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Nurse Practitioner/Physician Assistant-Primary Care CBOCs

Company: Veterans Affairs, Veterans Health Administration
Location: Cedar Park
Posted on: June 18, 2020

Job Description:

Central Texas Veterans Health Care System (CTVHCS) is one of the largest integrated health care systems in the Department of Veterans Affairs and includes facilities in Temple, Waco, and Austin, TX. Community-Based Outpatient Clinics are located in Brownwood, Cedar Park, Palestine, and Bryan-College Station.

TEXAS HAS NO STATE TAXES!!

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.

Physical Requirements: Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Pushing(1 hour); Use of fingers; Both hands required; Walking (up to 3 hours); Standing (up to 3 hours);Repeated bending (1-2 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; ability to distinguish shades of colors; Hearing (aid permitted)

The major duties of this position include, but are not limited to:


  • Perform histories and physical examinations on outpatients.
  • Order appropriate diagnostic studies such as laboratory tests, x-rays, and electrocardiograms (EKGs).
  • Provide assessments and create and execute treatment plans.
  • The supervising physician will review and counter sign at least 10% of all progress notes.
  • Provide ongoing outpatient care for assigned patients.
  • Determine need for further care.
  • Prescribe medications within defined scope of practice.
  • Initiate, respond to, and expedite requests for consultations, special tests, and studies.
  • Provide education and counseling of patients and families in preventative care, medical diagnoses, and use of prescribed treatments and medications.
  • Provide comprehensive care to women veterans including age appropriate screening physical examinations such as pap testing, etc.


    Backup services are available at the local and VA emergency departments (including but not limited to surgery, psychiatry, and medical subspecialties). Patients who require admission to the inpatient wards will be transported to the nearest VA facility or non-VA facility as clinically appropriate. No inpatient duties will be required.

    The advanced practice provider may rarely be required to work unaccompanied but may request assistance from other medical staff at the nearest VA Medical Center when needed.

    The facility is fully computerized and computer skills are required. Special training will be provided to utilize. VA electronic medical record technology.

    The advanced practice provider will have minimal administrative duties including attendance at staff and team meetings, committee meetings, and occasional peer review evaluations. However, time will be provided outside of assigned clinical duties to complete these requirements.

    Preferred Experience: 3 years of primary care experience.

    This is a bargaining unit position.

    Work Schedule: Monday - Friday 8:00 am to 4:30 pm Shifts may occasionally deviate from the usual 8 AM to 4:30 PM shift schedule.

    Financial Disclosure Report: Not required

    Recruitment/Relocation: Not AuthorizedTo qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/23/2020.

    Basic Requirements:


    • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
    • Individuals appointed to direct patient care positions must be proficient in spoken written English as required by 38 U.S.C. 7402(d).
    • Must pass pre-employment physical.


      Nurse Practitioner Qualifications: In order to qualify, applicants must meet all of qualifications listed below:


      • Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing.
      • Master's Degree from a program approved by the appropriate State-accrediting agency and accredited by of the following accrediting bodies at the time the program was completed by the applicant: The National League for Nursing Accrediting Commission (NLNAC) or The Commission on Collegiate Nursing Education (CCNE).
      • Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
      • Must maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. (The certification must be in the specialty to which the individual is being appointed or selected.)


        Physician Assistant Qualifications: In order to qualify, applicants must meet all of the qualifications listed below:


        • Graduate of a PA training program or a surgical assistant program which is accredited by the ARC-PA or one of its predecessor organizations, AND Possess a minimum of a bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the US Department of Education or area current VA employee that was hired as a Physician Assistant prior to September 5, 2014.
        • A Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA
        • As of March 12, 1993, certification by the National Commission on Certification of Physician's Assistants (NCCPA) is a requirement for employment. This requirement does not apply to non-certified PAs on VA rolls as of that date.


          Nurse Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:


          • Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
          • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
          • 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.


            Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

            Physician Assistant Grade Determinations: The following criteria for Physician Assistants must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade.

            Full Grade. In addition to meeting the basic requirements in paragraph 2, individuals appointed to this grade must meet all the following requirements:

            (1) Experience / Education. None beyond the basic requirements in paragraph 2 of this standard.

            (2) Clinical Competencies: Clinical Proficiency; Professional Development; Ethics; Interpersonal Skills; Research

            Intermediate Grade. In addition to meeting the basic requirements under paragraph 2 above, candidates must meet all requirements described in this standard for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements:

            (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 ARCPA 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: Clinical Proficiency; Professional Development; Ethics; Interpersonal Skills; Research .

            References: VA Handbook 5005, Part II, Appendix G8 PA Qual Std, Dated 9/5/14. This can be found in the local Human Resources Office.



            • **See Additional Information for Senior Grade***
            • **See How you be evaluated for Chief Grade Requirements.***

Keywords: Veterans Affairs, Veterans Health Administration, Cedar Park , Nurse Practitioner/Physician Assistant-Primary Care CBOCs, Healthcare , Cedar Park, Texas

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