Primary Care Physician (Internal Medicine)

About the role

Ansible Government Solutions, LLC (Ansible) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) recruiting Primary Care Physicians to provide onsite primary care services to eligible beneficiaries at two VA clinics: Saranac Lake VA Clinic (33 Depot St, Saranac Lake, NY 12983) and Westport VA Clinic (7426 NYS Route #9N, Westport, NY 12993). Full-time and Locum Tenens positions are available with generous compensation packages.

Schedule

• Monday–Friday, 8:00 am–4:30 pm
• No call or holiday coverage required
• Physician may be requested to work up to four (4) Saturdays per year

Position types

• Full-time
• Locum Tenens

Responsibilities

• Provide comprehensive primary care services, including women’s health, to a defined panel of patients
• Work with clinic staff to schedule new and follow-up patients
• Take history, perform physical examinations, order laboratories and diagnostic studies, diagnose and formulate treatment plans for acute and chronic conditions within scope of practice/privileging
• Order and monitor appropriate medications using VA Formulary; query State Prescription Drug Monitoring Programs (PDMPs) before prescribing controlled substances per VHA Directive 1306; obtain IMED consents prior to prescribing or dispensing medications requiring consent, including controlled substances
• Become familiar with VA Formulary and use the computer system for efficient practice
• Provide primary care services supporting a continuum of care from prevention to diagnosis, treatment, appropriate referral, and follow-up for simple to moderately complex workloads manageable in a primary care outpatient environment, including but not limited to care for: hypertension, depression, ischemic heart disease, anxiety, alcohol use disorder, other mental health conditions, hypercholesterolemia, degenerative arthritis, congestive heart failure, respiratory infection, cerebrovascular disease, COPD, peripheral vascular disease, urinary tract infection, diabetes mellitus, common dermatological conditions, acute and chronic pain, acute wound management, gastric disease, skin ulcers (stasis and dermal), anemia, genitourinary issues, stable chronic hepatic insufficiency, constipation, osteoporosis, common otic and optic conditions, basic diagnostic evaluation and tests for infertility, preventive screening and procedures, cervical cancer screening, breast cancer screening, pharmacology in pregnancy and lactation, evaluation and treatment of vaginitis, amenorrhea/menstrual disorders, evaluation of abnormal uterine bleeding, menopause symptom management, diagnosis of pregnancy and initial screening tests, evaluation and management of acute and chronic pelvic pain, recognition and management of postpartum depression and postpartum blues, evaluation and management of breast symptoms (mass, fibrocystic breast disease, mastalgia, nipple discharge, mastitis, galactorrhea, mastodynia), crisis intervention, evaluation of psychosocial well-being and risks including abuse and intimate partner violence screening (physical, emotional, verbal, psychological), preconception counseling and assessment of abnormal cervical pathology
• Refer patients to specialty care services as appropriate, admit to hospital care when indicated, and provide patient education and counseling
• Complete all patient documentation in a timely manner utilizing the CPRS system; Progress Notes entered into the VA EMR same day as visit/encounter meeting CMS guidelines for documentation (History, Exam, Medical Decision Making); Progress Notes include pertinent medical treatment, test results, treatment plan, teaching provided, date of appointment, electronic signature of treating clinician; all notes linked to correct visit/encounter and location; patient problem list present by third clinic visit entered via EMR Problem List tab including all diagnoses, medications, procedures, updated as condition changes; responsible for proper documentation and completion of all clinical reminders during patient visits
• Ensure patient’s care plan contains medical recommendations for clinically indicated care, offer clinically indicated health care services to patients assigned to the PACT, provide or arrange for care to which patients consent, provide leadership to the team including shared delegation of appropriate care and care processes, review available clinical and performance data with the team, focus on continuous improvement of critical team processes, ensure same-day access for face-to-face and telephone care visits during regular clinic hours, collaborate with PACT staff to develop personal health plans incorporating care management and coordination appropriate to patient needs
• Provide consultation with and instruction to referring physicians regarding appropriate indications for procedures for expeditious and clinically appropriate work-up
• Determine appropriate course of treatment and communicate in person or by phone with referring clinicians
• Initiate appropriate social work referrals for all identified homeless patients
• Follow all established medication policies and procedures; no sample medications shall be provided to patients

Qualifications

• Board Certified or Board Eligible in Internal Medicine
• Active, full, and unrestricted license to practice medicine in any U.S. State or Territory
• Active NPI report
• Active DEA license
• Must be able to pass a Federal background investigation
• No sponsorship available

Physical requirements

All candidates must be able to:

• Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
• Lift up to 50 lbs from floor to waist
• Lift up to 20 lbs
• Carry up to 40 lbs a reasonable distance
• Push/pull with 30 lbs of force