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ADCES Connect

Physician - Primary Care (Patient Aligned Care Team)

ADCES Connect, Grand Junction, Colorado, United States, 81503

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Summary The PACT Physician (MD/DO) position is responsible for outpatient care at Western CO Health Care System VA.

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 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: 3 Years of Primary Care within the last 5 years

Experience in Women’s Health Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/

Physical Requirements: The incumbent must be able to perform all activities of the position without restriction

This position involves considerable standing - walking - stooping - bending - reaching - lifting and turning

It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers

Mechanical devices when available are required to be used for heavy or difficult to lift patients

The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs

The position requires visual and auditory acuity at a level to provide safe and effective nursing care

The positions requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients.

Duties

Functions as the Physician Team leader of their Patient Aligned Care Team (PACT) - Ambulatory Care Services - Community Based Outpatient Clinic (CBOC) setting at WCHCS

May perform additional duties (temporary or permanent) as a float provider (face-to-face - VA Video Connect (WC) or via telehealth) as those duties are assigned

Responsible for providing medical care in an outpatient setting following PACT principles

Will routinely provide medical care using Face-to-Face(F2F) - VVC - and/or Telephone appointments

When performing duties as a float provider (F2F or telehealth) for remote patients - will provide care to outreach clinics as needed

Float provider duties (temporary or permanent) may require travel to the supported CBOC(s) periodically to cover a provider vacancy

Assures that Veterans receive compassionate - efficient - and safe patient care in their respective care line

Assures that clinical care provided meets all timelines and required documentation as required by VA

Providers must review alerts daily and have no more than 200 alerts at any given time

They must complete open encounters\" within 48 hours - encounter their notes within 72 hours

Encounter errors must be completed within 7 days

Participates in multi-disciplinary team meetings to achieve a patient centered - holistic approach for clinical care and needs of the Veteran

This includes daily and weekly huddles with your PACT

Leads by example

Attend either by skype or in person all Primary care statewide meetings and whenever possible - participates in the clinical and teaching activities at WCHCS Ambulatory Care meetings

Comply with all directives and policies related to space management to achieve optimal resource utilization (space - professional and administrative) to maximize clinic utilization within the PACT model

PACT SPECIFIC MD/DO ROLE AND DUTIES: Provide health care commensurate to the PCP's licensure and clinical privileges or scope of practice

Ensure the patient's care plan contains medical recommendations for clinically indicated care

Offer clinically indicated health care services to veterans assigned to the PACT and providing or arranging for care to which the veteran consents

Provide leadership to the team including shared delegation of appropriate care and care processes to appropriate team members

Review available clinical and performance data with the team - focusing on continuous improvement of critical team processes

Ensure that your PACT has same-day access for face-to-face and telephone or WC care visits during regular clinic hours

Collaborate with PACT staff to develop personal health plans that incorporate care management and care coordination appropriate to the veteran's needs

Communicate with facility leadership regarding the resources needed by the PACT for optimal function

Participate in PACT performance improvement and sustainment activities to optimize team efficiency and care delivery to veterans

Implement Primary Care operations management processes - as appropriate

Provide health education and health coaching on wellness - disease prevention - chronic care management - and self-management skills to veterans and personal support persons - commensurate with the documented expertise or professional training of the PACT member

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 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 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

Work Schedule: Monday - Friday - 8:00am - 4:30pm

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