Fee Basis Physician (Primary Care)

Summary

Miami VA Healthcare System Medical Center is currently seeking a Fee Basis Physician (Primary Care). The incumbent will be responsible for maintaining and improving systems of health care by participating in programs - following policies - improving utilization of resources and suggesting process changes for clinical programs in the Primary Care Section. NOTE: The utilization of the Fee Basis appointments are focused on the service needs rather than on a specified tour of duty.

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 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
• Board Certified in Internal Medicine
• Proficiency in spoken and written English
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019
• This examination is administered by VA Occupational Health
• This position requires moderate lifting up to 44 lbs. - carrying objects up to 15 lbs. - frequent reaching above shoulder - use of fingers - hands and legs - use of cranes and motor vehicles - walking & standing up to 8 hours - bending and climbing and able to hear whisper
• The incumbent must be physically - emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Duties include but not limited to the following
• Assumes responsibility for assignment of the examinations to various providers - coordinating all diagnostic testing in preparation for evaluation
• Promotes an atmosphere of efficiency and accuracy in the timeliness of submission of completed documents
• Assumes care for acutely ill patients who need stabilization and referral to the next level of care either in the community or to The Bruce Carter VA in Miami - FL
• Develops guidelines for training new providers who will be contracted into the program
• Assists in problem resolution of complex cases and communicates with the ACOS/Ambulatory Care on final decisions
• Responsible for maintaining accurate data capture in VISN-wide reports
• Collaborates with mid-level providers Provides other medical healthcare service as needed
• Provides all documentation in the electronic medical record (CPRS) Computerized patient record system
• Supports the general mission of the Medical Center that does not involve PACT panel coverage - i.e
• support Mass Casualty Drills - provide support after disasters - etc
• A Primary workstation will be assigned within the Miami VA Healthcare system
• Travel time to reach a care site other than the PRIMARY CARE PROVIDER primary workstation will be accounted for by adjusting the PRIMARY CARE PROVIDER clinic schedule** Managing is defined as: Performing all the duties expected of a full time PACT provider - including patients visits - view alerts - secure Messaging - PACT phone calls - collaboration - case management - paperwork - etc
• Schedule is primarily: 8:00-4:30pm with occasional weekend work if necessary and on a as needed basis
• This schedule is subject to change based on Managerial discretion
• Responsible for the clinical performance measures on quality and access Adheres to the service agreements between primary care and specialty care Is aware and accountable to the fiscal measures and utilization review Pay: Based on approved pay rates per task or service
• Fee basis annual salary limitation is $300 -000 in a calendar year
• Licensure: 1 full and unrestricted license from any US State or territory Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: There is no set work schedule
• Services are rendered as needed and agreed with the facility.