Demo

Lead Hospice and Palliative Care Physician Assistant

U.S. Department of Veterans Affairs
Fayetteville, NC Full Time
POSTED ON 4/4/2026
AVAILABLE BEFORE 5/2/2026
Summary

The Lead Hospice and Palliative Care (LHPC) Physician Assistant (PA) is a position traditionally located in the Geriatrics and Extended Care Service. The LHPC PA reports directly to the Chief of Geriatrics and Extended Care.

Duties

  • The Physician Assistant - in collaboration with the Medical Directors and Program Managers of assigned services - is responsible for the quality of care provided by the program - for the productivity of the program and for the development and implementation of programs and initiatives to meet the ICARE mission
  • The LHPC may include but not limited to Facility or Veterans Integrated Service Network (VISN) Lead PA - Facility PA Education Lead - PA Residency Program Director - or other Clinical and/or administrative leadership assignments
  • The PA will function clinically as an independent health care provider working in conjunction with the LHPC attending physicians
  • PAs at the PA-IV grade level may serve as clinical leaders or administrative leaders
  • Complete other duties as assigned within GEC
  • GENERAL DESCRIPTION OF DUTIES: Responds to all palliative care consults within 72 hours
  • Initiates Out-Patient consults for Hospice care as needed
  • Collaborates with veterans and the medical providers caring for the veteran at the time (provider may be urgent care/ER - primary care - or hospitalist) to be informed of the history and prognosis of the patient
  • Has direct interaction with the veteran and family in various venues - such as primary care visits at the time of the veteran's appointment - Oncology Clinic - subspecialty clinics and acute care settings
  • Responsible for ongoing pain and symptom management with evaluation and adjustments as needed for Veterans under the care of the HPC service
  • Rotate On-call duties with other providers within GEC
  • Special interest/skill in malignant acute pain management with availability to other medical providers for consultation
  • Contributes to VISN and National Hospice and Palliative Care workgroups as needed
  • Participating in conference calls as scheduled
  • Works to strengthen and progress the overall Hospice and Palliative care service in VISN
  • Complete other duties as assigned within GEC
  • The Scope of Practice is defined in applicable VA policies and determined by the PA and the collaborating MD(s) biannually
  • In addition to observance of federal - national and local regulatory - policy - and accreditation requirements governing this Health Care System - this position encompasses the following examples of responsibilities
  • Administrative Duties: Maintaining VA training requirements - timely completion of documentation and upkeep of credentials required for privileging and re-privileging
  • Adherence to tour of Duties - timely requests for leave in VISTA and for clinic cancellations
  • Clinical Management including indirect patient care: open encounter & open consult management - CPRS documentation rules and requirements - adherence to clinic procedures for patient scheduling & access - ensuring staff productivity - oversight of relevant performance measures - and participation in the development of the new focus on the Cultural Transformation - Utilization - Quality - and Patient Safety oversight - process improvement (system redesign)
  • Arranging coverage and communicating the plan of coverage to the team members when taking leave of absence
  • Serving as back up coverage for all GEC providers
  • Clinical Duties: The exact privileges and procedures for a particular provider will be approved by the Professional Standards Board
  • Physician Assistant must meet the following qualifications: Practitioners are expected to provide patient care that is compassionate - appropriate - and effective for the promotion of health - prevention of illness - treatment of disease - and care at the end of life
  • Practitioners are expected to demonstrate knowledge of established and evolving biomedical - clinical and social sciences - and the application of their knowledge to patient care and the education of others
  • To ensure practice-based learning and improvement - practitioners are expected to be able to use scientific evidence and methods to investigate - evaluate - and improve patient care
  • Practitioners are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients - families - and other members of the health care team
  • Practitioners are expected to demonstrate behaviors that reflect a commitment to continuous professional development - ethical practice - understanding and sensitivity to diversity - and a responsible attitude toward their patients - their profession - and additional duties as required by leadership
  • Practitioners are expected to demonstrate both an understanding of the contexts and systems in which health care is provided - and the ability to apply this knowledge to improve optimizing health care
  • The incumbent reports clinically and administratively to Chief of Geriatrics and Extended Care (GEC)
  • VA offers a comprehensive total rewards package
  • Work Schedule: Monday through Friday - 8:00 AM to 4:30 PM
  • Virtual: This is not a virtual position
  • Permanent Change of Station (PCS): Not authorized.

Salary : $118,831 - $198,444

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