Veterans Affairs, Veterans Health Administration Physician Assistant (Pulmonary) in Temple, Texas

Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
  • Temple, TX
Work Schedule is Full Time - Excepted Service Permanent

Opened Wednesday 7/27/2016 (85 day(s) ago)

** Closes Thursday 10/27/2016 (7 day(s) away)

Job Overview

Vacancy Identification Number (VIN): 1761282 OUR MISSION**: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

This position will be announced until filled. Applicants may be referred upon application or as requested.

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. NO STATE TAXES!!!

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.

The incumbent for this position may be eligible to apply for the Education Debt Reduction Program (EDRP). Eligibility to apply for the EDRP is based on position eligibility, qualifying student loan debt, and availability of funds. Please contact Human Resources at this medical center and speak with the Education Debt Reduction Program Coordinator for additional information.


CTVHCS is seeking a Nurse Practitioner or Physician Assistant to provide Pulmonary services at our facility in Temple.

This position is assigned to Pulmonary Section under Medical Service.

Duties include but may not be limited to:

  • Staffing of Telehealth clinics (main role)
  • Screening all Telehealth consults for appropriate scheduling and interacting closely with other sub specialists and primary care providers
  • Working with telehealth department closely including policies, procedures, and coordination and enhancement of programs
  • Clinical responsibilities including consultation and follow-up services for the Pulmonary and Sleep Telehealth clinic, Sleep clinic, Pulmonary NP/Home Oxygen clinic, and coverage for other APRNs as needed
  • Following sleep patients with CPAP/BPAP/ASV and other devices
  • Evaluating patients for home oxygen and nebulizers therapy
  • Working close with respiratory therapists, sleep lab staff, pulmonary physicians and referring providers
  • Providing education and counseling of patients and family in preventative care, medical conditions, and use of prescribed treatments and drugs
  • Working closely with 2 APRNs in the Pulmonary section for coordination of patient care and other activities
  • Other duties may be assigned as needed

Candidate should be able to diagnose and manage patients with routine Pulmonary and Sleep Disorders; therefore, Pulmonary and/or Sleep medicine experience is desirable.

This position will remain open until filled. It may also be filled by either a Physician Assistant or Nurse Practitioner.

This is a bargaining unit position.

Travel Required
  • Occasional Travel
  • Site visits and conferences
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.

Basic Requirements:

  • US citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
  • Graduate of a PA training program, or of a surgical assistant program which is accredited by the ARC-PA or one of its predecessor organizations&
  • 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 Depart of Education
  • Current& continuous certification by the NCCPA
  • Must be proficient in spoken& written English required by 38 USC 7402(d)& 7407(d)
  • Must pass pre-employment exam

Preferred Experience: Candidate should be able to diagnose& manage patients with routine Pulmonary& Sleep Disorders; therefore, Pulmonary&/or Sleep medicine experience is desirable.


Associate: None beyond basic requirements Full: Exper/Educ Clinical Proficiency: 1-Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting,& evaluating patient care for assigned patients. This includes possessing the skill& competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret& analyze medical data, establish diagnoses, formulate& implement treatment plans,& modify treatment plans when appropriate. 2-Works effectively& makes appropriate requests for assistance from the assigned physician& recognizes complex patient care situations where referral is appropriate. 3-References quality improvement information& organizes patient care needs to assure safe, efficient& cost-effective care. 4-Initiates effective actions in emergencies. Professional Development: 1-Obtains additional knowledge& skills appropriate to the practice setting to improve performance. 2-Provides patient education in an effective manner. Ethics: Safeguards patient privacy& confidentiality. Provides care in a non-judgmental, non-discriminatory manner respecting the patient's values& beliefs. Interpersonal Skills: Works effectively with patients, families, care givers,& other professional& support personnel. Research: 1-Demonstrates awareness of research application to practice. 2-Researches medical literature& applies evidenced-based medicine to improve clinical practice.

Intermediate: Candidates must meet requirements for Full Grade. Individuals will demonstrate the ability to analyze& solve more complex medical problems& meet the following requirements:

Exper/Educ: a-1 year of professional practice as a PA; or b-Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the US 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 US Depart of Education. Clinical Proficiency: 1-Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill& competency than that expected of the previous grade. 2-Performs more complex diagnostic& therapeutic procedures requiring skills& competency, as applicable to the assignment, beyond that expected in the previous grade. 3-Practices with a higher degree of autonomy& seeks guidance from the assigned physician less frequently than expected of the previous grade. 4-Evaluates the delivery system of patient care within the area of assignment, presents findings& recommendations,& contributes to changes that enhance the quality& timeliness of care. Professional Development: 1-Acquires knowledge& skills to maintain expertise in area of practice. 2-Shares medical literature research findings with colleagues to enhance patient care delivery. 3-Participates in educational activities to improve clinical knowledge& enhance role performance. 4-Serves as a clinical preceptor to healthcare students. 5-Serves on service level committees or subcommittees when assigned. Ethics 1-Identifies medical ethical issues& takes appropriate actions. 2-Supports& enhances patient self-determination. Interpersonal Skills: Collaborates effectively with other occupations& services to identify, analyze,& resolve patient care problems. Research 1-Shares medical literature research findings with colleagues to enhance patient care delivery. 2-Uses a body of research to validate or change group practice.

Senior: Candidates must meet all requirements for Intermediate Grade. Individuals will demonstrate the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative,& Research, as applicable to the assignment. Exper/Educ: a-3 years of professional practice as a PA; or b-2 years of professional practice as a PA& successful completion of a PA post-graduate residency program accredited by ARC-PA or by the US Armed Forces; or c-2 years of professional practice as a PA& 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 US Depart of Education; or d-A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Depart of Education. Management/Administrative. One of the following responsibilities must be demonstrated: a-Evaluates service level patient care delivery systems& validates or identifies barriers to safe, effective care. Presents findings& recommendations to appropriate management officials& participates in implementation of changes. b-Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned. c-serves on service or facility committees/task forces if applicable to the assignment. d-Coordinates consult referrals within the service assigned. e-Coordinates& facilitates inter-service agreements. Clinical Proficiency: 1- Manages patients with complex or multi-system medical problems. 2-Practices with a significant degree of autonomy& seeks guidance from assigned physicians with less frequency than expected at the previous grade. 3-Performs more complex diagnostic& therapeutic procedures beyond what is expected at the previous grade. 4-First or second assists in surgical procedures.

Chief. Candidates must meet requirements for Senior Grade. Individuals will demonstrate high level of clinical expertise, leadership ability,& the ability to function with a high degree of autonomy. The PA will have demonstrate all the requirements of one or more of the following categories: Management/Administrative, Clinical Proficiency, Professional Development& Research. Generally, an individual in this grade is able to demonstrate the behaviors listed in the areas below after 5 years of professional practice as a PA;& the minimum education for this grade is a Master's Degree from a PA training program accredited by ARC-PA or in a health-related field of study. However, experience as a PA may be substituted for the Master's degree where the individual has an equivalent knowledge of the profession& has successfully undertaken a combination of difficult or complex assignments in several clinical, administrative, research& educational arenas which required a high degree of competence.

Experience refers to paid& unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps)& other organizations (eg, professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge,& skills& can provide valuable training& experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Reference: VA Handbook 5005, Part II, Appendix G8 Physician Assistant Qualification Standard. This can be found in the local HR Office

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: 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.

Physical Requirements: Heavy lifting, 45 pounds and over; heavy carrying, 45 pounds and over; moderate carrying, 15-44 pounds; 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).

Security Clearance

Public Trust - Background Investigation

Additional Information
What To Expect Next

After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USAJOBS account and clicking on "Application Status." For a more detailed update of your status, click on "more information." Information regarding applicant notification points can be found in the USAJobs Resource Center.


VA offers a comprehensive benefits package. This link provides an overview of the benefits currently offered:

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee.

Other Information

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

This job opportunity announcement may be used to fill additional vacancies.

Salary Range: $68,509.00 to $108,314.00 / Per Year

Series & Grade: VN-0603-00/00

Supervisory Status: No

Who May Apply: Current, permanent CTVHCS employees; Current, permanent VA employees; Current, permanent Federal employees; U.S. Citizens (Noncitizens may be appointed when it is not possible to recruit qualified citizens)

Control Number: 445735800

Job Announcement Number: AG3816520-JAd-1761282-BU