ICU fee basis Physician

U.S. Department of Veterans Affairs; Albuquerque (NM); On-site; USD 150,000 - 200,000; Part time

Job summary

The U.S. Department of Veterans Affairs is seeking a Staff Physician to provide care in the Pulmonary service/Critical care. This position is fee-based, requiring the physician to be proficient in all aspects of pulmonary and critical care.

Basic qualifications include a medical degree, relevant residency training, and proficiency in English. The physician will evaluate and treat ICU patients, ensure compliance with healthcare standards, and coordinate care with other healthcare team members.

Qualifications

• Must be a U.S. citizen.
• Current and unrestricted license to practice medicine.
• Completed residency training in an accredited specialty.

Responsibilities

• Evaluate, diagnose, consult, and order appropriate studies for ICU patients.
• Provide expert consultation in the ICU and to other inpatient providers.
• Document clinical notes timely and according to medical standards.

Skills

Proficiency in spoken and written English

Experience in procedures including placement of central lines

Experience in airway management

Interpersonal and communication skills

Education

Degree of doctor of medicine or equivalent

Completion of Critical Care Fellowship

Job description

Summary

The Staff Physician serves as a practicing Pulmonary service/Critical care provider that performs a full range of professional procedures in connection with the treatment of commonly encountered inpatient work load. This Position is a FEE BASIS - salary is paid by CPT codes performed per shift.

Qualifications

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.

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
• 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 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
• Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME) - (2) Those approved by the American Osteopathic Association (AOA) - or (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States) - 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
• 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 or fee-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
• Additionally - surgery residents in gap years may also be appointed as PRPs
• Proficiency in spoken and written English
• Additional Requirement: Completion of Critical Care Fellowship
• Experience in procedures including placement of central lines and airway management
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.
• Physical Requirements: The incumbent must be able to perform all activities of the position without restriction
• This position may involve standing - walking - stooping - bending - reaching - lifting - and turning
• The work may involve going up and down flights of stairs.

Duties

• What is Fee Basis: "Fee basis" in a work context typically means being paid a fixed amount for a specific task or project - rather than an hourly wage or a fixed salary
• This method of payment is often used for certain professional or administrative employees - or for independent contractors
• The fee is agreed upon in advance and covers the entire scope of work - regardless of the time it takes to complete
• FEE BASIS The Physician shall be proficient in all aspects of pulmonary/ critical care including the ability to perform selected specialty services
• He/she is fully mentally and physically capable of performing these essential functions of an ICU without impairment
• Specifically - the provider should possess the procedural expertise and competency to perform the following: The Intensivist/Critical Care Physician is accountable to the Chief of ICU and Chief of Medicine Service - for assuring the most effective delivery of care in Critical Care Medicine while meeting and exceeding compliance standards
• The Intensivist/Critical Care Physician will provide expert consultation and treatment to patients in the Intensive Care Unit (ICU) as well as provide feedback and consultation to other inpatient providers - including ICU APPs and hospitalist
• In this role - the incumbent will also provide feedback and patient education to the patients and their families and will demonstrate excellence in all facets of patient care and meets or exceeds compliance standards
• He or she will perform the following functions: Evaluate - diagnose - consult - and order appropriate diagnostic studies and treatments for all ICU patients assigned under their care
• The incumbent will provide consultative evaluations for other services - including general medical wards - surgical wards - and the emergency department - and perform administrative functions and other tasks as assigned by the Chief of the Medicine Service
• The incumbent is expected to provide patient care that is compassionate - appropriate - and effective for the promotion of health and treatment of critical illnesses
• The ideal candidate should possess strong interpersonal and communication skills that enable them to establish and maintain professional relationships with patients - families - and other members of the health care team
• The incumbent is expected to adhere to stated policies and provide timely documentation of clinical notes (e.g. - H&P - consult review - discharge summaries - medication reconciliation - etc.)
• In addition - the incumbent is expected to coordinate and communicate the treatment plan with hospitalists - primary care providers - nursing - social workers - clerical staff - pharmacy and other subspecialists and ancillary staff
• The ideal candidate will help to ensure that high quality patient care is delivered in a resourceful and efficient manner
• Privileges include being able to admit - work up - diagnose - and provide treatment to patients presenting with critical illnesses requiring intensive care level procedures and interventions
• The physician is responsible to the Chief of ICU and the Chief of Medicine for his/her work
• Administrative direction is provided in terms of broadly defined goals and missions and in conjunction with the Chief of Medicine
• The physician exercises an exceptional degree of latitude in the planning - designing - implementation and accomplishment of program responsibilities
• He/she works within a framework of VA guidelines - directives - and regulations
• Work is reviewed in terms of policy compliance and fulfillment of overall mission and program goals
• Complete all documentation timely and according to accepted medical standards
• Work Schedule: 12 hour shifts Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Per Diem: Authorized Financial Disclosure Report: Not Required Recruitment Incentive (Sign-on Bonus): Not Authorized Contract: No Physician Employment Contract and no significant restriction on moonlighting.