Physician Assistant-Associate Chief of Staff (ACOS), Specialty Care

Department of Veterans Affairs

The Physician Assistant-Associate Chief of Staff (ACOS), Specialty Care will provide leadership, strategic direction, and oversight for all specialty care services.

• Located in the Rogue Valley, White City allows easy access to Metro-area of Medford while remaining engrossed with nature. White City is an unincorporated community in Jackson County, Oregon, in the Rogue Valley. It is about nine miles north of Medford and 34 miles north of the California border. Enjoy the scenic drives to either Crater Lake, Oregon's only National Park, and to the mountain resort Lake of the Woods. Take a family-friendly hike to a waterfall or ride the only section of the Pacific Crest Trail that's open to mountain bikers. VA offers a comprehensive total rewards package. Duties include but not limited to: Directs all operations within the Specialty Care Service Line and supervises Service Chiefs, clinical supervisors, and administrative staff. Maintains interdepartmental relationships and coordinates resolutions to complete operational issues affecting Specialty Care or the facility. Manages HR aspects including hiring, disciplinary actions, Labor/Management relations, and professional boarding processes for multiple disciplines. Utilizes data to evaluate programs, improve processes/outcomes, and ensure reliability and operational sensitivity. Ensures compliance with accrediting and regulatory bodies (e.g., The Joint Commission, CARF); initiates corrective actions as needed. Advises leadership on policy, operational, and administrative issues; communicates strategic priorities through Service Chiefs and administrative staff. Monitors and reports Specialty Care performance measures to facility, VISN, and VACO leadership; implements corrective actions when necessary. Provides evaluation and management of patients within the PA scope of practice, including history-taking, physical examination, ordering and interpreting diagnostic studies, developing differential diagnoses, formulating treatment plans, and performing approved procedures. Practices with a high degree of clinical autonomy in accordance with VA, state, and privileging requirements. PA practice occurs under a Scope of Practice agreement with a supervising/collaborating physician. Initiates, receives, and responds to clinical consultations; coordinates care with referring providers; and collaborates with interdisciplinary teams to ensure integrated, Veteran-centered care across medical and specialty services. Completes all EHR documentation, including encounter notes, orders, consultation requests, and clinical reminders, following VA standards for accuracy, quality, and timeliness. Adheres to facility protocols for infection control, patient safety, medication management, and risk mitigation practices, including compliance with VA and OSHA, facility-specific standards, and PA scope of practice. Performs risk assessment and ensures appropriate escalation of urgent or emergent clinical concerns. Serves as a subject matter expert for PA practice within Specialty Care, providing clinical guidance, supporting quality improvement efforts, participating in policy development, and contributing to evidence-based practice initiatives. Work Schedule: Monday-Friday, 8:00 am-4:30 pm Telework: Not Available Virtual: This is not a virtual position. Relocation/or Recruitment Incentives: May be authorized for highly qualified applicants Permanent Change of Station (PCS): May be authorized for highly qualified applicants Additional Requirement: Demonstrated leadership experience within a specialty care service line, including strategic planning, oversight of clinical programs, and effective collaboration with interdisciplinary teams. Proven ability to supervise, mentor, and manage clinical staff across multiple specialties, with experience in recruitment, onboarding, performance management, and fostering a high reliability team. Strong background in quality improvement, patient safety, and performance measurement, including participation in facility or VISN-level committees, accreditation preparedness, and implementation of evidence based practices. Experience developing, implementing, and maintaining clinical policies, procedures, and regulatory compliance in alignment with VA, federal, and state requirements. Demonstrated excellence in clinical practice within the relevant specialty, including comprehensive evaluation, diagnosis, treatment planning, and procedure/surgical care consistent with credentialing and privileging standards. Proficiency in electronic health record (EHR) documentation, clinical workflows, and utilization of data to drive operational and clinical decision making. Experience leading or supporting multidisciplinary collaboration with primary care, mental health, surgical services, ancillary services, and allied health professionals to optimize access, care coordination, and patient outcomes. Commitment to professional development, continuing education, and engagement in teaching or mentoring trainees within an academic or clinical training environment.

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