Summary The Regional Medical Director Physician Assistant reports directly to the Associate Chief of Staff for Primary care CBOCs. They will have administrative responsibilities for leadership and direction of Primary Care development and programs, as well as effective interface with the CBOC staff. They will participate fully in all accreditation processes, review and site visits. Responsibilities Exercises direct supervisory responsibility for the regional physicians, and advanced practice providers. Assumes a leadership role in the development and implementation PC process for continuous performance improvement, advocates for primary care and VHA leadership and the medical community, develops partnerships and coordination with other clinical services. Collaborates with other Clinical directors, veterans integrated service network(visn) leadership and VA Central Office (VACO) staff members on program development issues. Participates in attendance of the interdisciplinary team meetings Provides clinical input and consultative advice on treatment plans and is readily assessable and responsive to calls from team members in a Veteran's home with urgent need for consultation. Participates in the use of clinical practice guidelines, provision of standard of care to patients, and meets relevant performance measures as mandated by Veterans Health Administration (VHA). Reports quality of care issues promptly through established mechanisms. Maintains timely and complete patient medical records that meet compliance program joint commission requirements. Work Schedule: Monday-Friday 8:00am to 4:30pm Telework: ADHOC Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment 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 dentification 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. Qualifications 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: None Grade Determinations: 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) PA (Facility Lead). Facility lead PAs have a thorough understanding of the various functions involved in the care of patients, and the ability to interact effectively with 7 different medical and surgical specialists, health care team members, and administrative staff. Facility lead PAs have the knowledge and expertise pertaining to PA employment, credentialing, clinical practice, and appropriate utilizations of PAs. A lead PA can monitor patient care operations, polices, and work performance of fellow PAs. i. Experience. PA facility leads require five years of experience, which includes progressively responsible leadership assignments, such as serving on any local committees, workgroups, or taskforces. The PA may exhibit knowledge of PA VHA employment and utilization of PAs through demonstrative actions as a facility point of contact (POC) for PA issues, policies, and directives ii. Demonstrated Knowledge, Skills, and Abilities. PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-IV: a. Ability to provide clinically and occupationally focused orientation to new PA appointees and mentoring other PA staff members. b. Knowledge of the FPPE and OPPE processes to evaluate and assess patient care services provided by PA staff. c. Knowledge of the educational needs of PAs. d. Ability to provide leadership and clinical oversight of PAs at the facility. e. Ability to exercise independent judgment, perform tasks involving special technical, supervisory, or administrative lines. f. Ability to communicate effectively with a diverse group of professional clinical staff. (b) PA (Facility Education Lead or Residency Program Director). PA Facility Education Leads and PA Residency Program Directors are responsible for the management, structure, and administration of the PA clinical trainee program. They ensure programs comply with VA Office of Academic Affiliations standards and accrediting bodies of sponsoring affiliated institutions while activities are being held at VA facilities. PA Education Leads and PA Residency Program Directors develop, implement, and enhance PA clinical education training programs. i. Experience. PA Facility Education Leads and PA Residency Program Directors require five years of experience, which include educational assignments, such as proctoring PAs or medical students, setting up continuing medical education for 8 local VHA PAs or participating in community health events; serving as a PA director or assistant in a VHA residency program or stipend program; or serving as a member or staff of an academic PA program. ii. Demonstrated Knowledge, Skills, and Abilities. PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-IV: a. Ability to develop and update VA PA clinical rotation guidelines within each clinical specialty to ensure students and preceptors understand the responsibilities prior to and upon completion of each clinical rotation. b. Skills to maintain student evaluations and oversee changes that facilitate continuous enhancements and improvements of PA trainee clinical experiences. c. Ability to give quality systematic feedback to the practitioner within a broad range of medical and surgical experiences that meets ARC-PA and affiliated institutional standards. d. Ability to support trainees to allow open and ongoing feedback regarding collaborating practitioner, the training program, and VA site as a method of continuous improvement. e. Skill to properly record and maintain established affiliation agreements and subsequent supporting documents required for VA clinical training programs. f. Skill to maintain close relationships and open and ongoing communication with academic affiliates PA program directors and clinical coordinators participating in the PA trainee program. (c) PA (Clinical Leader/Administrative Leader). PAs at the PA-IV grade level may serve as clinical leader or administrative leader. Clinical PA Leaders may be assigned to positions/studies where limited guidance exists as physician oversight is not required. Administrative PA Leaders are involved with strategic planning and administrative/managerial responsibilities for integrated programs that cross service and/or discipline lines and influence organizational mission and health care. A PA clinical leader/administrative leader may monitor or evaluate services or programs with interaction of senior administration. i. Experience. PA clinical leaders/administrative leaders require five years of experience which included leadership assignments that involved formulating program objectives and priorities, implementing plans and practices, and 9 interpreting regulatory and organizational guidance to develop and implement policies and/or procedures. ii. Demonstrated Knowledge, Skills, and Abilities. PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-IV: a. Ability to assess information and make recommendations that may significantly affect the content, interpretation, or development of programs concerning critical matters or key issues within the health care system. b. Ability to schedule and supervise staff, students, or ancillary personnel, to include conducting performance evaluations. c. Skill in planning, organizing, directing, and controlling an integrated program. d. Skill in design, management of budget, and cost benefit analysis to ensure optimal stewardship of resources. e. Ability to analyze complex medical care, organizational processes and/or systems, and develop and implement solutions that improve outcomes at the program or service level. f. Ability to develop and recommend new or revised policies or procedures to justify program goals and motivate assigned personnel. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is 4. The actual grade at which an applicant may be selected for this vacancy is a grade 4. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act. VA Healthcare System Serving Ohio, Indiana and Michigan (VISN 10) advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the @context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Smoke-free Facility: All Department of Veterans Affairs facilities are smoke-free. Patients, visitors, and employees are not allowed to smoke in or near any facilities or on the grounds
