Physician (Hospitalist) - Fee Basis

<p>The Hospitalist will facilitate transfers from outside facilities, admit appropriate patients to the hospital, and be available for any acute clinical issues for patients already admitted to Hospital Medicine teams during the tour of duty. This is an intermittent Fee Basis appointment.</p><h3>Major Duties</h3><p>Pay: Limited Service - $1,300 Flat Fee Intermediate Service - $1,510 Flat Fee Complex Service - $1,750 Flat Fee Extended Coverage - $1,850 Flat Fee Administrative Duties: - Leadership responsibilities: Participate in staff meetings, hospital committees, and the peer review process. Demonstrate effective communication to staff and leadership. - Human Resources (HR): Maintain VA training requirements, complete documentation in a timely manner and maintain credentials required for privileging and re-privileging. - Staff Management: Participate in the Focused Professional Performance Evaluation (FPPE)/On going Professional Performance Evaluation (OPPE) process. Adhere to employee health requirements. Participate in the peer review process. - Time/Leave Management: Adhere to tour of duty, log duty hours appropriately and request leave in advance. - Clinical Management including indirect patient care: Manage encounters and consults appropriately, document in a timely and appropriate manner. Oversee relevant performance measures, and participate in quality improvement and process improvement projects. - The physician may be asked in future to round on patients at home, as part of hospital in home program is implemented in the future. Clinical Duties: The Medical Service hospitalist is a hospitalist responsible for providing care to hospitalized adult patients, identifying health problems, and designing diagnostic and therapeutic plans to meet these needs during their tour of duty. Duty hours are subject to change based on the needs of the service and patient care. Specific duties include the following but not limited to: - Assess patients for admission and disposition. - Admit patients to Hospital Medicine teams, either independently or working with house staff providers or mid-level providers . - Staff patients requiring Medicine consultation if urgently needed (for example, to guide surgical treatment.) - Being available to staff procedures done during the tour of duty. - Being available for acute medical issues that arise on any patient admitted to the Hospital Medicine service. - Hospitalists are also responsible for managing codes and are code team leaders during non-administrative hours. - Completing educational evaluations for the night float house staff as required by the Internal Medicine Residency Program, if covering nights. Adherence to VA policies and procedures regarding documentation, patient safety, and utilization. Independently assess patients for admission and disposition when dictated by house staff schedule and regulations. Hospitalists are also responsible for managing non-operative room airway management (NORAM) and are expected to be functioning at least at the level of NORAM level 2. Work Schedule: This position is designated as fee-basis intermittent, meaning work is performed only as needed to support the service during periods of staffing shortages or increased clinical demand. The schedule will not follow a routine or guaranteed number of hours. Instead, the Hospitalist Chief will contact the incumbent directly when coverage is required, which may include short-notice assignments depending on operational needs.</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.<h3>Education</h3>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 an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated. NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.