Physician (Geriatric/Transition of Care Medical Director) with EDRP
Veterans Affairs, Veterans Health Administration
Location: San Antonio, Texas, Texas
Internal Number: 726860500
The South Texas VA Health Care System is currently seeking a Physician (Geriatric/Transition of Care Medical Director) to provide high quality patient centered care to Veterans under the difference services such as GEC community programs, GEC transitions of care program, Hospital in Home program Community Living Centers, Home Base Primary Care, GEM clinic and Palliative/Hospice Care services. This position is eligible for the Education Debt Reduction Program (EDRP) 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. Education: 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. Licensure and Registration: 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: Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR Those approved by the American Osteopathic Association (AOA),OR 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. Physical Requirements: See outlined below. English Language Proficiency. Physicians appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7402(d) and 7407(d). Preferred Experience: Board Certified/Board Eligible in Geriatrics and/or Hospice and Palliative Medicine Board Certified/Board Eligible in Geriatrics and Long-Term Care will be considered Fellowship training in Geriatrics 2 years experience working with Geriatric population and or Palliative/Hospice Care Experience Working within the inpatient hospital setting Experience working in community setting 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: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Straight Pulling (2hrs); Pushing (4hrs); Reaching above shoulder; Use of fingers; Both hands required; Walking (2hrs); Standing (2hrs); Kneeling (2hrs); Repeated bending (2hrs); Ability for rapid mental and muscular coordination simultaneously; Both eyes required; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Depth perception; Hearing (aid permitted). Mental/emotional stability. ["The Geriatrics/Transitions of Care Medical Director in collaboration with the Medical Directors and Programs Managers of assigned services is responsible for the quality of care provided by the program, for the productivity of the program and for the development and implementation of programs and initiatives to the STVHCS mission. In addition to observance of federal, national and local regulatory, policy and accreditation requirements governing this Health Care System, this position encompasses the following responsibilities. Administrative Duties: The Practitioner will participate in staff meetings; communicate administrative and medical issues or concerns to the service medical director. Participate in the development and implementations of performance improvement plan, put in practice medical care advances and practice standards. Arrange physician coverage and communicating the plan of coverage to the team members when taking leave of absence. Serves as back up for other GEC providers. Participates in charts reviews, peer reviews and other process improvement initiatives. The staff will complete training requirements, employee health requirements and Environmental and Occupational Committee requirements. The Practitioner will ensure compliance with the leave and attendance requirements and respond to critical lab/diagnostic test result notifications in a timely manner. Clinical Management including direct and indirect patient care; ensure all required encounters are closed the same day the visit was made. Respond to consults and complete documentation requirements in CPRS in a timely manner including cosigning of students/fellows/residents' notes documentation of the new focus on the Medical Home and Patient Centric Care, Utilization, quality and Patient Safety oversight, process, improvement (system redesign). The Practitioner will provides supervision to non-physician provider within the prescribing authority and achieve competences and performance as approved by the professional board. The Practitioner will participate and maintain safety and environmental standards for the assigned services. Clinical Duties: Provides clinical input and oversight for patients' treatment plans. Being readily available to the team embers for collaboration when medical or other problems arise. Assure that care is provided in a manner and in a timely manner, which is in accordance with accepted practices and is evidenced based. Assure appropriate oversight of delegated care activities of Nurse Practitioner, Physician Assistants, Pharm D's and other practicing with a \"scope of practice\". Completes documentation of patient's visit with appropriate encounters in CPRS in a timely manner. Facilitate appropriate consultation and implementation of consultant recommendations. Address issues related infection control including skin testing, immunization and infection prevention. The Practitioner will provide cross coverage to the different clinical GEC services with the approved and recommended privileges by the Professional Standards Board. Education: Practitioners are expected show effectiveness in teaching, monitor and coordinate educational activities, and comply with necessary trainee supervision. Serve as a Program Director with authority and accountability of the operation of the Geriatric Fellowship program. Participate in academic societies and in education programs designed to enhance his or her educational and administrative skills. Implement a program of continuous quality improvement in medical education for the facility especially as it pertains to the teaching evaluation of the ACGME Competencies. Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized Education Debt Reduction Program (Student Loan Repayment): Authorized, see details in \"Education Section\" 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 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. The VA Martinsburg Healthcare System offers a wide range of health, support, and facility services for Veterans at 8 locations serving western Maryland, south-central Pennsylvania, northwest Virginia, and West Virginia’s eastern panhandle. Primary Care services are offered at the following locations. Martinsburg WV, Hagerstown MD, Cumberland MD, Franklin WV, Harrisonburg VA, Petersburg WV and Winchester VA.
OUR MISSION: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.
Physicians interested in caring for our America's Veterans and their families, email Nicole.Carey@va.gov or call 304-620-4354.