Physician - Primary Care

Job Title

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Duties include:

• Manage scheduled and unscheduled patients in the outpatient clinic setting.
• Primary providers in the outpatient setting are typically assigned a panel of patients to manage. Panel size currently is determined by utilizing VHA PCMM software. Panel size is determined at the National level, through a complex formula which extracts local information regarding the acuity of assigned patients, available support staff, and the number of exam rooms. Each provider's panel size is specific to their practice and setting.
• Alternative or collateral duties may include management of a subsection of primary care patients, the subsection may be defined either by a disease status (e.g. spinal cord injury patients), or demographic status (women veterans, OIF/OEF veterans, employees etc). Typically, these duties are designated at the time of joining but occasionally during employment, participation in special projects pertinent to assigned section may be necessary as the projects become available through strategic or other initiatives.
• Applying for and keeping inpatient privileges active is optional for primary care providers. When on inpatient duty, primary care provider is expected to participate in discharge planning and other interdisciplinary patient care plan activities. They must participate in sign-in and out rounds daily. During this time information regarding patient status should be discussed with the oncoming physician/MOD and ensure proper hand off at the end of the shift.
• Physicians may be assigned duty as a supervising or collaborating physician for a mid-level provider. Physicians are expected to provide clinical oversight and review. Supervising or collaborating responsibilities and performance will be noted in the physician's performance evaluation.
• Most providers will need to act as surrogates for the patients of their colleagues, when one or more of their colleagues are on leave.
• Each full-time provider is required to work a minimum of 80 hrs per pay period (every two weeks) unless on leave status. Compressed work schedule, four 10 hour work days available.
• All physicians need to follow departmental and VHA policies for leave and attendance and will work within Title 38 appointment guidelines. Currently VHA guidelines do not permit comp time or overtime pay for physicians. However, physicians who are asked to work outside their normal assigned tour of duty may request administrative leave for rest and relaxation. Leaves should be requested in as much advance as possible to minimize patient cancellations.
• Timely documentation is necessary in all areas in accordance with departmental policy. All administrative work should be completed in a timely fashion.
• All physicians will meet the work relative value unit (RVU's) as determined by the national office for primary care providers.
• Provider will be required to be a designated women's provider and complete the mandatory VHA training

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

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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 hour shifts, 8:00am - 4:30pm.