PHYSICIAN (NASHVILLE HUB PRIMARY CARE)
Company: Veterans Affairs, Veterans Health Administration
Location: Nashville
Posted on: May 27, 2023
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Job Description:
Summary The Primary Care Physician serves as a practicing
physician responsible for the overall management of patients
enrolled for healthcare services provided by the Tennessee Valley
Health Care System. Responsible for administrative tasks associated
with clinic operations, provides leadership and direction to
support staff assigned to their PACT (Patient Aligned Care Team).
Responsibilities Duties: Fully implements the components and
processes relative to the VHA Primary Care Medical Home (PCMH)
healthcare system design. Coordinates care for a panel of
outpatients as assigned by TVHS. Evaluate and treat acute and
chronic health problems for scheduled and unscheduled patients in
the clinic setting. Perform histories and physical exams. Provides
appropriate documentation to minimally include history, physical
exam findings, diagnosis, definitive care plan and disposition of
the patient. Ensures that patient encounters are appropriately
closed-out including disposition that clearly indicates the next
steps of care. Ensures that each patient is provided a list of
current medications and an appointment list at close-out. Perform
office procedures contained within their approved privileges.
Prescribe medications as appropriate. Order routine laboratory,
radiological and diagnostic tests and provide initial
interpretation of results. Communicate test results to patients.
Respond to questions and other inquiries from patients. Initiate or
expedite requests for consultations and special tests. Provide
education to the patient and family as necessary. Order
immunizations and other preventive or screening services as
necessary. Screen patients to determine the need for
hospitalization. Perform Basic Life Support as necessary.
Communicate clinical findings to other providers using the
Computerized Patient Record System. Function as the managing
physician for nurse practitioners and/or physician assistants as
assigned by TVHS. Function as a preceptor for residents in the
clinic setting as assigned by TVHS. Treats patients 18 years of age
or greater. Consistently communicates and treats customers,
(veterans, their representatives, visitors and all VA staff in a
courteous, tactful and respectful manner. The Primary Care
Physician will provide the customer with consistent information
according to established policies and procedures and will handle
conflicts and problems when dealing with customers constructively
and appropriately. The Primary Care Physician will protect printed
and electronic files containing sensitive data in accordance with
the provisions of the Privacy Act of 1974 and other applicable laws
Federal Regulations, VA statures and policy and VHA policy. The
Primary Care Physician protects data from unauthorized release, or
from loss, alteration, or unauthorized deletion and follows
applicable regulations and instructions regarding access to
computerized files and release of access codes, etc. Uses data sets
contained in the VHA Almanac, Compass and High Risk Registries to
identify and more highly manage patients at high risk and/or that
have recurring outcome values that are outside the norm.
Electronically tracks various components of care to promote a
higher level of care coordination. Maximizes the use of virtual
care modalities such as Home Telemedicine, Secure Messaging and
e-Consults to enhance access to care. Complies with the Medical
Center Bylaws and the Rules and Regulations of the Medical Staff.
VA offers a comprehensive total rewards package. VHA Physician
Total Rewards. This position may be 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. 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. 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. Malpractice: Free liability
protection with tail coverage provided. Contract: No Physician
Employment Contract and no significant restriction on moonlighting.
Recruitment Incentive (Sign-on Bonus): May be authorized for highly
qualified individuals. Work Schedule: Monday-Friday 8 a.m. - 4:30
p.m. Requirements Conditions of Employment 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. 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. Proficiency
in spoken and written English. Preferred Experience: Two years of
experience as an internal medicine/ family medicine/primary care
physician, preferred, not required. 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: The work is largely office
based and in a sedentary setting. No manual labor is required above
ordinary situations. Incumbent must be capable of using a computer
given that all clinical charting is electronic. 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. Veterans and Transitioning Service Members:
Please visit the VA for Vets site for career-search tools for
Veterans seeking employment at VA, career development services for
our existing Veterans, and coaching and reintegration support for
military service members. Financial Disclosure Report: Not required
If you are unable to apply online or need to fax a document you do
not have in electronic form, view the following link for
information regarding an Alternate Application. 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.???????
Keywords: Veterans Affairs, Veterans Health Administration, Nashville , PHYSICIAN (NASHVILLE HUB PRIMARY CARE), Healthcare , Nashville, Tennessee
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