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. 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. Additional Requirement: Board Certified by the American Board of Internal Medicine or American Osteopathic Board of Internal Medicine in Nephrology, OR U.S. Board Certified in Internal Medicine and have successfully completed have successfully completed an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) accredited Nephrology fellowship training program. Minimum of 12 months of experience providing care to patients receiving Outpatient Dialysis Preferred Experience: Board Certification A minimum of 12 months experience of outpatient dialysis in all modalities: in center hemodialysis, home hemodialysis, and peritoneal dialysis. Experience with Quality Improvement Initiatives Strong record of working in an interdisciplinary team setting History of participation in quality improvement projects History of working closely with utilization management and review Experience with managing fiscal aspects of dialysis operations both outpatient and inpatient Strong history of working closely with pharmacy, emergency department, and surgical disciplines History of developing comprehensive care pathways for implementation into an electronic medical record Previous history of employment in academic medicine and educational teaching experience of medical students, residents, and nephrology fellows Competency with the use of CPRS A degree of Master of Business Administration. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The work is generally sedentary and accomplished in an office environment, but will require some walking, bending, and lifting. They will need to be able to lift up to 25 lbs., stand for long periods of time, and speak at facility wide meetings for at minimum one hour. Walking to other service areas and UAMS may be necessary at times. This position requires entry into patient care areas to treat patients with various diseases so incumbent must be able to wear a mask as required. Light lifting, under 15 pounds Light carrying, under 15 pounds Pushing Reaching above shoulder Use of fingers Both hands required Walking (8 hours) Standing (8 hours) Repeated bending (2 hours) Both legs required Ability for rapid mental and muscular coordination simultaneously Near vision correctable at 13" to 16" to Jaeger 1 to 4 Far vision correctable in one eye to 20/20 and to 20/40 in the other Both eyes required Depth perception Ability to distinguish basic colors Ability to distinguish shades of colors Hearing (aid may be permitted) Mental stability Emotional stability Mask Wearing Sitting up to 8 hours ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive: May be eligible for highly qualified applicants. Education Debt Reduction Program (Student Loan Repayment): This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. EDRP Authorized: Contact Lashala Goodman- lashala.goodman@va.gov, the EDRP Coordinator for questions/assistance. 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 The Central Arkansas Veterans Health Care System is seeking a Full Time Nephrologist Physician for the position of VA Facility Dialysis Program Medical Director. The duties will be split between clinical care and administrative responsibilities and will be responsible for both inpatient and outpatient patient care. The incumbent will be responsible for oversight of a 22-chair dialysis unit at the Little Rock campus and a 4-chair hemodialysis unit at the North Little Rock campus. Duties include but are not limited to the following: Responsible for oversight of all renal replacement therapies including inpatient and outpatient hemodialysis, as well as home kidney replacement modalities, including home hemodialysis and peritoneal dialysis. Responsible for compliance with all reporting metrics for compliance and safety. Management of cost accounting, community care budget oversight, and purchasing for the dialysis program. Conduct monthly interdisciplinary team meetings with social work, renal dietician, pharmacy, and dialysis nurse managers to ensure each patient has an individualized interdisciplinary plan of care. Works with an interdisciplinary dialysis team to form a Quality Assessment and Performance Improvement (QAPI) program to identify and implement improvement projects to improve methodology, safety, and care of patients. Ensuring proper coding of all documentation for both end stage kidney disease and acute kidney injury patients requiring kidney replacement therapy. Outpatient clinical care duties include an independent attending clinic in addition to overseeing of nephrology fellowship trainees during clinic. Inpatient clinical care duties will consist of staffing inpatient consults, overseeing of trainees, and overseeing inpatient dialysis. Works closely with other departments as follows: 1) Pharmacy: Identify potential innovative therapies to bring to the institution's formulary as well as participate in utilization and cost saving measures for current available therapies. 2) Emergency department: must work closely with the emergency department to develop protocols to provide timely and efficient care to nephrology patients. 3) Must work closely with surgery and surgical subspecialties to ensure timely access to care, including the establishment of permanent access for kidney replacement therapy. Responsible for inpatient consult, outpatient clinic, and outpatient dialysis note templates are adequate to address current standard of care quality metrics in the afore mentioned clinical areas. Participate in teaching and education of trainees including medical students, residents, and nephrology fellows. Responsible for composing business plans to present to pharmacy and therapeutics committees for application of new and innovative therapies and technology in nephrology. Serves as the Chair of the VA Medical Facility Dialysis Committee Ensures the safe operation, timely coordination and delivery of quality dialysis care to patients in the VA Dialysis Program at the VA medical facility. Ensures VA Home Dialysis Programs and VA medical facility Inpatient and Outpatient Dialysis Programs adhere to requirements Work Schedule: 8:00 AM - 4:30 PM Monday- Friday (Weekend and Holiday rounding rotations. Overnight, Weekend, and Holiday on-call duties as assigned)"]

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