Primary Care Physician Assistant

LMR seeks a dedicated and skilled Primary Care Physician Assistant to provide essential healthcare services to veterans at the Fayetteville VA Medical Center. This role demands clinical expertise and a commitment to upholding the standards of veteran care, aligned with the facility's guidelines and requirements. 

Location: Fayetteville VA Medical Center, Fayetteville, NC

Scope of Care: Primary Care Physician Assistants will provide Family Practice and interventional consultative services, including comprehensive assessment, diagnostic work-up, and clinic intervention. Responsibilities include complete health histories, physical examinations, patient education, and managing both scheduled and unscheduled outpatient visits. Personnel will order and evaluate diagnostic tests, recommend treatments or referrals, and document all encounters in the electronic Comprehensive Patient Record System (CPRS), ensuring records are completed on the day of the encounter. 

• Direct Patient Care: Estimated 95% of the time involved in direct patient care. Primary Care Physician Assistants will be responsible for clinic appointments and follow-up of labs/imaging/procedures ordered during these appointments, interpretation, phone call consultation from hospitalists and intensivists on inpatients, and availability for case review with nurse practitioners on service. 

• Clinic Responsibilities: Primary Care Physician Assistants are required to be present and punctual for all scheduled clinic start times, with adherence documented by physical presence in the clinic. 
• Medications: Primary Care Physician Assistants must adhere to all established medication policies and procedures. Provision of sample medications to patients is strictly prohibited. 
• Discharge Education: Primary Care Physician Assistants will provide thorough discharge instructions and coordinate follow-up care with the next care setting, particularly for emergency department patients. 
• Administrative Duties: Approximately 5% of time will be dedicated to administrative tasks, including section meetings, peer review case reviews, participation in Ongoing Providers Performance Evaluation (OPPE), and attendance at morbidity and mortality conferences as appropriate. 
• Quality Improvement Meetings: Primary Care Physician Assistants will actively participate in continuous quality improvement activities, attending all meetings required by the facility Chief of Service or Chief of Staff. 
• Staff Meetings: Attendance at staff meetings is mandatory as required by the facility leadership.   
• Patient Safety Compliance and Reporting: Primary Care Physician Assistants will adhere to established patient safety and infection control standards. Immediate documentation and disclosure of any incidents, including medication errors or patient injuries, are required.  Primary Care Physician Assistants must complete Compliance Awareness Training before accessing the facility and are obligated to report any observed fraud, waste, or abuse. 

Key Responsibilities: 

• Deliver comprehensive primary healthcare services under the guidelines of the Department of Veterans Affairs. 
• Uphold the facility’s Medical Staff By-Laws, rules, and regulations in all medical practices. 
• Maintain clinical proficiency, meeting continuous medical education requirements to ensure up-to-date practices and knowledge. 
• Document and validate educational and training experiences, ensuring full compliance with all regulatory and facility-specific requirements. 
• Collaborate effectively with healthcare teams to enhance patient outcomes. 
• Other duties as assigned.

Technical Proficiency: 

• Excellent command of the English language with the ability to communicate effectively with patients and colleagues. 
• Keep certifications and licensures current, including compliance with all continuing education requirements. 
• Manage and report on credentialing and re-credentialing processes within the facility. 

Required Qualifications: 

• Must be a U.S. Citizen. 
• Possess a current and unencumbered license to practice as a Physician Assistant in any U.S. state or territory. 

• Currently certified by the National Commission on Certification of Physician Assistants (NCCPA). 
• Current certifications in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) from the American Heart Association. 
• A minimum of five years of relevant experience in the past five years, with preference for experience within the VA system. 
• Valid professional liability insurance. 
• Not listed on the OIG excluded parties list. 
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

Health and Vaccination Requirements  

• Tuberculosis Testing. Must submit proof of a negative Tuberculosis Skin Test (TST) or Interferon-Gamma Release Assays (IGRA) for all healthcare personnel upon hire, as per CDC guidance. These tests must be current within the past year. 
• Follow-Up Measures: In cases of a positive TST or IGRA result, a negative chest radiographic report for active tuberculosis must be provided. 
• Measles, Mumps, and Rubella (MMR). Proof of immunity is required for measles, mumps, and rubella. 
• Varicella (Chickenpox). Proof of immunity to varicella is required. 
• Acellular Pertussis (Tdap). Proof of a single dose of Tdap vaccination is required. 
• Hepatitis B (Hep B). Must provide proof of immunity to Hepatitis B. 
• COVID-19. Proof of receiving the annual COVID-19 vaccine is required, unless medically contraindicated. Those with a medical contraindication must wear a mask throughout the year. 
• Influenza. Proof of having received the annual Influenza vaccine is required, unless medically contraindicated. Those with a medical contraindication must wear a mask during the Influenza season. 

OSHA Bloodborne Pathogens Regulation Training and Compliance: 

• Must provide evidence of having completed and passed generic self-study bloodborne pathogen training. 
• Must provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the series. 
• Required to submit all proof of immunizations and test results. 

Work Environment:

• VHA facilities are smoke free and have a strict no smoking policy including vapes. 

Benefits Include:

• Medical, Dental, and Vision Insurance
• Life, AD&D, and Short-Term Disability Insurance
• 401(k)
• Paid Time Off
  
• Paid Holidays
• Employee Assistance Program
• Continuing Education Reimbursement Program

About LMR:

LMR is a service-disabled veteran-owned small business that supports technology development and provides comprehensive joint warfighter training by leveraging the skills, experience, and knowledge of its personnel.  Our team consists of personnel with diverse backgrounds.

LMR is an equal opportunity organization. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, gender, sexual orientation, gender identity, marital status, disability, protected veteran status, or any other basis protected by applicable federal, state or local law.

LMR will not discriminate against persons because of their disability, including disabled veterans, and will make reasonable accommodations for known physical or mental limitations of qualified employees and applicants with disabilities. If you are interested in applying and require special assistance or accommodations due to a disability, please contact our Human Resources department at hr@lmrtec.com.

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