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Physician Associate Medical Director
Veterans Affairs, Veterans Health Administration
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Posted: 23-Jan-23

Location: Saint Cloud, Minnesota

Salary: Open

Categories:

Physicians/Surgeons

Internal Number: 684607100

Recruiting for Rehabilitation and Extended Care (REC) Associate Medical Director for the Community Living Center (CLC) and Home-Based Primary Care (HBPC) clinic. Incumbent is responsible for direct care to Veterans in the CLC and clinical oversight of the CLC and HBPC providers. CLC focuses on Veterans in advanced states of chronic disease needing 24-hour care and the 225-bed provides comprehensive, interdisciplinary inpatient services for Veterans with complex and chronic, disabling disease. 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 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: Board certified/board eligible Internal Medicine/Family Practice/Geriatrician with lead or management experience. 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: This position requires a pre-employment physical. Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. however, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Rehabilitation and Extended include numerous programs under the umbrella. They include, but may not be limited, to the following: Community Living Center (CLC) focuses on Veterans in advanced states of chronic disease needing 24-hour care. The 225-bed CLC provides comprehensive, interdisciplinary inpatient services for Veterans with complex and chronic, disabling disease. Home Based Primary Care (HBPC) focuses on Veterans in advanced stages of chronic disease, particularly those at high risk of recurrent hospitalization or nursing home placement. The HBPC program provides comprehensive, interdisciplinary primary care services in the homes of Veterans with complex and chronic, disabling disease. The CLC and HBPC program provide palliative care, rehabilitation, disease management and care coordination services. Palliative Plus program is a funded strategic initiative and component of the current Palliative and Hospice Care (PHC) program. Palliative Plus focuses on creating a level of support beyond typical Palliative Care focusing on hospice-eligible Veterans who decline hospice enrollment but agree to be followed by the team. This program has been shown to decrease utilization of overall healthcare related costs in the context of providing this level of case management. Home-Based Memory Care is a funded strategic initiative intended to support aging in place and delay institutional placement by addressing the specific gaps in memory care that often result in placement. The concept of \"Aging in Place\" is a priority of VHACO-GEC. TBI and SCI/D clinics are both foundational services of VHA. The SCI/D clinic serves as a spoke site to the hub at the Minneapolis VA HCS. Duties of the Associate Medical Director include the following: Comprehensive management of the physical, psychological, emotional, social, and spiritual needs of the Veteran. Integral member of the CLC and HBPC teams and will work with an interdisciplinary team of professionals from medicine, nursing, social work, psychology, chaplaincy and other providers to meet the needs of Veterans and families served by these programs. Oversight and performance management of CLC Providers. Provides clinical oversight and participates in peer review of REC providers through periodic chart reviews. Will act as a surrogate for absent REC providers when needed, to include review of CPRS view alerts, and other duties as assigned. Regularly attend the provider meeting, departmental meetings and medical staff meetings. Typical work hours are Monday to Friday administrative tour, and a full-time provider is required to work a minimum of 80 hours per pay period. Timely documentation (notes and encounter forms) is necessary in all areas in accordance with facility policy. All administrative work should be completed in a timely fashion. Physician will work within their privileges at all times and follow the Medical Bylaws. Work Schedule: 0730-1600 Monday-Friday VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized 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: Only 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"]

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About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
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