Physician - Associate Chief of Staff - Clinical Care Coordination - Mather - Detail NTE

The VA Northern California Health Care System (VANCHCS) is seeking Associate Chief of Staff, Clinical Care Coordination, to join the Chief of Staff and the Executive Leadership Team in fulfilling its mission as a leader in Veteran's health care.

Open to Facility Employees (612) & VISN 21 Title 38 Excepted Service permanent employees only!!

This detail will be up to 120 days and may be extended or until a selected candidate is on site.
VANCHCS is seeking an individual to serve in a detail capacity for 120 days, or until a selected candidate for the position is filled. This detail is on-site.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment Incentive (Sign-on Bonus): Not Authorized
Work Schedule: Full-Time; Monday to Friday; 8:00am to 4:30pm
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

The VA Northern California HCS includes Sacramento VA Medical Center - an 86-bed inpatient facility with four Operating Rooms and Emergency Services; Martinez VA Outpatient Clinic which includes an Ambulatory Surgical Unit and a 120-bed community living center (CLC); and 13 Community Based Outpatient Clinics (CBOCS) throughout the Northern California region serving over 100,000 Veterans.

Duties and Responsibilities:

1. Consolidate Transition of Care infrastructure, with formal role assignments, governance, and coverage:

• Create SOPs, policies and procedures and consolidate the teamwork layout.
• Set up a reporting mechanism and support in decision making.
• Enhance leadership availability to the ground force so they have guidance and backup.
• Review process for market share and distribution of VA resources.
• Revisit showcasing VA options and identify areas of enhancing service within.

1. SOPs and other policy creation and structuring of the Repatriation and transfer of veterans:

• Have standard policy and process outline.
• Formalize a Mission statement and Aims and Objectives.
• Create process / formalize and revise ( if necessary ) MOU with all private sector CC partners.
• Consolidate the existing teamwork of support and work force.
• Create an evaluation process for veteran satisfaction.

1. Rehabilitation Care continuation for substance dependance veterans:

• Explore needs and options available and process / framework for these services.
• Explore possibility of a domiciliary type of framework
• Partner with other organized domiciliary setups for virtual learning.

1. Coordination with Research and PM&R for Pain Clinic / Rehab program :

• Pain Clinic / university setup to reduce opioid crisis and provider burn out for such services by creating a multidisciplinary PAIN Mitigation team.
• Use research potential for enhancing Whole Health coaching for better clinical coordination that can also be utilized for TOC/repatriation.
• Create framework for provider and veteran education for pain management.

1. Create coalition with PC leadership with PACT steering committee for care coordination with PC, TOC, CC , ER and In-patient services:

• Official MOU with all relevant partners for enhancing care coordination to improve veteran care.
• Reduce CC reliance and referral.
• Streamline admission, transfer and create a network of team that coordinates all stages of care from out-patient to admission, ancillary care usage and marketability of VA services at various Locations.

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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: Applicants must meet physical standards for the position. 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.

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:

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.

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.