Primary Care Physician-Fee Basis

Veterans Health Administration; Town of Florida (NY); On-site; USD 60,000 - 100,000; Full time

Job summary

The Lee County VA Clinic, part of the Veterans Health Administration, Department of Veterans Affairs, is seeking a Fee Basis Physician in Primary Care. The physician will provide comprehensive histories, exams, diagnoses, and treatments for adult and geriatric Veterans, following PACT principles.

Responsibilities include prescriptions, care planning, timely documentation in the EMR, and ad hoc duties as needed. Licensure and VA policy adherence are required.

Qualifications

• MD/DO degree from LCME-accredited or Osteopathic Medicine schools.
• US state or territory medical licensure in good standing.
• For foreign graduates, ECFMG certification verification may be required.

Responsibilities

• Provide comprehensive primary care to assigned or walk-in Veterans per PACT.
• Take histories, perform exams, diagnose, and treat medical conditions.
• Prescribe medications and coordinate care with the care team.
• Document encounters timely and accurately in the EMR per VHA policy.
• Participate in team huddles and care planning; adapt to short-notice duties.
• Initiate referrals to specialty care, social work, mental health as needed.

Education

Doctor of Medicine (MD) or DO

Job description

• Department: Department of Veterans Affairs

Note: The utilization of Fee Basis appointments is centered on the service needs rather than a specified tour of duty. The Lee County VA Clinic is seeking a Fee Basis Physician in Primary Care. The candidate will be responsible for conducting comprehensive patient histories, examinations, diagnoses, and treatments of medical conditions

Key Responsibilities

Duties include but not limited to the following; Because short-notice; ad hoc, fee-basis work is as-needed at times, the ideal physician must be adaptable and ready to perform clinical duties that may arise on short notice. Provide comprehensive primary care to assigned or walk-in Veterans in accordance with PACT principles. Diagnose and treat acute and chronic medical conditions for adult and geriatric patients.

Perform and document histories, physical examinations, and assessments. Order and interpret appropriate laboratory and diagnostic studies. Prescribe medications and treatments as appropriate. Participate in daily team huddles and care planning when present acting as a member of the Patient Aligned Care Team as needed. Communicate effectively with team members about patient status and care plans.

Respond to clinical duties as scheduled or requested, which may include coverage for absences, overflow, or urgent/emergent needs. Provide timely assessment and intervention for urgent walk-in or telehealth patients during scheduled shifts. Completes encounters and responds to view alerts in a timely manner, ensuring accurate and prompt documentation in the electronic medical record in accordance to VHA policy.

Complete all required clinical and administrative documentation in accordance with VHA policy. Initiate necessary referrals to specialty care, social work, mental health, in-network, or community resources as needed. Ensure test results and consults are addressed and communicated to patients in a timely manner based on clinical indication and VHA policy.

Adhere to VA, federal, and state regulations and policies, including those regarding privacy, infection control, and mandatory reporting. Maintain current licensure and complete required training (e.g., BLS/ACLS, TMS modules). Educate patients and family members regarding disease processes, medications, and health maintenance as needed. Other Duties as Assigned. Pay: Based on approved pay rates per task or service.

Fee basis annual salary limitation is $100,000 in a calendar year. Licensure: 1 full and unrestricted license from any US State or territory. Malpractice: Free liability protection with tail coverage provided. Contract: No Physician Employment Contract and no significant restriction on moonlighting. Work Schedule: There is no set work schedule. Services are rendered as needed and agreed with the facility.

Requirements & Education

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 an institution whose accreditation was in place for the year in which the course of study was completed.

Approved schools are: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted.

For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant.

[If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C.

7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $40 – $186.

What security clearance is required?

This position requires a Other security clearance.

What is the application deadline?

Applications close on 2026-12-31.

Who is eligible to apply?

This position is open under the 'Fed Competitive' hiring path.

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Source: USAJOBS.gov — U.S. Federal Government