Physician Assistant (Behavioral Health Program/Primary Care Mental Health Integration- Lufkin CBOC)
Veterans Affairs, Veterans Health Administration
Location: Lufkin, Texas
Internal Number: 670897700
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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. Physician Assistant Basic Requirements Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~ Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~ Currently hold, or will hold, a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia. Preferred Experience: Prior experience providing collaborative psychiatric care that is co-located in a primary care setting with an interprofessional clinical team. Strong knowledge of psychopharmacology and evidence-based psychiatric and psychological practice. Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignment of candidates:(1) Physician Assistant-I (PA-I)(a) Experience and Education. None beyond the basic requirements.2) Physician Assistant-II (PA-II)(a) Experience and Education .i. Two years of successful practice as a PA .OR ii. Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency .OR iii. A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education(3) Physician Assistant-III (PA-III) PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate all aspects of patient care across the health care system.(a) Experience and Education .i. Three years of successful practice as a PA.OR ii. Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency and one year of professional practice as a PA.OR iii. A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education and one year of professional practice as a PA.(4) Physician Assistant-IV (PA-IV) Positions may include but are not limited to: Facility or Veterans Integrated Service Network (VISN) Lead PA, Facility PA Education Lead, PA Residency Program Director, or other Clinical and/or Administrative leadership assignments.(a)Experience: Requires five years of experience(5) Physician Assistant-V (PA-V). PA positions at this grade may include but are not limited to: VISN or VHA Central Office (VHACO) leadership or administrative positions that involve a high level of strategic planning of programs that cross integrated service lines and/or disciplines.(a) Experience. PAs at this level require six years of experience that includes assignments that involved directing and evaluating complex patient care or administrative programs, services or operations for a healthcare system or at multiple sites. References: VA Handbook 5005, Part II, Appendix G-8, Physician Assistant Qualification Standard. This can be found in the local Human Resources Office. The full performance level of this vacancy is VN-III. The actual grade at which an applicant may be selected for this vacancy is in the range of VN-I to VN-III Physical Requirements: Light lifting (15 lbs. and under); Light carrying (15 lbs. and under); use of fingers and both hands required; walking (up to 3 hours); standing (up to 3 hours); ability for rapid, mental, and muscular coordination simultaneously; near vision correctable at 13" to 16"; hearing (aid permitted); mental and emotional stability ["VA offers a comprehensive total rewards package. PCMHI is a component of the interprofessional Veteran Aligned Care Team (PACT). The PCMHI role is to provide support for Primary care providers and the rest of the PACT to assure that the mental and behavioral health needs of the primary care population are addressed.\nIn PCMHI, Physician Assistants are part of a primary care team and function in a consultative as well as direct treatment role. While PCMHI is primarily a population based approach focusing on uncomplicated mental health conditions commonly encountered in primary care, the addition of a Physician Assistant allows for co-management of more complex conditions when indicated. Given this role, it is critical that any Physician Assistant in PCMHI have a broad base of knowledge, skills and abilities to address the wide variety of mental illnesses that may be encountered in the population. In addition, the Physician Assistant is also a key member of the overall mental health team and serves a critical role in the continuum of care. Any working in integrated care, whether serving as a clinician, team leader or both, should Physician Assistant strive to assure that the four essential elements of collaborative care are included in PCMHI. These elements are not unique to integrated care but apply throughout VA healthcare and include provision of care that is 1) team-driven, 2) population-focused, 3) measurement-guided, and 4) evidence-based. Duties of the Physician Assistant may include, but are not limited to, the following: Provide ongoing support to PACT teams. While the PCPs often provide routine medication initiation and management, in many instances, it may be preferable for the Nurse Practitioners/Advanced Practice Nurse to initiate medication and either treat to target or support PCP continuation of medication, either directly or by supervision of care management. Participate in same day access and other co-located collaborative duties with other staff as assigned by the service. Ensure ongoing availability for urgent or emergent mental health situations via same day service duties. Perform direct in-person or virtual assessments and treatment, when indicated. Provide diagnostic clarification. Serve as a liaison between PACT providers and other mental health providers working with PACT Veterans who are receiving ongoing services in general and subspecialty MH clinics. Appropriately communicate with primary care staff and attends primary care clinic meetings. Attend PACT huddles for informal consultation and education of the team. Bear overall responsibility for the MH treatment of the Veteran. Collaborate with the client/family to establish physical, mental, cultural and environmental factors that facilitate or impede realistic goals and activities. Determine potential needs for therapeutic changes, diagnostic workups or subspecialty consultation. Order and/or interpret appropriate laboratory tests, x-rays, and other relevant diagnostic studies and procedures. Provide follow-up for evaluation of outcomes of x-rays, laboratory tests and diagnostic procedures. Detect and evaluate any significant change in Veterans' condition, treating as indicated with current evidence based practice. Review medications for clinical need, simplification and possible drug-drug interactions and adjust as indicated. Prescribe, administer and review/evaluate Veteran's response to pharmacological and nonpharmacological treatment regimens. Evaluate Veterans and manage mental health diagnoses according to the usual scope of care to include attention to maintenance of stable conditions, preventive health care and screening. Formulate diagnostic plans and therapeutic regimen. Assist Veterans to regain or improve their abilities to cope with states of health and illness. Provide education and counseling of the Veteran and the Veteran's family in preventive care, medical conditions and the use of prescribed treatments and drugs. Work Schedule: Monday -Friday 8:00 am -4:30 pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nEDRP Authorized: Contact Ms. Demetrius Roberts,Demetrius.Roberts@va.gov the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.