Physician - Associate Chief of Staff (ACOS) Primary Care
Veterans Affairs, Veterans Health Administration
Application
Details
Posted: 14-Jun-24
Location: Billings, Montana, Montana
Salary: Open
Categories:
Physicians/Surgeons
Internal Number: 795306400
The position of Associate Chief of Staff (ACOS) Primary Care is both a supervisor as well as direct patient care provider responsible for carrying out operations of the Primary Care Service. Responsibilities include but, are not limited to maintaining professional, technical, and administrative knowledge, competencies, and skill to deliver effective, timely and high-quality medical care to patients at the Montana VA Health Care System (MTVAHCS). 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 Certification, Leadership Experience, Previous VA 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: The work is mostly sedentary and is performed in a health care setting for treating patients with a variety of medical problems. Normal safety precautions and practices are required for working in a healthcare environment. Other physical demands include reaching, bending, stretching, walking, and carrying light loads of supplies. The position often entails long periods of sitting at a computer, rigid deadlines, the need for a high degree of accuracy, high stress situations, and the ability to adapt work plans based on hospital needs. ["Major Duties: - Demonstrate ability to appoint and/or build interdisciplinary team members with complimentary skills for maximum team effort/success. Supervises and evaluates the performance of Physicians, Advanced Practice Registered Nurses, and Physician Assistants who are assigned to the Primary Care Service. Coaches staff in team building. - Contributes to staff growth and development of effective teams and individuals in the team. - Ensure physician staffing requirements for five day a week coverage of the Primary Care Service is met. - Ensure that providers possess the necessary skills appropriate to patient care in an outpatient primary care setting. - Ensure that all providers maintain continuing education and certifications, including Advanced Cardiac Life Support if required and Basic Cardiac Life Support. - Responsible for completion of Ongoing Professional Practice Evaluations (OPPE), Focused Professional Practice Evaluations (FPPE) for initial hires and providers needing focused evaluation for cause, performance/proficiency evaluations and pay for performance evaluations for all staff under the ACOS, Primary Care direct supervision. - Develops and implements appropriate policies, procedures, plans, and professional standards that guide and support Primary Care Service operations. - Responsible for the assessment of service line needs and takes the lead in the development of resource (staff, space, equipment) requests for the Primary Care Service. Serves as the responsible official for Primary Care Service Equipment Inventory List (EIL), participates in completion of annual survey of inventory, and report of survey for any damaged, end of life cycle, or missing equipment. - Oversight of Performance Improvement/Quality Assurance/Utilization Review and evaluation to ensure that the four dimensions of care are continuously evaluated and improved: Access, Quality of Care, Customer Service/Patient Satisfaction, and Clinic Utilization Management/Efficiency of Care. - Research problems that impact the quality-of-care delivery. Ensure the ethical and competent practice of the Primary Care Service. - Serve on important interdisciplinary boards and committees as appointed by the Chief of Staff. - Support all existing safety and infection control practices relevant to this position. Clinical: - Serve as a Primary Care physician in the Primary Care Service according to approved clinical privileges at MTVAHCS. This position is up to 75% administrative and 25% clinical. - The incumbent shall maintain a 25% panel size for clinical duties. - Must maintain current Basic Cardiac Life Support (ACLS) certification. Supervisory Controls: The ACOS Primary Care Service reports directly to the Chief of Staff. The incumbent is the direct supervisor for Primary Care Service section chiefs and the Administrative Officer. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Eligible for highly qualified candidates. 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 Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years). For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at vacontractbuyoutprog@va.gov Work Schedule: Monday to Friday 8:00 am to 4:30 pm work outside regular duty hours to include weekends, Irregular and extended hours."]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VA health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.