Summary The Amarillo VA Health Care System, Amarillo, Texas is seeking a Home Base Primary Care (HBPC Medical Director-Podiatrist) within the Geriatric and Extended Care (GEC) Service. The HBPC Medical Director will provide clinical care within the GEC service line (Geri PACT Care Clinic, CLC and Hospital & Palliative Care Clinic, etc.) Responsibilities The HBPC Medical Director is the senior clinician and is responsible for the overall medical care delivered by the HBPC team. He/she works in collaboration with the HBPC Program Director to meet the requirements of the program. The incumbent may have a faculty appointment and be involved in academic activities with affiliated Medical Schools, residency and fellowship programs. The incumbent provides patient care directly and through the supervision of licensed independent practitioners (LIPs), residents, fellows and medical students in the home setting and in other departments within the GEC Service line. In addition to their role as clinician, the HBPC Medical Director will have administrative responsibilities for leadership and direction of HBPC development and programs, as well as effective interface with the HBPC staff. The HBPC Medical Director will participate fully in all accreditation processes, reviews, and site visits. The incumbent will provide direct patient care which includes assessments, diagnosis, treatment, and outcome measures of healthcare problems. This includes the following: initiating and adjusting therapeutic regimens, performing histories and physicals, ordering diagnostic and therapeutic tests/studies, initiating consults and referrals, and prescribing medications/supplies in accordance with VA policy, VA formulary, Federal & state regulations, and scope of practice. Collaborate with in house specialty clinics as well as community providers. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. Administrative Responsibilities: The HBPC Medical Director is responsible for: 1. Collaborating with HBPC Program Director. Provide leadership to the HBPC Program Determine appropriateness and eligibility for veterans referred to HBPC program. Plan and direct the education and clinical experience of medical students, residents and fellows assigned to the HBPC Program. Assume a leadership role in the developed and implementation of the HBSC Performance improvement plan. Advocates for HBPC with VHA leadership and the medical community. Jointly select HBPC Team member. 2. Providing clinical input and oversight for all patient treatment plans: 3. Being readily available to the team members for collaboration when medical or other problems arise. 4. Participating in HBPC team meetings. 5. Keeping the HBPC team apprised of medical care advances and practice standards. 6. Arranging physician coverage and communicating the plan of coverage to the HBPC team. 7. Collaborating with other HBPC Medical Directors, VISN leadership, and VA Central Office staff on program development issue. 8. Work to ensure alignment of the program with VACO, JC, VISN guidelines. 9. Promptly addressing noteworthy findings from internal& external audits, and review JC, LTCI, OIG, OMI, and others. Clinical Responsibilities: The HBPC Medical Director, in collaboration with the HBPC interdisciplinary team, is responsible for: 1. Assuming primary medical responsibility for HBPC patients and the team. 2.. Determining the need for consultation from medical, surgical, and/or psychiatric sub-specialty clinics as well as community care. 3. Determining the need for, and facilitating, admission to the hospital. 4. Visiting the HBPC patients at home. 5. Serving as collaborator for advanced practice nurses and/or physician assistants. 6. The following tools are required by the accrediting agency to verify adherence to accreditation standard in the focus areas listed in paragraph 2 of Appendix D per VHA Directive 1411. Regarding : a. Chart Reviews and Audits b. In-Home Oversight Visits c. Veteran Experience Feedback d. Monitoring Veteran Safety - Sentinel, adverse, and near miss events Providing appropriate education materials, equipment, and training for Veteran 7. Provide clinical care also with other GEC departments (Community Living Center (CLC), Hospice & Palliative, and Outpatient Geriatric, etc.) Other Responsibilites: 1. The clinical and administrative duties listed above are not comprehensive an may include other duties as determined by the program needs and assigned by the GEC Chief. 2. Additional duties may require coverage of clinics, Community Living Center, Hospice & Palliative Care, Contract Nursing Home, etc. as directed by Chief of GEC. Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) VA offers a comprehensive total rewards package. Requirements Conditions of Employment All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. All 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. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Must possess a valid Driver's license. Qualifications 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. Education: Degree of doctor of podiatric medicine, or an equivalent degree resulting from a course of education in podiatric medicine and surgery. 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. Licensure or Registration. Applicants must possess a current, full, and unrestricted license to practice podiatry medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Residency Training. Podiatrists must have completed residency training, or its equivalent, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. VA Podiatrists 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 Council on Podiatric Medical Education, in the list published for the year the residency was completed, or (2) Other residencies and training experiences, or their equivalents, which the local Professional Standards Board determines to have provided an applicant with appropriate professional training Preferred Experience: Board Certified in Geriatrics Fellowship Training in Geriatrics Experience in working with Geriatric Veteran population across various clinical settings, to include clinics, nursing homes, home care, consultative practice. Experience in Hospital Palliative Care. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-4 Podiatrist Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Moderate lifting (15-44 pounds), light carrying (under 15 pounds), straight pulling, pushing, reaching above shoulder, use of fingers, walking, standing, kneeling, repeated bending, ability for rapid mental and muscular coordination simultaneously, near vision correctable (at 13" to 16" to jaeger 1 to 4), far vision correctable ( in one eye to 20/20 and to 20/40 in the other), hearing (aid permitted), emotional and mental stability, and clear speech. Education Applicants must possess a doctor of podiatric medicine degree, or an equivalent degree resulting from a course of education in podiatric medicine and surgery. 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. (1) Approved schools are United States schools of podiatric medicine and surgery, approved by the Council on Podiatric Medical Education of the American Podiatry Medical Association in the year in which the degree was granted. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. 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. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.