Physician - Primary Care

Salem Health Hospitals & Clinics; Fresno (CA); Hybrid; USD 240,000 - 340,000; Full time

Job summary

VA Central California Health Care System seeks an experienced physician to provide primary care services within the PACT model. You will lead a multidisciplinary team, conduct comprehensive patient assessments, and coordinate care across ambulatory and preventive services.

Strong clinical skills, board certification readiness, and a commitment to VA patient care standards are essential. This opening supports clinical leadership and continuous improvement in a high-quality care environment.

Qualifications

• MD or DO with full and unrestricted license in the US.
• Proficiency in English, both spoken and written.
• Board certification or eligibility in primary care specialties.
• Ability to work in a team-based patient care model.

Responsibilities

• Provide direct patient care including history, physicals, and treatment planning.
• Lead and participate in the PACT team within the clinic.
• Oversee PACT compliance with care workflows and MyHealtheVet use.
• Participate in quality improvement and care coordination activities.
• Maintain readiness for Joint Commission accreditation and inspections.

Skills

English proficiency

CPR

ACLS/BLS

Leadership

Team collaboration

Education

MD/DO (US licensure)

Tools

CPRS

Job description

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

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 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


• (NOTE: VA physicians 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 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


• OR (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


• OR (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


• Additionally - surgery residents in gap years may also be appointed as PRPs


• 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


• Proficiency in spoken and written English


• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/


• Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity


• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing


• Transferring patients and objects may be required


• The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures


• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders


• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs


• Must be able to perform CPR per ACLS/BLS protocols.

Duties

• **This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 25th - 2026


• The initial cut-off date for referral of eligible applications will be Monday - May 25th - 2026 with subsequent cut-off dates every 2 weeks


• Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** VA offers a comprehensive total rewards package


• VHA Physician Total Rewards


• Recruitment Incentive (Sign-on Bonus): Authorized Education Debt Reduction Program (Student Loan Repayment): Learn more


• EDRP Authorized: Former EDRP participants ineligible to apply for incentive


• Contact [e-mail] - the EDRP Coordinator for questions/assistance Work Schedule: Monday through Friday - 8:00am - 4:30pm Pay: 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 Provider is an Internal Medicine or Family Medicine trained physician This physician will provide clinical services at the VACCHCS and provide leadership for their PACT


• Provider is expected to document into CPRS in a timely manner - participate in Process Improvement/Quality Assurance projects and participate in usual Medical Staff activity including committee participation Administrative duties are related to clinical activities pertaining to managing a panel of patients' health care - including preventative - ambulatory acute - and chronic disease management


• Provider is expected to maintain Joint Commission readiness


• Our Primary Care Physician (PCP) functions as a team provider in shared workflow with a multidisciplinary Patient-Aligned Care Team (PACT a medical home model) - assigned to provide comprehensive - collaborative same day and continuity care to an assigned panel of Veterans as well as to patients outside of the assigned panel when Veteran care indicates a need for such


• Medical care is delivered in accordance with current clinical practice guidelines with attention to prevention via utilization of evidence-based clinical decision-making tools


• In addition to the provision of high-quality medical care - PACT Physicians demonstrate excellence in customer service via compassionate and informed interpersonal relationships with Veterans - family members and staff


• Major duties include - but are not limited to: Provide direct patient care to include - but are not limited to history and physicals - medication management - evaluation of diagnostic tests and treatment planning - clinical reminder completion as applicable


• Function as a leader in the PACT approach in the delivery of care - which emphasizes a team-based approach to healthcare


• Oversee PACTs compliance to MyHealtheVet


• Proficient in Tele-Health to home visits (VA Video Connect)


• Utilizing all available tools - such as registries - to enable effective and efficient identification and intervention of individual patients and cohorts


• Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel


• Functioning at the full extent of the team member's relevant clinical privileges - credentials - scopes of practice - elements of practice - certification - functional statement - or other VHA or local facility approved documentation of competency


• Participating in team performance improvement and sustainment activities to optimize team efficiency and care delivery to patients


• Implementing primary care operations management processes - as appropriate


• Providing health education and health coaching on wellness - disease prevention - chronic care management - and self-management skills to patients and personal support persons - commensurate with the documented expertise or professional training of the PACT member


• Engaging patients in using health care - encouraging patients to engage personal support persons - receiving input from patients and personal support persons regarding VA care


• Using formal and informal communications that are respectful - effective - timely - and bidirectional with all team members to convey significant - clinically relevant information for the care of the patient


• Other duties as assigned.