Physician - Home Based Primary Care program (HBPC) Medical Director
Veterans Affairs, Veterans Health Administration
Location: Monterey, California, California
Internal Number: 715920800
Work Schedule: Monday - Friday, 8:00 am - 4:30 pm To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation. 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. Additional Requirement: The position requires travel and incumbent must maintain a valid state driver's license Board Certification in either Internal Medicine or Family Practice with a preference with subspecialty certification in Geriatrics and Palliative Medicine. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. ["**This is an OPEN CONTINOUS ANNOUNCMENT and will remain open until September 30, 2023. The initial cut-off date for referral of eligible applications will be April 14, 2023 with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment or Relocation Incentive (Sign-on Bonus): Authorized Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting The Extended Care and Palliative Medicine Service (EC&PMS) Home Based Primary Care program (HBPC) Medical Director provides clinical leadership through direction and coordination of medical care for the patients enrolled in the program. In addition, the incumbent provides geriatric consultation or primary care in an outpatient clinic setting. A. Clinical: The Medical Director: - Collaborates with the HBPC Program Director to provide leadership to the program. - Coordinates comprehensive, interdisciplinary, medical care and case management in the homes of the veterans with complex medical, social and behavioral conditions. - Participates in the establishment of policies, procedures, and guidelines necessary for clinical care in collaboration with other members of the interdisciplinary team. - Oversees scheduling of advance practice providers in the HBPC program. - Monitors performance of medical services provided by the providers. - Oversees admissions to the program. - Provides consultation to the medical staff for patients with complex treatment or care needs in the home. - Collaborates in the monitoring of quality and safety concerns within the program. - Communicates relevant responsibilities, policies and procedures to providers - Is responsible for maintaining medical standards of care, as mandated by accrediting bodies such as the Joint Commission. - Is responsible for providing assessment, diagnosis and recommendations on the geriatric syndromes in the veterans he/she is consulted on. B. Administrative: The Medical Director: - Participates in the EC&PM Service meetings. - Serves as the Supervisor for the HBPC program director, RNPs and the dietician. - Oversees strategic planning for the HBPC program. - Integral participant with Quality Improvement activities of the program. C. Education: The Medical Director: - Participates in the HBPC related educational programs including provision of in-services, as needed and appropriate. - Ensures that the HBPC providers are current with educational requirements for licensure and are current with VA educational requirements. - Participates in the educational activities of rotating medical fellows in Geriatrics and Palliative care and trainees from additional disciplines as appropriate The Extended Care and Palliative Medicine Service (EC&PMS) Home Based Primary Care program (HBPC) Medical Director may hold a faculty appointment at Stanford University in the division of General Internal Medicine. D. Research: as available and as time allows"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.