"Alerted.org

Summary The John D. Dingell VA Medical Center in Detroit is seeking a full-time Home-Based Primary Care (HBPC) Medical Director Board Eligible/Board Certified in either Internal Medicine or Family Medicine. Our hospital is closely affiliated with Wayne State University School of Medicine with campuses adjacent to each other. The VA Hospital serves a primary partnership role in medical education of students, residents, and fellows, as well as in clinical and basic medical research. Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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 Goals of the HBPC program include: Provide HBPC targeted to frail, chronically ill, or disabled Veterans who require interdisciplinary health care teams for continuity & coordination of care, as well as integration of diverse services to address complex medical, psychosocial, rehabilitative, behavioral or palliative care needs. These Veterans require comprehensive, longitudinal, interdisciplinary home care services, to maximize or maintain function, minimize institutionalization, and maintain quality of life. Reduce the need for, and provide an acceptable alternative to, hospitalization, nursing home care, emergency & outpatient visits. This is achieved through longitudinal care that provides close monitoring, early intervention, and promotion of a safe, therapeutic home environment through coordinated home and community based services. Recognize the important role of the caregiver and provide support to the Veteran, caregiver in coping with all aspects of chronic disease, including assessment and intervention that addresses caregiver burden. Enhance the Veteran's quality of life through the end of life by respecting the needs and preferences of the Veteran and caregiver, addressing symptom management, supporting the option of dying with palliative care at home if that is the Veteran's wish. In addition, HBPC Team may provide initial bereavement care to the caregiver with community referral for formal or longer term bereavement support and counseling if needed. Promote an enduring network of qualified home care professionals by providing an academic & clinical setting that allows for research and training in interdisciplinary delivery of primary care in the home, The HBPC Medical Director is Responsible for: The HBPC Medical Director must be a physician who is responsible for the overall medical care delivered by the HBPC team. The HBPC Medical Director is to report directly to the ACOS/GEC or equivalent. Who will receive any additional duties as directed by the ACOS. NOTE: In VA medical facilities with academic affiliations, the HBPC Medical Director is encouraged to have a faculty appointment and be involved in academic activities. (1) The HBPC Medical Director is responsible for collaborating with the HBPC Program Director to: (a)Provide leadership to the HBPC Program, including, but not limited to, clinical activities, and developing standard policies. (b)Plan and direct the educational and clinical experience of medical students, residents, and fellows assigned to the HBPC Program If required. (c)Assume a leadership role in the development and implementation of HBPC's process for continuous performance improvement. (d)Advocate for HBPC with VHA leadership and the medical community. (e)Develop partnerships and coordination with PACTs and the PACT High Risk Committee. (f)Participate in selecting HBPC team members. (2) Provide clinical input and oversight for all patient treatment plans unless delegated to an HBPC team physician with active supervision of the physician/mid level providers as the program expands. (3) Be readily accessible and promptly responsive to calls from team members currently in a Veteran's home with urgent need for consultation or physician orders. (4) Ensure Physician Medical Care Plan oversight at HBPC team meetings by either actively participating in HBPC team meetings or delegating an HBPC Team Physician to participate at team meetings. (5) Keep the HBPC team apprised of medical care advances and practice standards. (6) Arrange physician coverage and communicate the plan of coverage to the HBPC team. (7) Serve as back-up for other HBPC primary care providers. (8) Make routine home visits. Carry patient panel. (9) Collaborate with other HBPC Medical Directors, VISN leadership, and VA Central Office staff members on program development issues. Work Schedule: Monday-Friday, 8:00AM-4:30PM 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. 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). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement. 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 experience working in a Home Based Primary Care setting Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: To be able to do all the duties for the Primary Care HBPC Medical Director. 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. VA Healthcare System Serving Ohio, Indiana and Michigan (VISN 10) 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.