Summary The CLC/HPC full-time physician is assigned to provide direct patient care to patients on the Community Living Center (CLC) &/or in the Hospice Palliative Care (HPC) program, as needed. The incumbent will work under the direction and oversight of the ACOS/Geriatrics and Extended Care. Responsibilities Duties may include but are not limited to: Ensures the adequacy and appropriateness of the medical care provided to patients eligible for Palliative and Hospice care services in consultation with the Palliative Care Consultation Team. Collaborates with the Palliative Care Consultative Team (PCCT) Providers to ensure all Inpatient Palliative and Hospice care consults/encounters are complete timely within 24 hours (but no later than 48 hrs. if workload is high); and outpatient encounters are completed within 72 hours (but no later than 5 days if high workload). Provides a continuum of palliative care services across various settings to include but not limited to: Acute care, Community Living Center (CLC), Outpatient consultative clinics, HBPC, ED, Geri Palliative clinic, as well as the Infusion room. Participates daily as a member of the CLC Screening Committee providing Palliative care report on HPC patients referred to CLC. Assists in discharge planning to ensure effective transfer of patients from acute care to CLC, CNH or discharge home with community hospice services, as necessary. Ensures "hand-off "communication is provided to ED/ Hospitalist/Surgeon/Neurologist/ UK, if a resident is sent out of CLC for an acute care evaluation. Directly evaluates all residents with any change in condition, acute event or as requested by any IDT member and documents this evaluation timely, same day. Completes Attending notes for CLC residents with significant change in clinical condition as well as follow up notes (progress notes) as needed after unit rounds. Provides occasional coverage for other Geriatrics and Extended Care (GEC) programs during staff shortage. Participates in Screening calls and completes chart reviews on all referrals to ensure patients referred are medically stable. Communicates with referring physicians if questions arise. Collaborates with other disciplines such as Nursing, PMR, SW ..etc to ensure all aspect of patient care can be provided on CLC. Reviews labs and imaging promptly and takes action if abnormal. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Permanent Change of Station (Relocation Assistance): May be approved for highly qualified applicants. Education Debt Reduction Program (Student Loan Repayment): Learn more. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Betsy.Quinn@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 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: Prior Geriatrics and/or Hospice Palliative Care experience in both inpatient and outpatient settings. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Moderate Lifting (15-25 lbs); Moderate Carrying (15-25lbs); Straight Pulling (up to 2-3 hours); Pushing (up to 2-3 hours); Reaching above shoulder; Walking (up to 1-2 hours); Kneeling(up to 1-2 hours); Repeated bending (up to 1-2 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable; Far vision correctable; Depth perception; Ability to distinguish basic colors; Hearing (aid permitted). 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.
