Physician (Associate Chief of Staff of Community Care)
What you'd do
The VA San Diego Healthcare System (VASDHS) in beautiful San Diego, California, is looking to hire an Associate Chief of Staff (ACOS) for Community Care. The ACOS of Community Care is a senior leadership position within the Health Care System, responsible for overseeing the planning, coordination, and provision of community-based healthcare services for Veterans. This position is in the Office of Community Care at the VA San Diego Healthcare System and supports the Community Care Program.
Major duties
The incumbent is responsible for assisting with authorization & clinical care coordination of care that is being referred to the community. Position provides executive leadership & direct supervision for the Community Care Service & is the clinical and administrative coordinator for all aspects of Community Care, internal/external, including policies, practice, budgetary oversight, and administrative oversight of compliance with VHA Directives. Incumbent provides oversight for the Service to include: Administrative Supervisors, Program Support Analyst, Budget Analysts, Contract Nursing Home Coordinator, State Veterans Home Liaison, Administrative Assistant, Administrative staff for review of eligibility, authorizations & scheduling, Registered Nurses & Licensed Practical Nurses for care coordination and if applicable, all processes related to review & approval of Community Care consult requests (for justification/medical necessity), and/or denial of Community Care consults, unauthorized/Mill Bill and traditional VA Community Care claims based on eligibility criteria. The Chief, CCS, is a senior leadership position directly aligned under the Chief of Staff. This individual assumes direct responsibility & authority for the administrative & clinical operations, as well as personnel, within the Community Care Service. This individual executes leadership that is characterized by substantial & continuous responsibility & accountability for population groups or integrated programs within Community Care & coordinates areas that cross service &/or discipline lines, influences the organizational mission & facilitates care coordination with both internal/external providers & demonstrates nursing leadership, clinical expertise & responsibility for outcomes. Physician assigned to VA Community Care will meet basic requirements & hold a degree satisfactory to the Chief, meet the physical standards as described by the Chief, and be licensed to practice without restrictions in a state or territory of the United States. All Physicians will meet the qualifications as stated below. Each Physician will establish & maintain professional relationships within VA Community Care & with other services & staff which result in improved patient care. Duties include, but are not limited to the following: Serves in management of all Community Care consults & requests for additional services as directed. Demonstrates sound decision-making skills, both clinical & administrative, which bring credit to the profession & serve to enhance the distinctive & contributory role of physicians. Participates in multidisciplinary activities involving the treatment plan & discharge plans of patients admitted to the bed services as assigned. Utilizes problem-solving methodologies to resolve problems that impact patient care. Ability to review patients both clinically & administratively to determine eligibility for Community Care services. Provides guidance to all staff assigned to the Office of Community Care. Assists in the training of staff & other stakeholders in the use of Community Care. Assists in the coordination of care with outside providers using knowledge of the resources & specialty care available in the VA. Facilitates ongoing communication between Community Care staff & leadership to evaluate data & review workload demands. Fosters a team-oriented environment among staff to work collaboratively with administrative staff & other clinical staff within the Office of Community Care, building trust relationships. Participates in & attends medical center committees as assigned. Revises work schedule & assignments on short notice to meet frequent, abrupt, & unpredictable changes in prescribed workload & deadlines. Additional duties as assigned. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentives (Sign-on Bonus): May be authorized for highly qualified candidates. Permanent Change of Station (Relocation Assistance): Authorized, excluding Appraised Value Offer. Appraised Value Offer (AVO): Not authorized 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, 8:00 am - 4:30 pm
What you need to qualify
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. Preferred Experience: Board certified/eligible physician with demonstrated leadership experience as a Section or Service Chief or similar experience. Substantial experience leading a large interdisciplinary group or groups. Knowledge of Community Care or similar purchased care programs. Experience working in a VA 1A complexity facility or similar academic health center. Substantial experience ensuring adherence to performance measures and compliance with internal and external standards. Experience working collaboratively throughout all levels of a healthcare organization. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position may include a level of physicality normally associated with duties performed by physicians such as direct patient care, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling. Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols
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