Home Based Primary Care Physician (Medical Director)
Veterans Affairs, Veterans Health Administration
Location: Johnson City, Tennessee
Internal Number: 681196500
The HBPC Medical Director is the senior clinician and is responsible for the overall medical care delivered by the HBPC teams. The incumbent works in collaboration with the HBPC Program Director to meet the requirements of the program. 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. 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: The position will require walking, standing, or sitting for periods of up to 8 hours each day and delivering care, providing holistic care, and case management in the home of the veteran. This may require excessive bending, lifting, twisting, and driving in inclement weather ["James H. Quillen VA Medical Center: (Mountain Home, TN / Johnson City, TN): Johnson City, located in upper Eastern Tennessee, is a cultural melting pot with invigorating music, amazing outdoor activities, and enchanting culture and history. Local festivals include the Umoja Festival, Blue Plum Festival, The Unicoi Apple Festival, and the Rhythm and Roots Reunion in Bristol TN/VA. Enjoy year round outdoor activities at our area lakes and parks. Other attractions in the area are the Barter Theater, Bristol Motor Speedway, and Asheville, NC's Biltmore House. Come and enjoy an affordable cost of living, no state income tax, and excellent schools and universities! Start your adventure in Johnson City, Tennessee! a Hometown Heart with a Big City Soul! VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\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)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement (must be full-time with board certification)\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting Duties include but are not limited to: The Home-Based Primary Care (HBPC) program targets frail, chronically ill Veterans who require care by interdisciplinary health care teams, continuity and coordination of care, and the integration of diverse services to cover complex medical, social, rehabilitative, and behavioral care needs. These Veterans need comprehensive, longitudinal home care services, as they age, to maximize function, minimize institutionalization, and maintain quality of life. The HBPC Medical Director must meet VA professional standards including citizenship, education, licensure, English language proficiency and references. Experience related to geriatrics, home care, skilled nursing facilities, program development, and administration is preferred. The physician needs to be a recipient of a degree of Doctor of Medicine or Osteopathy, a licensed independent practitioner who holds a current, full, and unrestricted license to practice medicine, and has completed an Internal Medicine or Family Medicine residency. The incumbent needs to be board eligible/certified in Internal Medicine or Family Practice. Geriatric experience is preferred. The Physician will be appointed to the medical staff at the James H. Quillen VA Medical Center and assigned to the Geriatrics and Extended Care Service. The incumbent needs to be able to communicate effectively with all disciplines in the interdisciplinary team, medical consultants, Geriatrics and Extended Care leadership, and facility leadership. The incumbent provides patient care directly and/or through the supervision of mid-level practitioners, residents, fellows and/or medical students in the home setting. The incumbent will also be expected to provide coverage for the Associate Chief of Staff of Geriatrics and Extended Care and GeriPact Clinic. In addition to their role as a clinician, the HBPC Medical Director will have administrative responsibilities for leadership and direction of HBPC development and programs, as well as effective interface with the HBPC staff. The HBPC Medical Director will participate fully in all accreditation processes, reviews, and site visits. The incumbent will actively participate and manage quality improvement projects and work collaboratively with facility leadership to improve program and facility wide quality metrics. The incumbent will provide direct patient care which includes assessments, diagnosis, treatment, and outcome measures of medical problems meeting universally accepted quality of care standards. This includes the following: initiating and adjusting therapeutic regimens, performing histories and physicals, ordering diagnostic and therapeutic tests/studies, initiating consults and referrals, and prescribing medications/supplies in accordance with VA policy, VA formulary, federal & state regulations, and working within their scope of practice. The incumbent will need to collaborate with specialty clinics as well as community providers Work Schedule: (Monday-Friday) 8:00am-4:30pm"]
About Veterans Affairs, Veterans Health Administration
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.
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