Hospitalist Physician BROOKLYN, NY

Job Title:Hospitalist Physician

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:630E-14-VF-1200943

$120,000.00 to $235,000.00 / Per YearTuesday, September 16, 2014 to Thursday, September 25, 20141 vacancy in the following location:
Brooklyn, NY
Salary to be determined by Professional Standard Board of your peers and based on your education and experience

Vacancy Identification Number (VIN): 1200943

Salary: Applicant's education and experience will be reviewed by a Professional Standards Board and Compensation Panel (for physicians and dentists) in determining the grade and salary of the applicant selected.  The recommended salary may be at any point in the range listed for this vacancy.

OUR MISSION: To fulfill President Lincoln’s promise – “To care for him who shall have borne the battle, and for his widow, and his orphan” – by serving and honoring the men and women who are America’s Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

The Department of Veterans Affairs (VA) needs employees who possess the energy, compassion, and commitment to serve those who served our Country. Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of truly special and deserving people - our Veterans. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your Country's service.

If you are transitioning from the military or a Veteran already, we invite you to explore the benefits of continuing your career at the VA. The VA is committed to hiring Veterans. The VA is much more than just another employer. It is an honorable, open and welcoming community of those who care. Gratitude is our motivation and service is our mission.

The VA has adopted Core Values and Characteristics that apply universally across the Department. The five Core Values define “who we are,” our culture, and how we care for Veterans, their families and other beneficiaries. The Values are Integrity, Commitment, Advocacy, Respect and Excellence (“I CARE”).

America's Veterans need you! To find out more, go to http://www.va.gov/jobs/.

US citizenshipEnglish language proficiencyYou may be required to serve a probationary period Random drug testingPhysical standardsSelective Service Registration is required for males born after 12/31/1959

MAJOR DUTIES: The hospitalist shall report to the Chief of the Medical Service, or his/her designee.  The inpatient Medical Service provides comprehensive medical care to veterans of all ages with a wide variety conditions.  The hospital has a broad range of medical and surgical subspecialty consultative services that support the General Internal Medical staff in meeting the complex needs of seriously ill patients.  Under the Academic Affiliation Agreement with SUNY, Downstate, the inpatient units are staffed with trainees in the Internal Medicine Residency Program, and the inpatient units are an important component in meeting the VA’s commitment to education.

The inpatient Medical Service is currently composed of four Teams, and each Team is staffed by a medical Attending, who is an independent licensed practitioner of the NYHHS.  The Attending is the physician of record for patients admitted to that Team.  He/she is responsible for the diagnosis and treatment of all patients admitted to that Team, and is responsible for overseeing the activities of trainees.  The Team trainee staffing is usually one PGY-2 and two PGY-1’s, or two PGY-2’s, but may vary from time to time.

The residency training program falls under the review of the ACGME/RRC and all aspects of a trainee’s work must be in compliance with the RRC regulations.  In addition, the VA has developed rules and regulations defining the requirements for documentation of trainee supervision, and the Medical Service must be in full compliance with those regulations as well.

The hospitalist shall attend on the wards nine months per year, making rounds daily with the house staff on his/her Team Monday’s- Friday’s, and on assigned weekend days.  He/she shall work on a daily basis with the house staff on his Team and direct the diagnostic evaluation and therapeutic interventions for all patients on the Team.  He/she shall be available at all times to assist the house staff, as needed.

•The hospitalist shall enter progress notes when there is a material change in the patient’s condition, or when there is a change in the level of care, such as transfer from the MICU to the floors, or transfer from ALOC to acute care.

•The hospitalist will meet on a weekly basis in a multi-disciplinary team meeting for discharge planning, and participate in the interdisciplinary note, documenting that meeting. • The hospitalist shall conduct teaching and work rounds during which he/she must demonstrate a sound fund of knowledge in the Evidence Based approach to diagnostics and treatment.

•The hospitalist shall work with house staff, social work, rehab and ancillary staff to develop appropriate discharge plans for all patients admitted to his/her Team.

•The hospitalist shall meet with the patient, his/her family or significant other, on an as needed basis to help define the goals of care and to facilitate discharge planning.

•The hospitalist shall strive for reductions in the length of stay and cost for such common conditions as CAP, and CHF.

•The hospitalist shall review discharge summaries and discharge instructions with the house staff to ensure a safe transition from the inpatient service to clinic.

•The hospitalist shall orient and serve as liaison with other Non-Hospitalist Attendings, who are on the wards. The orientation shall include:

1. Participation in weekly interdisciplinary Team rounds

2. Participation in the morning Team huddle, for discharge planning

3.  Performance improvement initiatives on the inpatient service, including initiatives in patient satisfaction, safety, reduction in LOS, and cost containment.

•The hospitalist shall work with the QA department and will perform concurrent review and evaluate the need for continued LOS, for patients on the Medical Service, under the management of other Attendings.

•The hospitalist shall complete VA sponsored training available through the NCPS and develop competency in root cause analysis and HFEMA methodology. The hospitalist shall complete LEAN training and develop, in collaboration with the QA staff, The Patient Safety Officer and Systems Redesign staff, various performance improvement projects to improve the day to day operations and cost efficiency of the inpatient Medical Service.

•The hospitalist shall work with house staff to develop PI projects involving the residency training program, and shall develop a teaching program for residents in” value and quality” healthcare.

The VA is an EOE M/V/F/H

Work schedules may vary depending on the hiring facility.

DESIGNATED DRUG-TESTING POSITION:   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.  Applicants will not be appointed to the position if a verified positive drug test result is received.

BASIC REQUIREMENTS:

U.S. citizenship English language proficiencyPhysical standards - All applicants must meet the physical standards for the position. A physical examination prior to employment may be required.Licensure and Registration – Current, full, and unrestricted license to practice medicine in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the United States or in the District of Columbia. The Physician must maintain a current registration to continue employment with the VAEducational requirements - Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. Approved schools are:Schools of medicine holding regular institutional membership in the Association of American Medical Colleges for the year in which the degree was granted.Schools of osteopathic medicine approved by the American Osteopathic Association for the year in which the degree was granted.Schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth (i.e. Puerto Rico), or in the District of Columbia as qualifying for full or unrestricted licensure.For residents, graduation from an approved medical school as described above is required.First-Year Residency (Internship) - Completed a first-year residency, or its equivalent, approved by the Secretary of Veterans Affairs for the year in which it was competed. For a VA resident, the appropriate Deans Committee and Resident Review Board may recommend appointment on the basis of the candidate's acceptability for residency training. Approved residencies are: Those approved by the Council on Medical Education and Hospitals, American Medical Association, in the list published for the year the residency was completed, OROther residencies or their equivalents which the Professional Standards Board determines to have provided an applicant with appropriate professional training. The Board may determine that the residency requirement has been met if the candidate has completed 1 year of postgraduate education.

The following requirements for this position are as follows:

   · The Hospitalist must be Board Certified or Board Eligible in Internal Medicine.

   ·  He/she must be a licensed independent practitioner of the NYHHS (New York Harbor Healthcare System),  and meet all the mandatory requirements attendant on that appointment, including completion of all mandatory training.

   · He/she must have a keen interest and skill in teaching, and must maintain an average house staff evaluation grade of 8, for overall proficiency as an Attending.  In the event the house staff evaluations of the hospitalist fall below 8 for a six month period, he/she shall meet with the Chief of the Medical Service and develop a corrective action plan.

   · He/she must be willing to take appropriate continuing education as required to maintain skills in systems analysis and redesign and have a strong commitment to performance improvement and safety.

   · Credentialing in bedside procedures is desirable, but not required.

  · The hospitalist must be a member in good standing of the Medical Service of the Brooklyn campus, and perform duties as assigned to him by the Chief of Medicine.  He/she shall attend all scheduled Department meetings, and participate in the PEER review process.

   · Vacation shall be scheduled only during the months not on service.  In the event there is a need for unanticipated absence while on service, the hospitalist must meet with the Chief of the Medical Service as far in advance as possible, to ensure adequate coverage can be arranged for the absence.

References: VA Handbook 5005, Part II, Appendix G2, PHYSICIAN QUALIFICATION STANDARD, dated April 15, 2002.

Applicant's education and experience will be reviewed by a Professional Standards Board and Compensation Panel (for physicians and dentists) in determining the grade and salary of the applicant selected.  The recommended salary may be at any point in the range listed for this vacancy.

PHYSICAL REQUIREMENTS: The Hospitalist should be physically and mentally capable to perform the duties of the position including examinations, formulate the diagnosis and treatment plan and educate residents. Physical activities include sitting, standing (up to 4 hours) walking (up to 2 hours), heavy lifting (45 pounds or over), reaching above the shoulder, and repeated bending. The incumbent should be emotionally and mentally stable; and capable to perform the duties of the position.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social).  Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.  You will receive credit for all qualifying experience, including volunteer experience.  

PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html. All education claimed by applicants will be verified by the appointing agency accordingly. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Veteran's Preference: When applying for Federal jobs, eligible veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of DD-214(s) showing all dates of service as well as character of service (honorable, general, etc.). Additionally, veterans with service-connected disability of 10% or more must also submit a copy of their official statement from the Department of Veterans Affairs, or from a branch of the Armed Forces, certifying their service-connected disability and/or their receipt of compensation for service-connected disability.

Veterans with service-connected disability of less than 10%, nonservice-connected disability, and Purple Heart recipients, as-well-as those claiming derived preference for a spouse, widow or widower, or natural mother, should refer to and submit a completed SF 15, "Application for 10-Point Veteran Preference," and required documentation with your application materials.  If the military member is within 120 days of separation and does not yet have a DD214, the member may instead submit any written document from the armed forces that certifies the service member is expected to be discharged or released from active duty service in the armed forces under honorable conditions not later than 120 days after the date the certification is signed.

For more information on Veterans' Preference, go to http://www.opm.gov/veterans/html/vetsinfo.asp.

Complete application packages will be reviewed to determine if the basic qualifications for this position have been met. A listing of candidates who meet the basic qualification requirements will be forwarded to the hiring facility where the credentialing and privileging screening process is completed.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

This position is in the Excepted Service and does not confer competitive status.

VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

All applicants are encouraged to apply online.

To apply for this position, you must complete the View Occupational Questionnaire and submit the documentation specified in the Required Documents section below.

The complete application package must be submitted by 11:59 PM (EST) on Thursday, September 25, 2014 to receive consideration.

To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.

To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.

Required Documents:
To apply for this position, you must provide a complete Application Package which includes:
1. Completed Online Questionnaire
2. CV or Resume
3. VA Form 10- 2850 - Application For Physicians, Dentist, Podiatrists, and Optometrists (Available at http://www4.va.gov/vaforms/medical/pdf/vha-10-2850-fill.pdf)
4. Proof of current certification, licensure or registration
5. Unofficial transcript(s) (official college transcript(s) will be required before being hired).
6. Optional Form 306 - Declaration for Federal Employment (Available at http://www.opm.gov/forms/pdf_fill/of0306.pdf .
Veterans must submit appropriate documentation as described previously in this vacancy announcement.
If currently employed in the VA system, include a copy of your latest SF-50, Notification of Personnel Action.

Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1200943.

NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible. 

You will receive e-mail notification as to whether or not you were included on the list of referred candidates. If you do not provide an e-mail address, your notification will be sent via US postal service within 2-4 weeks.

Important note: Applicants have the burden of producing all needed information prior to the closing of the announcement Thursday, September 25, 2014. If this requirement is not met and you are not referred to the hiring facility, you may contact the local HR office for Direct Hiring Authority options.

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