Physician-Home Based Primary Care

Veterans Affairs$150K — $200K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • U.S. Citizenship requires verified background checks according to VA policy.
  • Doctor of Medicine (MD) or equivalent degree in allopathic/osteopathic medicine from an approved school.
  • Full, unrestricted medical license to practice in a U.S. state or territory.
  • Completion of an accredited residency training program applicable to board certification.
  • Proficiency in spoken and written English.

Responsibilities

  • Provide interim care for unassigned home-based primary care (HBPC) patients or during provider vacancies.
  • Utilize various virtual care modalities as required by the position.
  • Respond flexibly to daily changes in clinic demands and cover different locations as needed.
  • Conduct medical evaluations of patients, including home visits when necessary.
  • Facilitate hospital admissions and transitions of care for patients.
  • Participate in peer review and quality management within primary and geriatric care.
  • Offer administrative support to nurse practitioners and assist the HBPC Medical Director.

Benefits

  • Education Debt Reduction Program eligibility for student loan reimbursement (up to $200,000).
  • 50-55 days of paid time off including annual leave, sick leave, and federal holidays.
  • Traditional federal pension plan with a 5-year vesting period and a 401K with contributions matched up to 5%.
  • Comprehensive health, vision, dental, and life insurance options.
  • $1,000 yearly reimbursement for continuing medical education (CME).
  • Free liability protection with tail coverage.
Full Job Description
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.

Duties

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Clinical Responsibilities

  • Cover Interim care or unassigned/unscheduled HBPC patients or clinic or GEC unit when a provider is on leave
  • Cover Interim care or unsigned/unscheduled HBPC patients or clinic or GEC unit when there is a provider vacancy, or urgent need
  • Demonstrates flexibility in responding to clinic demands, adhere to personal and professional obligations and responsibilities, practice and maintain ethical standards, and sustain a work environment that is harmonious and customer service oriented
  • Utilization of all virtual care modalities is an expectation of this position
  • Travel to other sites within the Health Care System to cover provider shortage
  • Coverage scenarios and locations may change on a daily basis based on patient care needs
  • Defining the medical management of a patient's medical problems
  • Determining the need for consultation from medical, surgical, or psychiatric or other subspecialty clinics
  • Determining the need for and facilitating admission to the hospital and other transitions of care. Visiting the HBPC patients at home for medical evaluation and treatment when clinically indicated.


Quality and Performance Improvement

  • Complying with all pertinent medical staff guidelines, policies, and procedures
  • Maintain current requirements for credentialing and privileging including necessary license and certification
  • Participate in peer review and case review in Primary Care, Geriatrics, and upon request by Quality Management


Administrative Responsibilities

  • Precepting and collaborating with the GEC/HBPC nurse practitioners
  • Providing back-up to the HBPC Medical Director
  • Being familiar with VHA and local policies that may affect patient care program


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 through Friday, 08:00am - 04:30pm

EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact [redacted], the EDRP Coordinator for questions/assistance. Learn more

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.
  • Must pass pre-employment physical examination.
  • 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.
  • 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.


Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring objects up to 15 pounds may be required. The physician may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. The physician may occasionally be exposed in person or virtually (telephonic or electronic messaging) to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The physician must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and able to shift priorities based on Veteran needs.

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.

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.

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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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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