VISN 4 Centralized Eligibility Team Physician

Veterans Affairs, Veterans Health Administration | Butler, PA

Posted Date 10/17/2019
Description The Caregiver Support Program (CSP) is one of the VHA's most rapidly growing service areas, as a result of infrastructure modernization, programming innovation, and expansion of population-served by the Program of Comprehensive Assistance for Family Caregivers (PCAFC) under MISSION Act. The program goal is to not only support caregivers in their role but to also promote their health and well-being through education, therapeutic engagement, and resource and service linkage.
Duties include, but are not limited to:

Administration/Operations
  • reporting to VISN Chief Medical Officer Service as a core member of a VISN-level Centralized Eligibility Team (CET).
  • adjudicating first-level appeals for alternate VISN CETs and second-level appeals for one of the other three CET Regions.
  • review of Veteran's medical record summary, most recent History & Physical, findings of recent testing at the facility, caregiver assessment and care team input.
  • interpreting trends and patterns; application of regulation, policy, guidelines.
  • maintaining understanding of eligibility associated with VA service connection and conducts review of eligibility documents, as needed, to determine whether service connected condition meets eligibility requirement.
  • utilizing knowledge of PCAFC clinical eligibility to coordinate with other regional CETs the transfer of appeals for inter-VISN evaluation.
  • receiving, reviewing, and dispositions PCAFC initial eligibility decisions; reassessments; and appeal decisions for clinical eligibly determinations.
  • ensuring alignment of local and regional policy under Directive 1152(1) and the Mission Act.
  • completes all reports, data, and maintain logs with outcome of meetings related to the CSP Program.
  • analyzing data obtained in record review for use in determining clinical eligibility for PCAFC.
  • documenting information utilized in clinical eligibility determination and eligibility assessment tools
The position will allow the selectee to perform approximately 25% clinical work in direct patient care.

Work Schedule: Monday through Friday from 8:00 AM - 4:30 PM
Financial Disclosure Report: Not required
Telework: Negotiable after 6 - 12 months.
Virtual: This is NOT a virtual position.To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/29/2019.
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.
  • 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.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office.

Physical Requirements: A pre-placement examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies.

Education and length of practice will be considered through a formal pay-setting process in determining the final compensable salary (Base Pay + Market Pay).

Share this job