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Summary The Geriatrics/Long Term Care (G/LTC) Service Home-Based Primary Care (HBPC) Medical Director provides supervision to all Advanced Practice Practitioners in HBPC; monitors the program's clinical efficacy, identifying and correcting deficiencies; and maintains a patient panel of his/her own, providing primary medical care to Veterans in their homes. The Medical Director also participates in the off tour after hours telephone coverage for CLC inpatient medical staff caring for G/LTC inpatients. Responsibilities Provides geriatric primary care at the Veteran's home as part of the HBPC PACT team . Provides clinical input and oversight for all Veteran treatment plans in collaboration with a case manager or interdisciplinary treatment team. Participates as part of the interdisciplinary team to plan the care of the Veteran, including patient-specific goals and outcomes for discharge. Provides clinical input and demonstrates leadership as a member of the interdisciplinary team. Participates in interdisciplinary team meetings. Provides up-to-date clinical education to HBPC teams . Completes appropriate documentation as administratively required such as Minimum Data Set (MDS), referrals, encounters, etc. Completes orders and follows up on results, including lab, radiology, consults, medications, diets, code status and other needs to treat the Resident. Sees patients on his/her panel on a regular basis, including initial and annual H&P's . Mentors rotating medical students, residents, and other trainees during G/L TC rotations . Works directly with staff to identify needs, system issues, and communicate performance goals for HBPC. Will be a leader in performance improvement. Participates in quantitative and qualitative data review to support performance improvement/quality assurance efforts of HBPC. Provides leadership, both clinically and administratively for the HBPC program at Martinsburg and the Community Based Outpatient Clinic (CBOC) satellite sites. Will implement and comply with administrative review of the service's operations to assure compliance with all internal and external survey requirements. Will serve as the supervisory attending physician for Advanced Practice Practitioners (NP/PA) in the HBPC program. Will serve as attending physician for the current Geriatric Fellowship Program (One year fellowship for 1-2 WVU fellows training at the Martinsburg VA). Provides patient education in an interactive setting . Serves on local and VISN committees to represent HBPC concerns and initiatives.- Visiting the HBPC patients at home for medical evaluation and treatment. Most visits occur in the Veteran's home or assisted living facility, but can also utilize VA approved telemedicine platforms when clinically appropriate. Assessment, diagnosis, treatment and outcome measures of healthcare issues, histories, and physicals, ordering diagnostic and therapeutic tests/studies, initiating consults and referrals, and prescribing medications/supplies for patients at home. Demonstrate expertise in the areas of adult primary care and management of chronic medical conditions. Communicate and consult regularly with other providers in primary and specialty care to assist in the care of geriatric patients as needed. Perform evidence-based practices to enhance symptom management of palliative care patients. Facilitate education and clarification of the patient and family regarding goals of care. Consult with members of the Interdisciplinary care team to establish a written plan of care. Highlight Age-Friendly Health System approach to care with emphasis on What Matters Most, Medications, Mentation/Mood, and Mobility/Falls. Assist with development and updates of Standard Operating Procedures (SOPs) to meet the evolving needs of the HBPC Program and adherence to Joint Commission changes in policy and their updated areas of focus (Annual National Safety Goals for Home Care). Assume a leadership role in the development and implementation of HBPC's process for continuous performance improvement and to help maintain a state of readiness for Joint Commission Accreditation surveys. HBPC Physician will lead at least one workgroup and will offer their input and clinical expertise within other performance improvement workgroups. Responsible for meeting home care accreditation standards, including, but not limited to VHA and the Joint Commission standards for home care, for ensuring that the primary care services provided. 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 Work Schedule: 8:00am-4:30pm, Monday - Friday 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. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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). 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: 2 years recent experience in provision of Geriatric Medicine. 1 year supervisory experience. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: See VA Directive and Handbook 5019. Physical Requirements: Lifting up to 35 pounds, intermittently; moderate carrying (15-35 pounds), intermittently; lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care; pulling, intermittently; pushing, intermittently; reaching above the shoulders, intermittently, both hands required; walking, intermittently; standing, intermittently; kneeling, intermittently; and repeated bending. 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. 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.