The VA Northern Arizona Healthcare System is one of the leading health care systems serving Veterans in the VA Desert Pacific Network. We're an innovative care center within the Veterans Integrated Service Network 22 (VISN 22). VISN 22 includes medical centers and clinics in Arizona, California, and New Mexico. At the VA Northern Arizona Healthcare System, we're dedicated to improving the lives of Veterans and their families every day. 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. Physicians are generally not required to be board certified for employment in VA; however, three circumstances in VA require physician board certification: (1) If the position being filled is required to be a supervisor for medical students or physician residents (including fellows), the LCME, ACGME or AOA standards requiring a particular board certification credential will apply. (2) If the position being filled will have faculty status with an affiliated medical school (for example, in joint recruitments with affiliated medical schools), then a medical school requirement for board certification will apply to the jointly recruited position. (3) If the position being filled is required to be board certified by virtue of specific VHA policy (for example, as director of a cardiac catheterization laboratory or Director of Clinical Laboratory Medicine), then VHA policy requiring board certification will apply. Preferred Experience: Physical Medicine and Rehabilitation Board Certification. 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: Moderate Lifting, 15-44 pounds; Light Carrying, under 15 pounds; Use of fingers; Walking - 2 hours; Standing - 2 hours; Near vison correctable at 13" to 16" to Jaeger 1 to 4; Far vison correctable in one eye to 20/20 and to 20/40 in the other eye; Ability to distinguish basic colors; Hearing (aid permitted); Mental/Emotional Stability required; Working Closely with Others; Working Alone. ["The provider will work as a member of multi-disciplinary health care teams, collaborating with other members of the team to provide medical care to Veterans enrolled on the teams. The provider is expected to demonstrate advance competencies and skills in assessing the physical and psychosocial status of the patients and caregivers, play an active role in the health care team, promote preventive measures, manage the acute and chronic conditions of their patients as well as patients assigned to other team members when consulted. The provider is responsible for the successful achievement of the Performance Measures as pertains to safe opiate prescribing and quality pain management and Monitors in their areas of responsibility. MD/DO Provider will perform the following duties: Ongoing, continuous care of pain, opiate, substance use disorder and related conditions for their patients. Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel Participating in team performance improvements and sustainment activities to optimize team efficiency and care delivery to patients. Providing health education, and health coaching on wellness, disease prevention, chronic care management, and self-management skills to patients and personal supports persons. Collaborating with informatics technology staff to develop and implement systematized, electronically supported tools to support PACT care delivery process (e.g. pre-visit reminder calls, post-hospitalization follow-up up calls, recall scheduling procedures, new patient orientation, disease registries and primary care protocols for chronic disease management. Providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members. Evaluations and treatment, including face to face, telephone, and/or video to home clinics. Initial and ongoing assessment of patient's medical, physical, and psychosocial status Obtain and document a comprehensive medical/physical history and physical examination. Review and interpret laboratory tests and take appropriate action. Refer patients to consultations with specialty clinics. Manage chronic and acute medical problems as pertains to pain related conditions for which patient was referred. Enter orders into VA Electronic Medical records for medications, consults, testing, etc. Timely completion of peer reviews. Timely closure of encounters. Joint/Trigger Point injections. Opiate management. OMT, acupuncture, BFA, chiropractic, healing touch or other alternative pain care as credentialing allows. Maintain a suboxone waiver and prescribe as indicated. Follow Whole Health Principles. Follow safe opiate prescribing guidelines. Service on Opiate Safety (OS) and Pain Committees and interdisciplinary pain review. Initiate and lead high dose opiate patient reviews. Work with academic detailers on pain and opiate related measures. Provide education to other providers as relates to pain, opiates and related topics. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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: Supervisor's Discretion"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.