Physician (Regular Ft) - Home Based Primary Care Medical Director
Veterans Affairs, Veterans Health Administration
Location: Leavenworth, Kansas
Internal Number: 608678700
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. SUPERVISORY CONTROLS: The HBPC Medical Director practices independently, using professional judgment and expertise to make decisions about services and treatment provided to veterans and their significant others. The HBPC Medical Director reports to the HBPC Program Director for program specific directives. The HBPC Medical Director reports to the Service Line Manager of Geriatrics and Extended Care for medical practice. The services provided by this employee shall be under the Geriatrics and Extended Care, while also working closely with all other HBPC team members who are appointed within nursing service line and other areas. The HBPC program itself reports up ultimately to the Nursing Executive (Associate Director for Health Care Services). The HBPC Medical Director consults with the supervisors as needed and with colleagues to develop knowledge and to apply agency policies and practices to new matters. His/her work is reviewed for technical adequacy and conformance with procedures and practices applicable to the subject. CUSTOMER SERVICE: Meets the needs of customers while supporting VA missions. Consistently communicates and treats customers (veterans, their representatives, visitors, and all VA staff) in a courteous, tactful, and respectful manner. Provides the customer with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately. Demonstrates collaboration at a high level of effectiveness. AGE-SPECIFIC CRITERIA: Takes into consideration age-related differences of the various veteran populations served and is competent to evaluate the patients through various stages of adulthood. 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: Medical Degree, Residency, Board certified or Board Eligible, US citizen, proficient in both spoken and written English, a full unrestricted medical license. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed. Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences. Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent or fee-basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs. Proficiency in spoken and written English. Preferred Experience: GERIATRICS, PRIMARY CARE, GENERAL INTERNAL MEDICINE WITH GERIATRIC PATIENT EXPERIENCE. FULL UNSTRICTED LICENSE, PREFERRED U.S. BOARD CERTIFIED, RESIDENCY, PROFICIENCY IN ENGLISH Physical Requirements: The physical demands described here are representative of those that must be met by and employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The work area is environmentally maintained. Must be licensed to drive a government vehicle. While performing the duties of this job the employee is frequently required to stand, walk, and bend and reach with hands and arms. Must give good manual dexterity and keyboarding skills are essential. Must be able to express or exchange ideas by means of the spoken word. Must obtain impressions through the eyes of shape, size, distance, motion, color or other characteristics of objects and assessment of subtle changes in individuals and group settings. Must be able to view and read information on computer screens. Must be able to occasionally lift and/or move over 45 pounds. Must maintain a valid state driver's license and be physically able to drive to veterans' homes. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards.\nRecruitment/Relocation Incentive (Sign-on Bonus): authorized for the position Pay: Competitive salary, annual performance bonus, regular salary increases. Initial pay based on education and length of practice and are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay)\nPaid Time Off: 49-54 days of annual paid time offer per year (26 days of annual leave, 13 days of sick leave, 10 paid Federal holidays per year and possible 5 day paid absence for CME)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nCME: Possible $1,000 per year reimbursement\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting Clinical:\nThe HBPC Medical Director will visit patients in the home based on patient medical complexity or diagnosis, patient acuity, coordination of care concerns, and/or changing condition. The HBPC Medical Director will visit patients in the home upon request of the HBPC Primary Care Provider, the HBPC Program Director, or upon request of the HBPC Team during an Interdisciplinary Team Meeting. The HBPC Nursing will also request home visits which must be triaged appropriately to the veteran's need. The HBPC Medical Director will follow up with additional home visits to foster veteran health. The HBPC Medical Director will work closely with HBPC teams' Advanced Practice Providers. This position will also cross cover other clinical areas in the Geriatrics and Extended Care service line, including hospice/palliative care, community living centers (skilled nursing units), and ambulatory geriatrics, as needed to meet program needs. Collaborate with the HBPC Program Director to: Provide leadership to the HBPC Program; Provide clinical input and oversight for all patient treatment plans. Be readily available to the team members for collaboration when medical or other problems arise. Participate in HBPC team meetings. Provide newest medical care advances and practice standards to the HBPC team. Arrange physician coverage and communicate coverage to the HBPC team. Serve as backup for the HBPC primary care providers. Administrative: The HBPC Medical Director will have in-depth knowledge of The Joint Commission standards, VA Mission and Values. The HBPC Medical Director will provide leadership and guidance reflecting this knowledge including: - Have a strong knowledge of performance improvement best practices and assume leadership role in the development and implementation of the HBPC performance improvement plan; - Provide advocacy for the HBPC Program with EKVAHS leadership, VISN leadership, and the medical community; - Participate in the selection of the HBPC team members; - Participate and collaborate with other HBPC Medical Directors on program development issues; - Provide administrative support such as signing forms and needed prescriptions for HBPC patients timely; - Protects printed and electronic files containing sensitive data in accordance VA policy and applicable laws. Protects data from unauthorized release due to loss, alteration, and deletion. - Attend and/or have an in-depth knowledge of the Home Care Committee's review and projects addressed to meet TJC standards and participate in continuous survey readiness. - Participate as assigned and/or lead, as needed, selected Committees related to Geriatrics and Extended Care's scope of programming, either directly or indirectly. - Travel to Leavenworth, Topeka, and teams based out of CBOCs will be necessary for team meetings and coordination of care, in addition to travel to patients' homes. Research: Apply new approaches to patient care through integration of approved investigative and research methods; Education:\nPlan and direct the education and clinical experience of medical student, residents and fellows assigned to the HBPC Program; Participating fully in educational development through staff and section meetings Assuming responsibility for professional development by attending relevant training and regularly reviewing the literature to improve clinical competencies. Work Schedule: Monday thru Friday: 8:00 AM to 4:30 PM"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.