Summary

VA NWIHCS is an integrated system that serves more than 148 -000 Veterans in 101 counties in Nebraska - western Iowa - Kansas - and Missouri. It includes a tertiary medical center in Omaha - 2 larger clinics in Lincoln and Grand Island (which includes a Community Living Center) - 5 community-based outpatient clinics - and one contract clinic.

Duties

• The VA Midwest Health Care Network 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
• The Nebraska Western Iowa VA Health Care System- Omaha - NE is currently recruiting for a full time - permanent - Primary Care Physician Assistant
• Additional duties may be assigned by the Primary Supervisor Physician - appropriate Chief of Service or Chief of Staff - which may included provisions for special training to assure proficiency
• Obtain pertinent medical and psycho-social history including patient profile - chief complaint - history of present illness - past medical history - social history and review of body systems
• Perform a physical examination as pertinent - modifying the examination for the nature of the complaint or problem - age/sex of patient and physical condition of patient
• Determine patient's mental status (i.e. - level of consciousness - orientation - mood - etc.)
• Order and/or perform the following diagnostic test
• Order other laboratory - x-ray and diagnostic studies appropriate for complaint - age - race - sex and physical condition of patient
• Obtain the following specimens for laboratory evaluation: Record and transmit findings from data base: Differentiate between normal and abnormal (including variations of normal) information obtained from history - physical - and screening examination of the patients
• Preliminary interpretation of diagnostic tests with consultation as necessary (such as routine x-rays of chest and extremities - lab studies - EKG - etc.) Develop initial impression as to severity - etiology and immediacy of patient's problem based on analysis of data obtained from history - physical - laboratory and x-ray studies
• Establish diagnosis of common problems with physician consultation and guidance as appropriate
• Develop/Formulate Health Management Plan - Develop a management plan considering patient's problem - age - sex - race and condition - conferring with the patient - supervising physician - patient's family and other health professionals as appropriate
• Implement and Monitor Health Management Plan Apply established therapeutic practices to patient's problem
• Prescribe medications from the open hospital formulary - except for controlled substances - as an agent for and in the name of the supervising physician
• Initiate appropriate management for emergency situations until physician is available
• Work Schedule: Typically tour of duty is Monday- Friday - 7:30am-4:00pm
• Additional information may be provided during interview process
• Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory - qualification - and performance requirements are met
• Selection at a lower grade level does not guarantee promotion to the full performance level
• Position Description/PD#: Primary Care Physician Assistant /PD000000 and PD000000