Temporary-Physician (Tele-Palliative Care Hub)
Veterans Affairs, Veterans Health Administration
This is a Telehealth position that belongs to the Veteran Integrated Service Network (VISN) 4 Tele-Palliative Care based at the VA Pittsburgh Healthcare System. This Palliative Care Physician will be teleworking to provide out-patient tele-palliative care to patients referred from one of the Veteran Integrated Service Network (VISN 4) (receiving sites).The incumbent will be assigned to the Medical Specialty Service Line and will be physically located in Pittsburgh, PA as part of the newly establish VISN 4 Palliative Care Tele hub. The incumbent will be directly accountable to the section Chief of Hospice Palliative Care in the Medical Specialty Service Line
The Physician's primary responsibility is to provide palliative care services for VISN 4 patient referrals. The Physician will perform clinical care according to performance measure guidelines and procedures and dictate/type notes according to policy/procedure. The Physician (Tele-Palliative Care) reports directly to the Chief of Palliative Care.
Duties include but are not limited to:
-Serve as a model in setting standards for new modalities of palliative, patient-centered care
-Assist in building capacity for VISN 4 outpatient palliative Telehealth
-Provides comprehensive virtual care for our seriously ill veteran population providing symptom management and improved quality of life focusing on needs that are medical, psychosocial, and spiritual. -Develops relationship with nurses, social workers, site leads to increase palliative care referrals and coordinate care in non-face to face settings
-Provide pain and symptom assessment and management, assist with diagnosis, treatment and management of acute and chronic health conditions as they relate to palliative care practice
-Provides education and counseling to patient and family to incorporate discussions for advanced care planning and earlier Goals of Care (GOCC's) conversations.
-Collaborates with primary care, subspecialties (Cardiology, Pulmonary, Renal etc.) and in-patient providers to collaborative medical treatment, consultation, and diagnosis.
-Supports palliative leadership in identifying and addressing ethical issues that impact clients and staff, including life sustaining treatment decisions (LSTDI)-Develops/implements a treatment plan to determine appropriate disposition to Nursing Home Care, Assisted Living, Community Nursing Home, and/or Home Care which may include hospice or palliative care-Exercises flexibility to serve walk-ins from a receiving site
-Participates in educational opportunities and interdisciplinary process improvement projects to advance understanding of palliative care and improve organizational performance
-Authorized to write both inpatient and outpatient medical orders, treatments and medications.-Coverage of extended hours of clinic coverage in the evenings and on weekends will be required on an intermittent basis.-Provides supervision/collaboration to mid-level provider as assigned/requests
-Participates in Peer reviews, chart reviews, hospital/clinic committees and Process improvement initiatives as assigned
.-Utilizes proficient data-entry (typing) skills-Participates in the development of clinical policies and procedures
-Assists in preparing palliative care reports for Facility, VISN, and Leadership
May be required to provide additional coverage of the inpatient/outpatient consult service
Monday through Friday, 8:00 a.m. to 4:30 p.m
Financial Disclosure Report:
Not requiredTo qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/09/2019.
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.
Completion of 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.
Proficiency in spoken and written English.
Physical requirements outlined below.
The candidate will be board-certified or board-eligible in Hospice / Palliative Care. Highly skilled in the management of patients with multiple co-morbidities.
The individual must qualify to perform duties as a physician, have completed an accredited residency and/or possess experience which has qualified the individual to perform general duties and some specialized functions and procedures without supervision. Staff physicians may also include attending's who train physician residents assigned in facilities with residency training programs, and consultants who are capable of giving authoritative views and opinions on subjects in their field of medicine.
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office.
Heavy lifting (45 lbs and over); reaching above shoulder; use of fingers; walking (3 hours per day); standing (6 hours per day); kneeling (2 hours per day); both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; hearing (aid permitted).
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