PHYSICIAN ASSISTANT (ORTHOPEDICS) Job in Saint Louis, MO

Vacancy No. CBSS-12751802-25-DRB Department Veterans Health Administration
Salary $92,849.00 to $170,971.00 Grade 00 to 00
Perm/Temp Permanent FT/PT Full-time
Open Date 6/18/2025 Close Date 7/16/2025
Job Link Apply Online Who may apply Public
Locations:
Saint Louis, MO


Summary

Saint Louis VA Healthcare Systems is looking for an Orthopedic Physician Assistant (Inpatient Surgical Unit and Outpatient Clinical Care). VA offers a comprehensive total rewards package.

This job is open to

Clarification from the agency

All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.

Duties

The Orthopedic Physician Assistant (PA) in both the Inpatient Surgical Unit and Outpatient Clinical Care is a key member of the orthopedic surgical care team responsible for providing advanced clinical care to patients with musculoskeletal conditions. The PA operates under the supervision of the attending orthopedic surgeons and collaborates with other healthcare professionals to ensure comprehensive patient care in both inpatient and outpatient settings.

  1. Clinical Assessment and Management (Inpatient and Outpatient):
    • Conduct comprehensive physical examinations and obtain detailed medical histories of patients.
    • Perform preoperative, intraoperative, and postoperative evaluations.
    • Order, review, and interpret diagnostic tests such as X-rays, MRI, CT scans, and laboratory results.
    • Develop, implement, and evaluate treatment plans in collaboration with the supervising orthopedic surgeon.
    • Prescribe medications and other forms of treatment as appropriate.
  2. Surgical Assistance:
    • Assist in orthopedic surgeries, including joint replacements, fracture fixations, and other musculoskeletal procedures.
    • Perform technical surgical tasks such as suturing, wound closure, and application of immobilization devices under the direction of the surgeon.
    • Ensure sterile techniques and patient safety protocols are maintained during surgical procedures.
  3. Inpatient Care (Surgical Inpatient Unit):
    • Manage and monitor patients in the inpatient surgical unit, ensuring timely assessment and interventions in response to patient needs.
    • Perform bedside procedures such as joint aspirations, wound care, and casting/splinting.
    • Coordinate with nursing and ancillary staff to facilitate patient care and discharge planning.
    • Manage postoperative care, including pain management, rehabilitation protocols, and monitoring for complications.
  4. Inpatient Rounds:
    • Conduct daily inpatient rounds to assess patient progress, address new or ongoing concerns, and modify treatment plans as necessary.
    • Collaborate with the orthopedic surgical team, nursing staff, and other healthcare providers during rounds to ensure cohesive patient care.
    • Document patient progress, treatment modifications, and care plans promptly and accurately in the electronic health record system.
    • Communicate effectively with patients and their families to provide updates on patient status and answer any questions or concerns.
  5. Discharge Planning:
    • Develop comprehensive discharge plans in collaboration with the healthcare team, ensuring that patients are appropriately prepared for discharge.
    • Provide patients and caregivers with detailed instructions on postoperative care, medication management, wound care, physical therapy, and follow-up appointments.
    • Coordinate with outpatient services, home healthcare, and rehabilitation facilities as needed to ensure a seamless transition from inpatient to outpatient care.
    • Address and mitigate potential barriers to discharge, such as medication access, transportation, and home support.
  6. Outpatient Clinical Care:
    • Conduct outpatient clinics to diagnose, treat, and manage common orthopedic conditions, such as fractures, arthritis, sports injuries, and musculoskeletal disorders.
    • Perform minor procedures in the outpatient setting, such as joint injections, aspirations, and casting.
    • Educate patients on preoperative and postoperative care, including rehabilitation exercises, activity modifications, and lifestyle changes.
    • Follow up on post-surgical patients to monitor recovery progress and address any ongoing concerns.
    • Coordinate outpatient referrals and consultations with other medical specialties as needed.
    • Ensure continuity of care through comprehensive documentation and communication with primary care providers and other specialists.
  7. Education and Counseling:
    • Educate patients and their families about medical conditions, surgical procedures, postoperative care, and rehabilitation.
    • Provide guidance on lifestyle modifications, exercise regimens, and injury prevention strategies.
    • Participate in the education and training of medical students, residents, and other healthcare providers.
  8. Documentation and Compliance:
    • Maintain accurate and timely medical records in the electronic health record system.
    • Ensure compliance with hospital policies, procedures, and regulatory standards.
    • Participate in quality improvement initiatives and contribute to clinical research projects as appropriate.
  9. Professional Development:
    • Engage in continuing medical education activities to stay updated with advancements in orthopedic care.
    • Attend departmental meetings, conferences, and workshops to enhance professional knowledge and skills.
    • Contribute to the development and implementation of clinical protocols and guidelines.
Work Schedule: Monday-Friday, 8am - 4:30pm.
Compressed/Flexible: Not Eligible.
Telework: Not Eligible.
Virtual: This is not a virtual position.

Requirements

Conditions of Employment

  • All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Physician Assistant Basic Requirements
  • Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~
  • Successfully passed the PA National Certifying Exam (PANCE) (or is in the process of taking the exam) ~AND~
  • Currently hold, or will hold, a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia.
Preferred Experience:

Grade Determinations:
PA I - Experience and Education. None beyond the basic requirements. This is the entry level for PAs.

PA II - Experience and Education. The PA at this grade is at the intermediate grade level and has had progressively increasing responsibility and experiences as indicated in the KSAs listed below. Individuals will have demonstrated the ability to analyze and solve more complex medical problems than at the entry level grade and can utilize their training in the successful practice of patient care and participate in team problem solving. Individuals demonstrate the KSAs of PA-II intermediate level by:
i. Two years of successful practice as a PA. OR
ii. Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency. OR
iii. A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education.

PA III - Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate all aspects of patient care across the health care system. They utilize advanced clinical knowledge and judgment in decision-making and evaluating outcomes. They function as experts in clinical practice and/or in areas related to the assigned roles and responsibilities, may serve as mentors for transitioning PAs, and may provide training for health care students. Individuals can demonstrate the KSAs for the full performance level by:
i. Three years of successful practice as a PA. OR
ii. Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency and one year of professional practice as a PA. OR
iii. A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education and one year of professional practice as a PA.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is Grade 03. The actual grade at which an applicant may be selected for this vacancy is in the range of to Grade 01 to Grade 03.

Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Benefits

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE:
A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • Resume


The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

  • Cover Letter
  • DD-214/ Statement of Service
  • Disability Letter (Schedule A)
  • Disability Letter (VA)
  • License
  • PANCE Certificate
  • PCS Orders
  • Performance Appraisal
  • Professional Certification
  • Resume
  • Separation Notice (RIF)
  • SF-15
  • SF-50/ Notification of Personnel Action
  • Transcript


Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

How to Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 07/16/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12751802.

  1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
  2. Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

Agency contact information

Brandy Molitor
Address
VA St Louis Health Care System
1 Jefferson Barracks Drive
St. Louis, MO 63125
US

Next steps

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.


Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.