients in primary care, i.e., walk in patients. The Physician Assistant provides a model for clinical practice within the clinic setting. The Physician Assistant sets up and operates therapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, automatic electronic defibrillator (AED) and portable suction. The Physician Assistant obtains patient history on new and follow-up and record appropriate findings according to VA standards. The Physician Assistant performs initial and periodic physical examinations within limits of privileges and records findings. The Physician Assistant orders diagnostic tests according to the chief complaint, physical and emotional/mental findings and symptoms. The Physician Assistant demonstrates a knowledge of pharmacology. The Physician Assistant prescribes and administers medication within limits of privileges and state and federal regulations. The Physician Assistant recommends and follows up on laboratory tests and specialized diagnostic procedures, as deemed necessary. The Physician Assistant documents all pertinent patient information in the medical records and Veterans Health Information Systems and Technology Architecture (VISTA) to demonstrate quality care delivery and promote continuity of care. The Physician Assistant keeps the VISTA clinic reminder tracking system current for each enrolled patient. The Physician Assistant closes patient charts within 24-72 hours of encounter and places Return to Clinic (RTC) orders promptly. The Physician Assistant assists in scheduling patients for initial and follow-up appointments in accordance with the VA's access standards and the patient's medical necessity. The Physician Assistant keeps patients informed of their plan of care, including lab and diagnostic test results as needed. The Physician Assistant provides health educational materials, resources and education to patients and their families for informational purposes and in accordance with their need and learning capacity. The Physician Assistant assists the Registered Nurse to ensure all patient information on electronic encounter documentation is complete and accurate. The Physician Assistant complies with all federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), Veteran Affairs, and Subcontractor safety and operational regulations, directives and standards. The Physician Assistant participates in the ongoing Performance Improvement Program between the VAMC and STGi Performance Excellence program including regularly scheduled peer reviews. The Physician Assistant ensures that all required reports and clinical information is completed in an accurate, timely and complete fashion. The Physician Assistant participates in staff development programs. The Physician Assistant maintains confidentiality of all information and supports patients' privacy, rights, and safety. The Physician Assistant aids in management/coordination of the CBOC's day-to-day activity. The Physician Assistant performs other clinical duties assigned within limits of privileges.

Required experience and skills include a minimum of 2 years clinical experience as a PA in outpatient care in a Family Medicine or Internal Medicine Environment; 3-5 years is preferred. The PA must have a current and unrestricted DEA License (PA will be required to obtain and maintain a Scope of Practice/Collaborative Agreement with a state licensed physician prior to delivery of health care). The PA must have a current and unrestricted New York license. Must comply will all state requirements and regulations. The PA must possess Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) certification from American Heart Association (AHA) or the Military Training Network (MTN). The PA must have prescriptive authority in accordance with state rules and regulations. The PA must have the ability to set realistic, measurable education goals for patients, taking into consideration patient/family needs, level of understanding, and available local resources. The PA must have the ability to develop and provide individualized and group counseling, guidance, and health instruction with a focus on disease prevention and health maintenance. The PA must have experience with safe and reasonable practices regarding opioid medications for chronic pain. The PA must have working knowledge of Microsoft Office Software and excellent computer maneuverability. The PA must have exceptional diplomatic communication skills and experience in handling difficult customer situations. The PA must be detailed oriented and have the ability to multi-task.

Required education includes meeting one of the three following educational criteria: a) a Bachelor's degree from a PA training program certified by the Committee on Allied Health Education and Accreditation (CAHEA); or b) graduation from a PA training program of at least 12 months duration, which is certified by the CAHEA and a Bachelor's degree in a health care occupation or health-related science; or c) graduation from a PA training program of at least 12 months duration which is certified by the CAHEA and a period of progressively responsible health care experience such as independent duty medical corpsman, license practical nurse, registered nurse, medical technologist or medical technician. The duration of approved academic training and health care experience must total at least five years. The PA must maintain a full and current certification as a Physician Assistant from the NCCPA.

Working conditions/physical requirements include moderate physical activity. Requires handling of average-weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day. Work is normally performed in a typical interior/office work environment. Required to respond to any medical emergency within the clinic, where a fast walk or jog may be necessary to provide assistance.

Pay rate: Starting at $48/hour