Overview

Physician Assistant

Joint Base Lewis-McChord, WA

Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command.

Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.Tacoma-Pierce County Chamber of CommerceMadigan Army Medical CenterJoint Base Lewis McChord

Responsibilities

The primary purpose of this position is: To function as a credentialed health care provider, privileged by the facility credentials function, who uses critical judgment to perform comprehensive health assessments, formulate differential diagnoses, and prescribe pharmacologic and non-pharmacologic treatments in direct management of acute and chronic illness and disease to male and female patients of all ages (to include pediatric and geriatric) in small, medium, and large-sized general clinics and hospitals. Promotes wellness and prevents illness and injury.

ORGANIZATIONAL GOALS OR OBJECTIVES:

The organizational goals and objectives of this position are to: to provide comprehensive outpatient medical care to a broad cross section of patients with both common and complex, acute and chronic diseases, to include deployment related medical conditions.

DUTY 1: Critical

Serves as the Primary Care Manager (PCM)/team leader providing comprehensive outpatient care for both male and female TRICARE Prime enrolled beneficiaries as well as TRICARE for Life and space available beneficiaries, ranging in age from newborn to geriatric, presenting with complex and interdependent, acute and chronic conditions. These conditions include, but are not limited to the management of: insulin & non-insulin requiring diabetes mellitus, hypertension, cardiovascular disease, asthma, inflammatory and non-inflammatory arthritic conditions, cancer diagnosis/management/surveillance, physical and/or extremity injuries, as well as acute and chronic psychiatric/psychological disorders. Provides Pre-and Post Deployment health assessments as well as Preventive Health Assessments (PHA). Addresses, manages, and documents medical issues pertaining to the Personnel Reliability Program (PRP), Security Clearances, Overseas Clearances, Pre-Confinement evaluations, Line of Duty Determination (LOD), and Occupational and fitness for duty medical evaluations -- all of which are performed for active duty, reserve, and National Guard members as well as eligible civilian, DoD, and dependent beneficiaries. Provides direct primary outpatient care to include gynecologic, prenatal, pediatric, and geriatric care. Performs ambulatory surgical procedures including but not limited to: casting/splinting, suturing, excisional and shave skin biopsies, joint aspirations and injections, and colposcopies, as specified in the credential and privilege lists. Orders and interprets diagnostic and testing procedures to include laboratory and radiological examinations. Ensures appropriate follow up and documentation of all clinical and diagnostic procedures IAW the Accreditation Association for Ambulatory Health Care (AAAHC), The Joint Commission (TJC), and Health Services Inspection (HSI) guidelines. Independently and in consultation with named consulting physician formulates full treatment and management regimens based on sound diagnoses consistent with current and/or evidence-based clinical practice guidelines. Due the possible lack of consistent medical specialty support caused by deployment requirements, may be required to provide some sub-specialty services within current granted privileges to patients encountered. Coordinates with facility and community resources to provide multi-disciplinary comprehensive care to all patients, taking into account factors such as new and/or emerging procedures and techniques and the patient’s personal history, as well as information gained through diagnostic tests. Provides advice by telephone and/or in person to other non-physician providers, nursing, and para-professional staff on the care of patients with urgent, emergent, and non-urgent medical problems. Documents clinical encounters and patient instructions into the medical record via current electronic medical record system and prepares appropriate clinical narrative summaries for both civilian and military occupational programs in a timely manner.

DUTY 2: Critical

Provides direction to other non-physician providers such as Independent Duty Medical Technicians and students assigned to the Military Treatment Facility (MTF) as well as nursing and paraprofessional staff in care of patients with urgent, emergent, and non-urgent medical problems. Evaluates how the team provides care to include participation in peer review proceedings consistent with local and Air Force guidance. Facilitates and manages full spectrum of professional and patient care activities for the PCM team. Evaluates and analyzes how the team provides care through a continuum thereby facilitating the achievement of efficient, high quality, and cost effective healthcare. Guides, counsels, and supervises PCM team personnel to include other Physician Assistants, Nurse Practitioners, medical technicians, and administrative personnel. Provides input and guidance on clinical aspects and/or resolves issues relating to the management of the PCM templates to ensure access-to-care standards are met.

DUTY 3: Critical

Serves as member of the professional medical staff and complies with hospital plans and policies to meet accrediting agencies’ (AAAHC or TJC) requirements. Participates in continuing education programs to update and maintain skills and knowledge in accordance with Medical Group (MDG) and unit policies including department in-services education. Actively participates and contributes to medical oversight activities to include peer review programs. Serves as clinical preceptor for other professional providers which may include other Physician Assistants, Nurse Practitioners, etc. Participates in hospital/clinic committee work as determined by the Chief of the Medical Staff performing duties (i.e. Credentials, Pharmacy & Therapeutics, Population Health, Occupational Health committees, and other such activities). Provides professional guidance concerning unit/MDG policies and/or operating instructions.

DUTY 4: Critical

Participates in local disaster training exercises as directed by the Chief of the Medical Staff (SGH) or Medical Group Commander; responds to real-world disaster situations. Participates in local disaster training exercises to maintain preparedness levels. Responds to assigned medical treatment facility in real-world disaster to facilitate primary care delivery in the face of an emergent local situation. Coordinates with local, state, and county medical emergency personnel to execute primary care delivery in accordance with the assigned facility’s Medical Contingency Response Plan (MCRP).

Performs other duties as assigned.

Qualifications

Qualifications

US Citizenship required

Must have at least 1 year of fully licensed experience.

Basic Requirements:

US Citizenship required

Child Background Check 

Current Physician Assistant license