Physician / Nurse Practitioner - Internal Medicine

About the role

The Staff Physician for Internal Medicine serves as a key member of both the Primary Care and Community Care teams at the VA Manchester Healthcare System, providing clinical and administrative expertise.

Responsibilities

• Provides direct primary care to Veterans in outpatient settings at the Manchester VAMC and Community Based Outpatient Clinics (CBOCs)
• Performs patient evaluations and physical exams, orders and interprets diagnostic tests, formulates treatment plans, and provides appropriate medical care
• Maintains timely and accurate documentation in the electronic medical record, completes progress notes and all required forms
• Provides clinical guidance to PAs, NPs, and other clinical staff as requested
• Manages acute and chronic illnesses, preventive screenings, patient education, and transitions of care
• Participates in interdisciplinary teams to optimize patient-centered care, including communication with specialists, social workers, clinical pharmacists, and nurses
• Fosters positive working relationships within Primary Care and with other VA staff, ensuring barriers to Veteran care are minimized
• Engages in continuous professional development, maintains BLS/ACLS certification, and completes all mandatory training on time
• Serves as a preceptor, mentor, or educator for trainees, students, and other staff as assigned
• Participates in staff meetings and serves on committees as requested
• Provides clinical and administrative expertise for the Office of Community Care (OCC)
• Ensures quality care coordination for Veterans receiving services in the community, including timely review and approval of consults, collaboration with community providers, and adherence to VA regulations
• Serves as clinical advisor and resource on policy, procedure, and business matters affecting Community Care operations
• Maintains effective communication and partnerships with community providers, local healthcare organizations, and affiliated networks
• Stays abreast of national and VISN-level regulations and keeps staff informed of changes affecting Community Care
• Collaborates on OCC budget and strategic planning
• Maintains VA core values of integrity, commitment, advocacy, respect, and excellence
• Complies with all Medical Staff Bylaws, Rules and Regulations, and applicable federal, state, and VA policies
• Protects patient privacy, confidentiality, and security of sensitive data
• Participates in education, quality improvement, and compliance activities as needed by either service line
• Responds optimistically and proactively to changing circumstances and priorities

Requirements

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.

Qualifications

• 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
• (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
• (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
• (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
• 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
• Board Certification in ABIM (Internal Medicine) or ABFP (Family Medicine/ Practice) preferred
• BLS/ACLS

Skills

Proficiency in spoken and written English

Benefits

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

Work Schedule: The tours of duty are Monday through Friday with variable hours these details will be discussed during the interview process - especially in relation to any executive orders or short-term assignments.