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Summary The Amarillo VA Health Care System, Amarillo, Texas is seeking a Home Base Primary Care (HBPC Medical Director-Physician) within the Geriatric and Extended Care (GEC) Service. The HBPC Medical Director will provide clinical care within the GEC service line (Geri PACT Care Clinic, CLC and Hospital & Palliative Care Clinic, etc.) A Recruitment/Relocation Incentive may be authorized to a highly qualified candidate. Responsibilities The HBPC Medical Director is the senior clinician and is responsible for the overall medical care delivered by the HBPC team. He/she works in collaboration with the HBPC Program Director to meet the requirements of the program. The incumbent may have a faculty appointment and be involved in academic activities with affiliated Medical Schools, residency and fellowship programs. The incumbent provides patient care directly and through the supervision of licensed independent practitioners (LIPs), residents, fellows and medical students in the home setting and in other departments within the GEC Service line. In addition to their role as 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 provide direct patient care which includes assessments, diagnosis, treatment, and outcome measures of healthcare problems. 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 scope of practice. Collaborate with in house specialty clinics as well as community providers. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. Administrative Responsibilities: The HBPC Medical Director is responsible for: 1. Collaborating with HBPC Program Director. Provide leadership to the HBPC Program Determine appropriateness and eligibility for veterans referred to HBPC program. Plan and direct the education and clinical experience of medical students, residents and fellows assigned to the HBPC Program. Assume a leadership role in the developed and implementation of the HBSC Performance improvement plan. Advocates for HBPC with VHA leadership and the medical community. Jointly select HBPC Team member. 2. Providing clinical input and oversight for all patient treatment plans: 3. Being readily available to the team members for collaboration when medical or other problems arise. 4. Participating in HBPC team meetings. 5. Keeping the HBPC team apprised of medical care advances and practice standards. 6. Arranging physician coverage and communicating the plan of coverage to the HBPC team. 7. Collaborating with other HBPC Medical Directors, VISN leadership, and VA Central Office staff on program development issue. 8. Work to ensure alignment of the program with VACO, JC, VISN guidelines. 9. Promptly addressing noteworthy findings from internal& external audits, and review JC, LTCI, OIG, OMI, and others. Clinical Responsibilities: The HBPC Medical Director, in collaboration with the HBPC interdisciplinary team, is responsible for: 1. Assuming primary medical responsibility for HBPC patients and the team. 2.. Determining the need for consultation from medical, surgical, and/or psychiatric sub-specialty clinics as well as community care. 3. Determining the need for, and facilitating, admission to the hospital. 4. Visiting the HBPC patients at home. 5. Serving as collaborator for advanced practice nurses and/or physician assistants. 6. The following tools are required by the accrediting agency to verify adherence to accreditation standard in the focus areas listed in paragraph 2 of Appendix D per VHA Directive 1411. Regarding : a. Chart Reviews and Audits b. In-Home Oversight Visits c. Veteran Experience Feedback d. Monitoring Veteran Safety - Sentinel, adverse, and near miss events Providing appropriate education materials, equipment, and training for Veteran 7. Provide clinical care also with other GEC departments (Community Living Center (CLC), Hospice & Palliative, and Outpatient Geriatric, etc.) Other Responsibilites: 1. The clinical and administrative duties listed above are not comprehensive an may include other duties as determined by the program needs and assigned by the GEC Chief. 2. Additional duties may require coverage of clinics, Community Living Center, Hospice & Palliative Care, Contract Nursing Home, etc. as directed by Chief of GEC. Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): Authorized Requirements 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. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. 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). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications 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 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. 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 In Geriatrics Fellowship Training in Geriatrics Experience in working with Geriatric Veteran population across various clinical settings, to include clinics, nursing homes, home care, Consultative practice. Experience in Hospice and Palliative Care 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: Light lifting, under 15 pounds; light carrying, under 15 pounds; Reaching above shoulder; Use of fingers; Both hands required; Walking (8hrs); Standing (8hrs); Repeated bending (2-4hrs); Ability for rapid mental and muscular coordination simultaneously; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Mental/ Emotional Stability; Ability to perform privileges Independently perform physical exam; Cognitive Stability. 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: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. 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.