Summary The VA Hilo Community Based Outpatient Clinic (CBOC) Mental Health Service Line provides care in outpatient programs. Psychiatrists assigned to the Mental Health Service Line provide psychiatric care for outpatients. The Mental Health Service Line has one full-time psychiatrist position that reports to the VA Hilo CBOC Chief/Mental Health Supervisor who is responsible for the overall clinical and administrative function of the Mental Health Service. Responsibilities **This is an OPEN CONTINUOUS ANNOUNCMENT and will remain open until July 13, 2026. The initial cut-off date for referral of eligible applications will be May 19, 2026, with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized Work Schedule: Monday - Friday, 7:00am - 4:00pm 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 Duties including providing a full range of psychiatric care, but primarily psychopharmacotherapy with some psychotherapy, for Veteran patients consistent with clinical privileges in psychiatry. Incumbent will provide psychiatrist services as part of a multidisciplinary mental health team. Incumbent will provide the full range of outpatient psychiatry services to patients who primarily receive services through the Hilo COBC, consistent with psychiatric privileges. Incumbent will participate in team meetings, committees, and other assigned duties as a member of the VAPIHCS medical staff. Incumbent may be required to provide cross coverage for other VAPIHCS mental health CBOC sites Clinical Care: Provide a full range of psychiatric services with a primary focus on psychopharmacotherapy and some psychotherapy for Veteran patients. Deliver outpatient psychiatry services to patients primarily at the Hilo CBOC, consistent with psychiatric privileges. Participate in team meetings, committees, and other duties as a member of the VAPIHCS (Veterans Affairs Pacific Islands Health Care System) medical staff. Provide cross coverage for other VAPIHCS mental health CBOC sites as needed. Diagnostic Services: Conduct general psychiatric evaluations for assessing cognitive function, emotional status, and personality structure. Provide evaluations for specific areas such as risk of harm to self or others and substance use/chemical dependency. Medication and Crisis Management: Perform medication evaluations and management, especially for veterans new to mental health treatment, in crisis, or with a dual diagnosis, including substance use disorders. Screen and diagnose veterans with a spectrum of mental health disorders including psychotic, affective, anxiety (including PTSD), and substance use disorders. Assess for dangerousness and determine appropriate initial treatment. Psychotherapy and Intervention Services: Provide psychotherapeutic services, crisis intervention, or psychological interventions based on training and experience. Offer Mental Health Triage coverage throughout normal working hours with other providers. Integration with Primary Care: Provide psychiatric assessment in the Primary Care Clinic as needed and consult with Primary Care Clinic providers for veterans with psychiatric issues. Collaboration and Consultation: Work collaboratively with other professionals on an interdisciplinary mental health team and participate in scheduled team meetings at the Hilo CBOC. Engage in cross-disciplinary collaboration with other providers across the VAPIHCS system to ensure comprehensive, integrated care for veterans. Interface with the Suicide Prevention Team/Suicide Prevention Coordinator and Emergency Response Teams to provide comprehensive care during, as well as after, life-threatening psychiatric acuity events. Promote out-of-the-box thinking by seeking innovative solutions and approaches to enhance patient care and address complex mental health challenges within the multidisciplinary team. Intensive Community Mental Health Recovery (ICMHR) Team Participation: Work collaboratively with the ICMHR team to develop and implement individualized treatment plans aimed at supporting recovery and improving the quality of life for veterans with chronic mental health issues. In addition to BHIP duties, be an active member of the ICMHR team, focusing on providing psychiatric medication management for Veterans enrolled in intensive community-based services for severe mental health conditions. 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 allopathic 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 accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), 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. Exceptions: 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 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. In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action. Proficiency in spoken and written English. Additional Requirement: Board certified/Board Eligible in Psychiatry Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is 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. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year 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.
