Physician (CRH Tele Primary Care Chief)

Summary

HSA 5.3 (Legacy VISN 22) Clinical Resource Hub (CRH) Tele-Primary Care (TPC) Chiefa HSA based leadership position under the general supervision of the HSA 5.3 CRH Director and works in close collaboration with the Primary Care Integrated Care Community (PCICC) Lead Physician. This position is responsible for the leadership, management and operations of the HSA level CRH TPC Programs. They will work directly with HSA CRH and HSA Leadership to ensure HSA 5.3 CRH TPC services are high performing.

Duties

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**This position is currently telework eligible but may be required to return to the office permanently at a later date. If so required, you will return to the VA nearest to you.**

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

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

Work Schedule: Monday - Friday, 8:00am - 4:30pm MST/MDT

Duties may include, but are not limited to:

• Provides leadership, management, and oversight of providers and/or programs that support VISN CRH Primary Care delivery of care.
• Develops, establishes, and maintains written policies and procedures defining operational requirements for the CRH Primary Care program.
• Functions as the CRH Primary Care subject matter expert and enforces Primary Care and CRH policies and procedures.
• Holds final decision-making authority in the recruitment and selection of all new CRH Primary Care staff, including the Deputy Chief.
• Assures that the necessary aspects of orientation are covered at the service level for all VISN CRH Primary Care staff, including information security, CPRS training, PACT, and virtual related training and documentation.
• Uses advanced clinical knowledge and virtual expertise to promote staff involvement in planning, decision-making, and evaluating outcomes.
• Establishes work schedules, assignments, and work productivity requirements of supervised Primary Care staff, and may delegate day-to-day scheduling oversight to the Deputy Chief.
• Analyzes workload data, including patient panel size and staffing, efficiency, and evaluates appropriate use of available hours, qualifications of staff, technology, overtime and call-back.
• Develops and monitors performance/outcome metrics and conducts analysis of existing CRH Primary Care programs and services. Sets the program's strategic direction and makes final recommendations to the CRH Director regarding productivity, improved process performance, and capital utilization.
• Leads VISN level CRH program evaluation and/or research activities.
• Generates administrative reports on request and ensures timely submission of reports prepared by subordinate staff.
• Completes administrative projects and reports in a timely manner.
• Perform initial histories and physical examinations (remotely). Completing history and physical examinations will typically occur using CVT technology.
• Provide ongoing outpatient care for assigned patients.
• Screen patients to determine need for further care.
• Prescribe medications within defined scope of practice.
• Order diagnostic studies, such as laboratory tests, x-rays, electrocardiograms (EKG's).
• Review need for and order health promotion and disease prevention activities.
• Initiate, respond, and expedite request for consultations, special tests, and studies.
• Provide education and counseling for patients and families in preventive care, medical conditions, and use of prescribed treatments and drugs.

Requirements

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Conditions of employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

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.
• 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. 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.
  • 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.
• Board Certification: Physicians are generally not required to be board certified for employment in VA; however, three circumstances in VA require physician board certification:
  
  • If the position being filled is required to be a supervisor for medical students or physician residents (including fellows), the LCME, ACGME or AOA standards requiring a particular board certification credential will apply.
  • If the position being filled will have faculty status with an affiliated medical school (for example, in joint recruitments with affiliated medical schools), then a medical school requirement for board certification will apply to the jointly recruited position.
  • If the position being filled is required to be board certified by virtue of specific VHA policy (for example, as director of a cardiac catheterization laboratory or Director of Clinical Laboratory Medicine), then VHA policy requiring board certification will apply.]
• 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. a7 7402(d) and 7407(d).

Preferred Experience: Prior CRH Chief experience.

Reference: VA Handbook Part II Appendix G2 Physician Qualification Standard

Physical Requirements: See VA Directive and Handbook 5019.Moderate Lifting, 15-44 pounds;

Light Carrying, under 15 pounds; Use of fingers; Walking - 2 hours; Standing - 2 hours; Near vison correctable at 13" to 16" to Jaeger 1 to 4 Far vison correctable in one eye to 20/20 and to 20/40 in the other eye; Ability to distinguish basic colors; Hearing (aid permitted)Mental/Emotional Stability required; Working closely with others; Working alone

Education

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 an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted.
2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.
3. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated.

NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

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