physician (home based primary care - hbpc) - Tucson, AZ, United States - Department of Veterans Affairs

    Department of Veterans Affairs
    Department of Veterans Affairs Tucson, AZ, United States

    4 weeks ago

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    Description
    Summary

    This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program.

    You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.

    Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

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    Overview


    • Accepting applications
    • Open & closing dates
    04/19/2024 to 05/03/2024


    • Salary
    $250,000 - $300,000 per year

    Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay)


    • Pay scale & grade
    VM 15


    • Help
    Location

    1 vacancy in the following location:

    • Tucson, AZ 1 vacancy
    • Remote job
    No


    • Telework eligible
    No


    • Travel Required
    50% or less - You may be expected to travel for this position.


    • Relocation expenses reimbursed
    No


    • Appointment type
    Permanent -* Work schedule

    Full-time -* Service

    Excepted


    • Promotion potential
    None - General pay increase review and performance appraisal review occur annually. Step increases and Market Pay reviews occur every other year.


    • Job family (Series)
    0602 Medical Officer


    • Supervisory status
    No


    • Security clearance
    Other


    • Drug test
    Yes


    • Position sensitivity and risk
    Non-sensitive (NS)/Low Risk


    • Trust determination process
    Credentialing

    Suitability/Fitness


    • Announcement number

    CBSX BC

    • Control number
    Help

    This job is open to


    • Federal employees - Competitive service
    Current or former competitive service federal employees.


    • Federal employees - Excepted service
    Current excepted service federal employees.


    • Internal to an agency
    Current federal employees of this agency.


    • The public
    U.S. Citizens, Nationals or those who owe allegiance to the U.S.

    Clarification from the agency

    All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.

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    Duties


    The Home-Based Primary Care (HBPC) Team Physician is assigned to HBPC in the Geriatrics, Palliative, and Extended Care Service line.

    The HBPC Team Physician provides consultative services to interprofessional staff providing in-home longitudinal interprofessional primary care to veterans (often older adults) with complex chronic diseases who cannot be effectively managed through routine clinic-based care.

    This position is part of the Tucson, AZ HBPC team and includes administrative and patient care duties.

    Duties include, but are not limited to the following:


    • Serves as a primary care provider for a panel of veterans including conducting home visits for medical evaluation and treatment and by request from other team members when clinically indicated and collaborating with PACT RN and interprofessional team for patient case management needs. Panel size to be determined by local, regional, and national guidelines. Territory served to be determined and assigned by local and program needs.
    • Works with an interprofessional team to deliver primary care to veterans in their place of living. Includes being available during the tour of duty for phone, video, and face to face visits, conducting solo and/or joint home visits with team members as needed, and providing leave coverage for primary care providers as needed.
    • Obtains relevant health and medical history, performs appropriate physical exam including mental status and psychiatric exam as appropriate.
    • Formulates appropriate differential diagnosis based on history, physical exam, and clinical findings.
    • Formulates and implements appropriate non-pharmacological and pharmacological plan of care. Integrates veteran's goals of care and collaborates with interprofessional team, veteran, and veteran's support system in formulating and implementing plan of care as appropriate.
    • Provides education to veterans and their support systems as needed and appropriate.
    • Performs phlebotomy and immunizations for patients as indicated.
    • Determines the need for and initiate referrals and consultation in accordance with standard of practice and/or specified protocols.
    • Obtains consent for procedures, transfers, or opioid contracts as appropriate.
    • Completes documentation and enters orders in veteran's health record in compliance with local, regional, and national standards and guidelines.
    • Meets minimum clinical productivity expectations as determined by the service line and health system.
    • Meets standards of care and documentation as per program, local, regional, national, and practice standards.
    • The individual must have a valid driver's license and be able to drive to home visits.
    • Maintains BLS certification.
    VA offers a comprehensive total rewards package: VHA Physician Total Rewards

    Work Schedule:
    Full-time, Permanent, Monday - Friday 8:00 AM - 4:30 PM


    Telework:
    Not Available


    Travel:
    Up to 50% may be required.

    Virtual:
    This is not a virtual position.

    Relocation/Recruitment Incentives (Sign-on Bonus): Available for well-qualified applicants

    EDRP Authorized:
    This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program.

    You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.

    Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

    Former EDRP participants ineligible to apply for incentive. Contact , the EDRP Coordinator for questions/assistance. Learn more.

    Pay:
    Competitive salary, annual performance bonus, regular salary increases

    Paid Time Off: 50-55 days of annual paid time offer 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

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    Requirements

    Conditions of Employment



    NOTE:
    Prior to accepting a final employment offer, all selected applicants will be required to sign a Memorandum of Understanding regarding deployment responsibilities


    • You must be a U.S. Citizen to apply for this job. 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 and maintain CDT physical readiness.
    • 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.
    • Must be able to meet physical demands which include strenuous physical activity to include carrying persons and equipment, walking long distances over difficult terrain, running, climbing, working long hours in austere or arduous conditions, long periods of standing, and bending and stooping.
    Qualifications


    Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.


    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.
    • English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
    • 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.

    Preferred Experience:
    Geriatric Certification

    Experience managing elderly patients with chronic medical conditions.

    Reference:
    VA Regulations, specifically VA Handbook 5005, Part II, Appendix G2 Physician Qualification Standard. This can be found in the local Human Resources Office.

    Physical Requirements:

    Must be able to physically and mentally perform the duties of Primary Care provider in an outpatient setting under normal and emergent conditions.

    Light lifting, up to 15 pounds, light carrying of less than 15 pounds; reaching above shoulder; both hands required; straight pulling up to 2 hours per day; pushing up to 2 hours per day; near vision or far vision correctable; hearing aid permitted.

    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.

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


    Financial Disclosure Report:
    Not required

    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 , 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.

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    • Benefits
    Help

    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.

    How You Will Be Evaluated

    You will be evaluated for this job based on how well you meet the qualifications above.

    Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.



    NOTE:
    A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.


    Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social).

    Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.

    You will receive credit for all qualifying experience, including volunteer experience.


    The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.


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


    Veterans' Preference Note:

    Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA.

    When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire.

    You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.).

    If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation.

    Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 Application for 10 Point Veteran Preference with required proof as stated on the form.

    Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.