Advanced Practice Registered Nurses / Physician Assistants
This position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Eastern Region, Veterans Integrated Service Network (VISN 4), Philadelphia VA Medical Center, Ambulatory Care, and its affiliated Community Based Outpatient Clinics.. The nature of the work involves the performance of diagnostic, preventive, and therapeutic services to the veteran population. The nature of the work is ambulatory care: health services provided on an outpatient basis to the veterans who visit the clinic site and depart after treatment on the same day. The purpose is to provide care for veterans with acute medical conditions or illnesses to diagnose and stabilize veterans with the primary goal of improving health. In those instances where in-inpatient care is needed, the Physician Assistant works closely with veterans and their families to transfer the veteran to the VA Medical Center or local institutions best suited to treat the Veteran. During emergency situations, the physician is trained to stabilize veterans awaiting transfer to a local emergency room. A licensed physician's assistant with relevant work experience, residency training, and licensure in internal medicine or family medicine. The physician's assistant is responsible for managing the full spectrum of primary care responsibilities including admission from an outpatient site, evaluation, diagnosis and treatment, consultation for patients presenting with general medicine complaints and diseases. To manage primary care patients the following will be necessary: ordering appropriate lab work, ordering appropriate diagnostic tests, requesting consultations to specialty services, providing appropriate follow-up care, and referral of patients with non-medicine complaints, diseases, and injuries to appropriate disciplines for diagnosis and treatment. The physician's assistant will work in a team setting with physicians, nurse practitioners, registered nurses, and support staff assigned to perform duties to accomplish the treatment of veteran patients. Computer skills are essential as the Philadelphia VA Medical Center is fully computerized for note documentation, entering orders and requesting consults. Reviews information from outside providers Conducts history and physical examinations Assesses patient's clinical condition Formulates treatment plans Completes provider-specific clinical reminders Reviews test and procedure results Completes patient referrals in CPRS Manages patient's medication (including medicine reconciliation) Gives medical and lifestyle advice and counseling Completes view alerts Follows-up on patient-related information (test and procedure results, consults and medications) Calls patients and family on the telephone Sends and receives secure messages from patients Discusses cases with consultants and with PACT team Reviews and acts on non-VA medical records Completes forms/paperwork The provider participates in all PACT team meetings and other team activities Collaborates with physician and nurse practitioner providers and directs care for the panel. May also perform the following as directed by Service Chief: Quality management and patient safety as pertain to primary care Data analysis related to primary care clinical operations Attends additional meetings and educational opportunities with Service Chief approval Work Schedule: Monday - Friday 8:00 - 4:30 pm (may be required to work extended hours or on a weekend if the clinic is open during these non-administrative hours) Financial Discloser 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.