Physician Assistant (Home Based Primary Care)

<p>The Clayton Home Based Primary Care (HBPC) Physician Assistant (PA) serves as the primary care provider and clinical care manager for a designated panel of Veterans characterized by complex, chronic, and disabling conditions. This PA will be fully qualified to function in both a clinical and administrative role, and practices independently in accordance with state licensure, scope of practice, and policies of the Durham Veterans Affairs Health Care System.</p><h3>Major Duties</h3><p>The HBPC PA serves as the primary care provider for a designated panel of Veterans characterized by complex, chronic, and disabling conditions. These Veterans, identified as medically vulnerable and often homebound, receive comprehensive, longitudinal primary care within their residence as a direct alternative to traditional site-based Patient Aligned Care Teams (PACT). The PA is responsible for the orchestration of care for Veterans who have formally consented to the HBPC model of service delivery. Duties include but are not limited to: Primary focus of practice is independent comprehensive clinical evaluation and assessment of assigned panel of patients enrolled in the HBPC program. Care may be provided n different modalities in accordance with program, facility and national policies (face to face, phone, video). Conduct in-home comprehensive medical evaluations, including history, physical examination, and functional assessments for Veterans with chronic, acute, and complex conditions. Diagnose and manage acute and chronic illnesses, including multimorbidity commonly seen in geriatric and medically fragile populations. Develop, implement, and adjust individualized treatment plans in collaboration with the interdisciplinary HBPC team (e.g. social work, rehabilitation therapists, dietitians, and psychology). Ensures accurate, timely, and complete documentation of clinical encounters, and alerts in the electronic health record. Tracks, and follows up on orders for consult services and diagnostic testing, with timely communication of test results in accordance with VHA policies, timeliness standards, and performance measures. Completes administrative requirements related to workload capture, encounter coding, clinical reminders, and other documentation necessary to support accurate reporting and program metrics. Participates in quality management and performance improvement activities, including data collection, chart reviews, peer review, and adherence to HBPC and VHA clinical performance measures. Performs infection prevention and control activities within scope of practice, including appropriate use of personal protective equipment (PPE), hand hygiene, and cleaning/disinfection of reusable equipment in the home setting in accordance with VHA policy and national standards. Complies with VA travel and safety requirements, including operation of government owned or approved vehicles, completion of required driver safety training, and submission of mileage and travel documentation as applicable Ensures proper accountability, maintenance, and secure handling of government-issued equipment and supplies used in the home-based care environment. Work Schedule: 8:00am - 4:30pm, Monday -Friday Telework: Ad-hoc with supervisor approval and per VA policy Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact the EDRP team at VISN6HRDUREDRP@va.gov for questions/assistance. Learn moreThis position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.<h3>Education</h3>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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.