Physician (Community Living Center Director)

Summary

This position is eligible for the Education Debt Reduction Program EDRP - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Qualifications

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 allopathic 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 accrediting bodies for graduate medical education - the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) - in the list published for the year the residency - or fellowship if applicable - was completed
• OR (2) One year of post medical school training (internship - first year of residency - or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States
• OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement) - 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
• Exceptions: 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 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
• In rare and unusual circumstances - the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer - who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience - accomplishments - performance - and qualifications warrant such action
• Proficiency in spoken and written English
• Additional Requirement: Must be board certified in Internal Medicine/Family Medicine Preferred Experience: Fellowship training in Geriatrics strongly preferred Certified Medical Director (CMD) certification is preferred Demonstrated leadership experience in a post-acute and long-term care (PALTC) setting (3-5 years preferred) Experience leading quality improvement - regulatory readiness - or interdisciplinary teams preferred Reference: For more information on this qualification standard - please visit
• Physical Requirements: See VA Directive and Handbook 5019 - Employee Occupational Health Service.

Duties

• Major Duties and Responsibilities: Administrative and Program Oversight Provides strategic and clinical leadership for the CLC - including post-acute and long-term care services Leads and supports readiness for VA and external regulatory surveys - ensuring ongoing compliance with accreditation and performance standards Partners with nursing and administrative leadership to drive program development - innovation - and continuous quality improvement Participates in and/or leads multidisciplinary committees - including but not limited to: Quality Assurance and Performance Improvement (QAPI) Age-Friendly Health System initiatives Infection Control Other quality improvement and Whole Health initiatives aimed at enhancing care delivery Monitors clinical quality metrics - patient safety indicators - and performance outcomes Ensures compliance with VA policies - directives - and clinical practice standards Supervisory Responsibilities Ensure sufficient provider (physician and certified registered nurse practitioner) coverage Supervises a team of up to 10 medical providers (physician and certified registered nurse practitioner) within the CLC Promotes a culture of accountability - professionalism - and continuous learning within the provider team Conducts Focused and Ongoing Professional Practice Evaluations (FPPE/OPPE) and annual performance evaluations Provides clinical oversight - mentorship - and support to providers Manages workload distribution and monitors productivity in alignment with VA expectations Addresses performance concerns and implements corrective actions in accordance with VA policies Clinical Duties Provides direct patient care - including routine rounds on CLC residents Leads coordination of comprehensive - interdisciplinary care for Veterans with complex medical - functional - cognitive - and psychosocial needs
• Coordinates care across the continuum - including: Acute inpatient units Emergency departments External long-term care and rehabilitation facilities Specialty care services Reviews consults and facilitates admissions to: Short-stay neighborhoods (Skilled Nursing - Skilled Rehabilitation - Intensive Rehabilitation Program) Long-term care and transitional care neighborhoods Locked memory care neighborhood Hospice neighborhood Ensures safe transitions of care and continuity of services for Veterans Oversee collaboration and ongoing clinical case review for the Southwestern Veterans Home Call Responsibilities The CLC partners with the National Tele-MOD program to provide first-call coverage during evenings - nights - weekends - and holidays The CLC Medical Director participates in a rotating call schedule with other CLC physicians - providing second-call/backup coverage as needed VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Recruitment/Relocation Incentive (Sign-on Bonus): Authorized for highly qualified candidates in accordance with VA policy
• EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [email protected] - the EDRP Coordinator for questions/assistance 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 providedContract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Monday - Friday - 8a-4:30p with rotational call after hours

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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