Physician - Geriatrics Home Based Primary Care

Major duties of this position include but are not limited to:

• Assume overall medical responsibility for assigned HBPC patients including input on admission criteria for the HBPC program.
• Provide medical directorship of the HBPC program including ensuring clinical metrics and quality standards are met.
• Work closely with the HBPC Program Director and GEC Leadership team to ensure high quality care of Veterans enrolled in this program are met, including oversight of satellite HBPC sites in Santa Fe, Gallup, and Farmington.
• Adhere to National VHA HBPC Directive to ensure procedures are followed.
• Determine the need for consultation from medical, surgical, or psychiatric or other subspecialty clinics.
• Determine the need for, and facilitate admission to the hospital and other transitions of care.
• Visit the HBPC patients at home for medical evaluation and treatment when clinically indicated. Must also be able to conducts virtual visit using VA approved platforms.
• Provide medical administrative support such as completing physician required orders and forms for the HBPC patients.
• Plan and direct the educational and clinical experience of medical students, residents, and fellows assigned to the HBPC Program, when indicated.
• Assume a leadership role in the development and implementation of HBPC's process for continuous performance improvement.
• Participate in the development of the individual plan of care at interdisciplinary care meetings for primary care provider assigned panel of patients.
• Support the caregiver's capability to continue to provide care.
• Coordinate the process of care with the other team members to maximize efficiency and improve clinical outcomes.
• Assess the patient's continuing need for HBPC care and plan for HBPC discharge when indicated.
• Use VHA and community resources as appropriate.
• Support and work with GEC care teams consisting of staff physicians, residents, nurse practitioners, nurses, clerical staff, and other support staff to provide care that is centered on the needs of the patient and patient's family.
• Participate in lean processes for the improvement of patient care services to meet changing patient care needs and or staffing levels.
• Collaborate in peer review and Quality Improvement initiative when needed.
• Perform chart review, conduct Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE).
• Ensure provider competencies are maintained and appropriately documented with the Medical Staff Office and Human Resources.
• Participate in clinical and administrative committee assignments at the direction of the Chief, Geriatrics and Extended Care, including at least 50% of regularly scheduled Medical Staff meetings.
• Perform other duties as assigned.

• 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.
• Proficiency in spoken and written English.

• Board Eligible or Board Certified in Geriatrics
• 2 years of experience caring for geriatrics patients in an outpatient setting
• Supervisory Experience of providers

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted.
2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.
3. 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.

• 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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• 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.