Physician Assistant - Home Based Primary Care (HBPC)

Created at: September 19, 2025 00:16

Company: Veterans Health Administration

Location: Presque Isle, ME, 4769

Job Description:

This 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.
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: Experience working in a home based patient environment. Grade Determinations: Physician Assistant-I (PA-I) Experience and Education. None beyond the basic requirements. This is the entry level for PAs. 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: Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. Ability to perform patient history and physical. Ability to formulate a plan and provide treatment to the patient. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Physician Assistant-II (PA-II) 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: Two years of successful practice as a PA. OR 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 A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education. 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: Skills to analyze and solve complex medical problems. Ability to function autonomously and make independent medical decisions. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. Ability to practice with colleagues and peers collaboratively. Physician Assistant-III (PA-III) Experience and Education. 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. 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, may serve as mentors for transitioning PAs, and may provide training for health care students. Individuals can demonstrate the KSAs for the full performance level by: Three years of successful practice as a PA OR 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 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is PA III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA I to PA III. Physical Requirements: This work is mostly sedentary and requires some standing, bending and carrying light items. The incumbent must have the ability to stand and walk for prolonged periods of time to interact with the patients and other services.
This Physician Assistant position is located with Home Based Primary Care within the Geriatrics and Extended Care Service Line at the VA Maine Healthcare System (VAMHCS) in Presque Isle, Maine. This is a full-time position at 40 hours per week. VA offers a comprehensive total rewards package. Duties include, but are not limited to: Management of the primary care needs of a panel of assigned patients. Functioning within a Patient Aligned Care Team (PACT), working collaboratively with the other PACT members, including the RN Care Coordinator, the LPN, and the Medical Service Assistant. Works with extended PACT members, including pharmacists, mental health professionals, social workers, and dietitians. Providing effective care to patients using sound judgement in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. Performing history and physical examinations, ordering appropriate lab and other tests, evaluating test results, establishing diagnoses, formulating, and implementing treatment plans, and modifying treatment plans when appropriate. Managing prescriptions for assigned patients, including controlled substances if warranted. Working effectively and making appropriate requests for assistance from the collaborating physician as appropriate. Assisting, as requested, with clinic procedures. Answering patient questions regarding consult placement, follow-up and how to get patients seen. Interacting with consultants as needed for successful referrals. Referencing quality improvement information and organizes patient care needs to assure safe, efficient, and cost-effective care. Serving as clinic level patient advocate. Acting as the focal point of the designated outpatient clinic by being the contact person for all other consultant-specialty services regarding patient care. The PA will ensure that the care is coordinated and communicated to the outpatient. Initiated effective actions in emergencies. Work Schedule: Monday - Friday 07:00-3:30 Telework: Ad-Hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. hannah.neilson@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not authorized


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