Summary The role of the Hospice Palliative Care (HPC) Physician will be to provide clinical care and goal planning in an interdisciplinary approach to Veterans and family members. The goal is to provide care that enhances the Veteran's rights and wellbeing. The duties include specific responsibilities for the HPC Physician functioning as a Licensed Practitioner of the Department of Veterans Affairs. The physician will meet credentialing requirements of the VA specific to the discipline. Responsibilities The duties and responsibilities of the HPC Physician include, but are not limited to the following: Responds to all Palliative Care consults within 72 hours (excluding holiday weekends), some within 24 hours depending on urgency. Initiates outpatient consults for Hospice care as needed. Provides goal setting with Veteran and family by initiating and chairing Veteran/family meetings and recording the outcome of the meeting in the medical record to communicate Veteran/family goals for all involved staff to understand. These meetings may be in the inpatient or outpatient setting. The Veteran's attending health care provider is encouraged to attend these family meetings. Some issues of discussion may include code status, advanced directives, and identification of resource needs. These meetings will include the other members of the Palliative Care Consult Team (PCCT) to be in attendance as much as able. Collaborates with Veteran and physicians caring for the Veteran at the time (i.e., Emergency Department (ED) physician, Primary Care, or hospitalist) to be informed of the history and prognosis of the patient. Will be available to the ED as needed to assist with case-finding and goal setting. Provides direct interaction with the Veteran and family in various venues, such as attending primary care visits at the time of the Veteran's appointment, being able to participate in home visits, if deemed necessary, and willing to visit the Veteran at the Veteran's location. Responsible for ongoing pain and symptom management with evaluation and adjustments as needed. Requires special interest/skill in malignant acute pain management with availability to other medical providers for consultation. Fills prescriptions for narcotics, palliative care medications, and durable medical equipment requests as needed. Will attend weekly Interdisciplinary Team (IDT) meetings with HPC, other IDT meetings or MICU/SICU rounds as needed, monthly HPC meetings, VISN 6 and National Palliative Care meetings if scheduled, GEC meetings and memorial services as requested, and daily rounds to acute inpatients. Contributes to the VISN 6 HPC Task Force and VISN 6 HPC staff as needed. Participates in conference calls as scheduled. Works to strengthen and progress the overall HPC Service in VISN 6. Serves as a member of the facility's Ethics Committee, meeting quarterly or as needed Works closely with PCCT for a facility-unified strong program and available to Community Based Outpatient Centers (CBOC) and Home Based Primary Care (HBPC) physicians for consultative services as needed. Assists case managers with evaluating requests for inpatient palliative care admissions. Contributes to educational needs of others by providing education for: facility grand rounds; teaching offerings for medical residents; teaching sessions as requested from PCCT; consider community requests and contribute as able; available to visit CBOCs to provide direct education with medical site practitioners; assist the HPC RN with introduction of palliative care services to various specialties and @types of care related to the VA (i.e., Acute Care, Primary Care, Chronic Disease Management, Mental Health, or Urgent Care, etc.). Demonstrates continued ongoing education in the field. Provides cross-coverage for other physicians in GEC. Collaborates with Research staff in pursuing research options in palliative care and is involved in National, regional, or local palliative care research as able. Maintains a team mindset and pictures PCCT as a unification of care, with a cooperative mindset of a culture of working together with the HPC RN, Social Worker, Chaplain, Psychologist, and other staff who are part of the team process to deliver care. Links the team with other members of the VA facility by inclusion of the Service line with other existing programs. Sensitive to cultural diversification and teaches respect for other people, groups, and faiths as indicated. Looks for ways to bring palliative care into existing programs, promoting bridge-building. Collaborates with VA community Hospice partners. Will remain proactive in suggestions of how to evaluate and improve services. Reviews monthly and quarterly quality measures, making any necessary adjustments. Determines business decisions with the input of other stakeholders for the improvement of care for the Veteran and family. Ability to brainstorm and be open to suggestions for ways of delivering improved care. Contributes to the annual report and maintains running list of items learned that may benefit the PCCT or other Palliative Care teams and tracks value-added benefits to the care of the Veteran and family. Will continue to expand HPC services to all end-stage conditions and disciplines. Collaborates with other VISN 6 facilities to assist in sharing information that may be helpful in promotion and growth of the program. And, other duties as assigned by Supervisor. 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: Hospice experience required. Reference: See VA Handbook 5005, Part II, Appendix G-2. For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Must be able to physically and mentally perform the duties of Physician under normal and emergent conditions. Moderate lifting 15-44 lbs and over with assistive devices, heavy carrying of 15-44 lbs and over with assistive devices; reaching above shoulder; use of fingers, both hands required, walking or standing up to 4 hours per day; repeated bending up to 1-2 hours per day; ability for rapid mental and muscular coordination; near vision correctable; hearing aid permitted. See VA Directive and Handbook 5019. 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 The HPC Physician will practice medicine in accordance with their professional training and experience and within the scope of their Medical Center privileges. HPC Physician is responsible to the HPC Medical Director and GEC Service Chief. The HPC Physician will maintain ethical behavior in accordance with set policies and norms, maintain a team-approach care of patients and improvement projects (when applicable), and maintain communication with team members, other providers, and supervisors to achieve quality outcomes. Duty hours are based on a schedule determined by the HPC Medical Director and GEC Service Chief and will be based on the needs of the service in the @context of the mission and vision of the organization. Participation in the GEC Call Schedule, as determined by the HPC Medical Director and GEC Service Chief, is expected. CUSTOMER SERVICE REQUIREMENT. Meets the needs of all customers while supporting the Medical Center and Service missions. Consistently communicates and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner. Provides the customers with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): May be 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: Monday-Friday 8am-4:30pm 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.
