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Mar 02, 2022
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Physician Assistant (Hematology-Oncology)
Veterans Affairs, Veterans Health Administration
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Details
Posted:
02-Mar-22
Location:
Miami, Florida
Salary:
Open
Categories:
Advanced Practice Registered Nurses / Physician Assistants
Internal Number:
639797700
The Miami VA Health Care System is recruiting for a full time Physician Assistant (Hematology-Oncology) to serve as an Oncology Patient Navigator in the Hematology-Oncology Section of Medical Service. The Oncology Patient Navigator will coordinator a patient's care through all the cancer services, which include screening, diagnosis, staging, treatment, survivorship and end-of-life. BASIC REQUIREMENTS: All applicants must meet the following basic qualifications. a. Citizenship. Citizen of the United States [in accordance with section 7402(c) to title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a). b. Education. Graduate of a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations. Candidates must meet one of the following: (1) Master's degree in any discipline; OR (2) Bachelor's degree in any discipline with one year of experience as a PA. c. Certification. Must have successfully passed the PA National Certifying Exam (PANCE). NOTE: Current and continuous certification by the National Commission on Certification of Physician Assistants is no longer required for employment in VHA. d. Licensure. PAs must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State. e. Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service. f. English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). GRADE REQUIREMENTS (1) Physician Assistant-I (PA-I) (a) Experience and Education. None beyond the basic requirements. This is the entry level for PAs. (b) Demonstrated Knowledge, Skills, and Abilities. The following list of knowledge, skills, and abilities (KSA) present the minimum skill set expected of an Entry Level PA. This practice may include, but is not limited to: i. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. ii. Ability to perform patient history and physical. iii. Ability to formulate a plan and provide treatment to the patient. iv. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. (2) Physician Assistant-II (PA-II) (a) Experience and Education. The PA at this grade is at the intermediate grade level and has had progressively increasing responsibility and experiences as indicated in the KSAs listed below. Individuals will have demonstrated the ability to analyze and solve more complex medical problems than at the entry level grade and can utilize their training in the successful practice of patient care and participate in team problem solving. Individuals demonstrate the KSAs of PA-II intermediate level by: 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. (b) Demonstrated Knowledge, Skills, and Abilities (KSAs). 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-II: i. Skills to analyze and solve complex medical problems. ii. Ability to function autonomously and make independent medical decisions. iii. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. iv. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. v. Ability to practice with colleagues and peers collaboratively. (3) Physician Assistant-III (PA-III) (a) Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multidisciplinary teams, and coordinate all aspects of patient care across the health care system. They utilize advanced clinical knowledge and judgment in decision-making and evaluating outcomes. They function as experts in clinical practice and/or in areas related to the assigned roles and responsibilities. Individuals can demonstrate the KSAs for the full performance level by: 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. (b) 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-III: i. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. ii. Skill to consistently demonstrate an elevated level of expertise and autonomy in diagnosing and treating seriously ill, multi-symptomatic patients through facility Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE). iii. Ability to present clinical findings and recommendations to appropriate management officials. iv. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel. v. Ability to implement and initiate clinical changes to established treatment protocols based upon new medical literature research findings to enhance patient delivery care for improved patient outcomes. vi. Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records. [The Hematology-Oncology Section Physician Assistant (Oncology Patient Navigator) will function as an integral part of the program by performing office support tasks, customer support, and coordinating communication between patients, families, office staff and health care providers. He/she must possess excellent interpersonal abilities for dealing with a wide variety of patients and other healthcare professionals. The Oncology Patient Navigator duties and responsibilities include, but are not limited to the following: Assisting patients in understanding their diagnosis, treatment options and the resources available. Serving as an essential link between patients and all other care providers. Communicating with primary provider and coordinate orders of necessary diagnostic tests (ie. biopsies). Communicating with patients regarding scheduled diagnostic tests to ensure timely evaluation. Taking ownership, coordination and completion of New Oncology Patient checklists (IV access, signed consents, chemotherapy care documents, genetic testing, pretreatment imaging for example). Alerting physicians on receptor status, next generation sequencing results. Coordinating with surgery to have surgical specimens sent for additional testing. Assisting with inclusion of cases in tumor board. Ordering chemotherapy medication. Communicating with specialty providers for streamlining of initiation of definite therapy. Re-entering expired or cancelled orders for imaging studies, order necessary test prior to interventional procedures. Monitoring time elapsed from the discovery of abnormal finding to definite diagnosis and initiation of therapy. Monitoring adherence to surveillance guidelines after definite therapy. Identifying barriers to the plan of care and intervene as appropriate. Keeping patient/caregiver involved in plan and moving toward self-directed care. Working with Tumor Registry staff and others to collect data, track outcomes, and support strategic planning processes. Creating a database on patients with abnormal findings concerning for malignancy, such as imaging findings concerning for malignancy, enlarging lymphadenopathy, etc. Collaborating with the Hematology/Oncology team to provide excellent comprehensive care in the inpatient and outpatient setting to our patients. Maintaining proficiency with appropriate procedures required for care of such patients, and follow-up care in consultation with the physician of such patients. Managing chronic medical problems and preventive medicine such as management of problems specific to Hematology/Oncology patients. Assisting the Hematology-Oncology Physicians as needed to provide quality care to patients. Supporting research activities in the Section and collaborate work with the entire section. Work Schedule: Monday-Friday, 7:30 am - 4:00 pm.nCompressed/Flexible Schedule: To Be Determined by Supervisor With Service Chief's ApprovalnVirtual: This is not a virtual position.nRelocation/Recruitment Incentives: Not AuthorizednFinancial Disclosure Report: Not RequirednEducation Debt Reduction Program (EDRP): This position may be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program, pending funding and approval. 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. If you have any questions or concerns, please contact the VISN 8 Compensation Center of Excellence at ****.]
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