Physician - Home-Based Primary Care (HBPC)

Summary This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program approval determines the award amount (up to $200,000) and eligibility period (one to five years) and is determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Qualifications To qualify for this position you must meet the basic requirements and any additional requirements (if applicable) listed in the job announcement. Applicants pending completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physicians in VA who met 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 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 or Board Eligible in Geriatrics and/or Palliative Medicine; Prefer training and or experience in geriatric medicine (any setting) and or palliative care (any setting) and or home health care – home health care and primary care 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 Duties **This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until 08/03/2026. The initial cut‑off date for referral of eligible applications will be 06/15/2026 – 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 Education Debt Reduction Program (Student Loan Repayment): Learn more EDRP Authorized: Former EDRP participants ineligible to apply for incentive Contact – 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 401(k) 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: 7:00 am to 3:30 pm – 7:30 am to 4:00 pm – or 8:00 am to 4:30 pm – Monday through Friday The HBPC physician will be responsible for the overall medical care of patients with conditions requiring treatment in their specialty to include consultative, prescriptive and ordering authority in the outpatient/ambulatory and/or inpatient basic setting at the VA Southern NV Health Care System The incumbent provides patient care directly and/or through the clinical oversight of trainees to include residents, fellows and/or medical students in the home setting In addition to their role as clinician – the HBPC physician will have administrative responsibilities for participation in HBPC development and programs – as well as an effective interface with the HBPC staff The HBPC Physician will participate fully in all accreditation processes – reviews and site visits This position encompasses the duties of clinical – administrative – teaching – research and other duties as assigned within the Geriatrics and Extended Care service line which includes a Home‑Based Primary Care – Geriatric Evaluation Clinic – and Hospice and Palliative Care The major duties and responsibilities include – but are not limited to: Participate fully in all accreditation processes – reviews and site visits Drives to patients' homes Position requires driving up to 25% of the time Provides direct patient care in patients' homes which includes assessments – diagnosis – treatment and outcome measures of healthcare problems This includes the following: initiating and adjusting therapeutic regimens – performing histories and physicals – ordering diagnostic and therapeutic tests/studies – initiating consults and referrals – and prescribing medications/supplies in accordance with VA policy – VA formulary – Federal & state regulations and scope of practice Collaborates with in‑house specialty clinics as well as community providers Executes position responsibilities that demonstrate leadership – experience – and creative approaches to management of complex patient care and clinical program management Facilitates academic activities to teach (didactics) and provide oversight for trainees including geriatric fellows – palliative medicine fellows – medical residents and trainees in other health‑related disciplines Provides clinical input and oversight for treatment plans Is readily available to the team members for collaboration when medical or other problems arise Participates in and leads weekly HBPC team meetings Keeps the HBPC team apprised of medical care advances and practice standards May perform other duties as required/assigned Must have a valid driver’s license #J-18808-Ljbffr U.S. Department of Veterans Affairs