Location: San Francisco, CA – San Francisco VA Health Care System (SFVAHCS) Schedule: Part‑time, 12 hours per week (2 days/week, 6 hours/day) Contract Term: July 1, 2026 – June 30, 2031 (base year with option years) Compensation: $145–$165/hour (W‑2), depending on cardiothoracic experience, EVH volume, robotic experience, VA credentialing readiness, and overall clinical fit

About the Role

We are seeking an experienced Cardiothoracic Physician Assistant to support surgical services at the San Francisco VA Health Care System. This position plays a critical role in maintaining continuity of cardiothoracic care for Veterans under a federal VA contract.

Kaleidoscope Supply Services supports staffing for this position on behalf of a client company. If selected, you will be employed by the client contractor and will not be a federal or VA employee.

This is a highly specialized, low‑hour, high‑skill role, offering predictable scheduling, no call requirements, and competitive hourly compensation reflective of the San Francisco market and VA credentialing demands.

What You’ll Do

Serve as first and second assistant during cardiothoracic surgical cases

Act as bedside assistant for robotic thoracic procedures

Perform endoscopic radial and saphenous vein harvesting

Provide advanced procedural support, including:

Ultrasound‑guided arterial and venous access

Central line placement

Swan‑Ganz catheter insertion/removal

Chest tube and pigtail insertion/removal

Perform cardioversion and pacing wire removal

Deliver direct patient care (approximately 99.8% clinical time)

Complete operative and procedure documentation in the VA Electronic Health Record (EHR) following each case

Required Qualifications

Education & Certification

Graduate of an accredited Physician Assistant program

Successful completion of PANCE and active NCCPA certification

Current ACLS and BLS certifications

Licensure

Active, unrestricted PA license from any U.S. state or territory

California PA license required prior to start date, per SFVAHCS privileging requirements

Experience

Documented experience performing 100+ endoscopic vein harvests, including:

Radial vein harvesting

Saphenous vein harvesting

VA Credentialing & Compliance

Candidates must be able to successfully complete:

VA credentialing and privileging (VetPro)

Background investigation and PIV badge issuance

VA‑mandated training (HIPAA/Privacy and Cybersecurity Awareness)

Compliance with VA workplace conduct and appearance standards

Candidates with prior VA credentialing or VetPro experience are strongly encouraged to apply.

Health & Immunization Requirements

Proof of immunity or vaccination for MMR, Varicella, Tdap, and Hepatitis B (or surface antigen testing)

Annual Influenza vaccination

Annual TB screening (PPD or IGRA)

Pay, Schedule & Benefits

Hourly pay is for hours worked onsite only, verified by time and attendance

No weekends, no call, no paid federal holidays

No vacation or personal leave

Paid sick leave provided in accordance with Executive Order 13706

1 hour for every 30 hours worked (up to 56 hours annually)

Overtime permitted only with written authorization

This is a contract‑based, non‑personal services position. No medical, dental, vision, retirement, or holiday benefits are provided beyond federally required sick leave.

Who This Role Is Ideal For

This position is well suited for clinicians who:

Want to support Veterans and federal healthcare delivery without federal employment

Prefer part‑time, hourly contract work with predictable scheduling

Have strong cardiothoracic surgery and EVH experience

Are comfortable working in structured, compliance‑focused clinical environments

Why This Role Stands Out

Competitive San Francisco–adjusted hourly pay

Extremely limited, predictable hours

No call, no weekends

Long‑term contract stability

Meaningful impact supporting Veteran care