The VA Texas Valley Coastal Bend Health Care System is seeking a full-time Geriatrics/Primary Care Physician for the Community Base Outpatient Clinic in McAllen, Texas. This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program within VA. If selected, please contact the facility EDRP Coordinator. The Geriatric and Extended Care (GEC) Staff Physician serves within the Geriatrics and Extended Care service line providing high quality patient centered care to Veterans under Geri-PACT clinic in collaboration with the Medical Director and Program Manager. The Physician is responsible for the quality of care provided by the program, the productivity of the program and for the development and implementation of initiatives to meet the Valley Coastal Bend Health Care System (VCBHCS) mission. The physician primarily provides ambulatory care to older Veterans within a VA Outpatient Clinic setting. The Staff Physician will devote 20% of his or her time to administrative duties and 80% to direct patient care. The assigned Outpatient Clinic operates under a Geriatric Patient Aligned Care Team-GERI-PACT Model consisting of one MD, one Nurse Practitioner, one Pharm D, two RNs, one Social Worker, and one Medical Support Clerk. Together with his or her team, the Staff Physician will care for a panel of approximately 600 patients who are at high-risk for repeated hospitalizations and are greater than 65 years old. The Staff Physician will provide comprehensive care, including diagnoses, and treatment of both acute and chronic conditions. Common diagnoses encountered in GERI-PACT include dementia, frailty, cerebrovascular disease, neurological disease, diabetes, hypertension, chronic obstructive pulmonary disease, degenerative arthritis, depression, and congestive heart failure. The Staff Physician will manage patients by completing face to face interdisciplinary team encounters, telemedicine encounters, or telephone encounters. Since VA Valley Coastal Bend Healthcare System is affiliated with teaching institutions, the Staff Physician may choose to teach and supervise house staff one day per week. Lastly, the Staff Physician will serve as a key clinical resource for GERI-PACT and other community care Geriatric Extended Care programs. Core duties include obtaining patient histories, performing physical exams, formulating a working diagnosis and developing/implementing a treatment plan according to clinical guidelines and patient's goals and preferences. Other duties are determining disposition to the emergency department, hospital, Assisted Living Facility, Community Nursing Home, Home Health, Home Based Primary Care, and Hospice Care. Other routine duties are ordering lab tests, x-rays, EKG's and other diagnostic procedures, initiating and expediting requests to medical or surgical specialty consults. Other key duties are providing education and counseling to patient and family in preventive care, medical conditions and proper use of medications. The Staff Physician may collaborate with other providers, and specialists in and outside of the VA system to manage or co-manage patients' health. Select mental health, medical and surgical specialty services are available on-site. Other medical and surgical subspecialties services are available through community contracts. In addition to observance of Federal National and Local regulatory, policy, and accreditation requirements governing this Health Care System, this position encompasses the following examples of responsibilities. Participate in chart reviews, staff meetings, committees, and other process improvement initiatives. Put in practice medical care advances and practice standards. Demonstrate effective communication both down to staff and up to leadership, to include patient outcomes and issue briefs. Adhere to clinic procedures for patient scheduling & access. Respond to critical lab/diagnostic test result notifications in a timely manner. Ensure all encounters are closed the same day the visit was made, and complete documentation requirements in CPRS in a timely manner. Maintain and upkeep credentials required for privileging and re-privileging, and achieve competencies and performance as approved by the professional board. Assure appropriate oversight of delegated care activities of Nurse Practitioner, Pharm D in your team. Provide cross coverage to physicians within the approved and recommended privileges by the Professional Standards Board. Communicate the plan of coverage to the team members when taking leave of absence. Complete training requirements, employee health requirements and Environmental and Occupational requirements. Work Schedule: Monday through Friday (8:00 a.m. through 4:30 p.m.) Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.