The Clinical Managed Care Service Chief position is located at the Northern Arizona VA Health Care System, Clinical Managed Care Service Line in Prescott, Arizona. The primary purpose of the position is to lead and supervise operations & medical providers in Managed Care, provide oversight for medical practice standards and provide backup cross-coverage of other operations, services & sections.

Duties

VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): May be authorized. 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 The Community and Managed Care (CMC) Service Line Chief is responsible for managing, directing and for providing the clinical and administrative oversight and supervision of all staff in the Community and Managed Care Service Line. The CD will function as a leader, supervisor and liaison between the Veteran, NAVAHCS and community medical providers to include hospitals, medical offices and private providers. Major duties include but are not limited to: Completing Medical and Clinical CMC Reviews on Community Care Patients and Specialties. Reviewing and makes final decisions on STAT CMC Consults as needed (will consult the COS as needed and appropriate). Review Urgent Community Care Consults, Provide Clarification of Requested Care and Expedite Processing of Requests. Reviewing and Assist with Resolution of Complex CMC Medical Cases Generated by Congressional Inquiry or Patient Complaint/Appeal Completing CMC Medical Reviews on Secondary Authorization Requests; Verify Proper Justifications, Urgency, Appropriateness and Availability of Care within VA System on all Community Care Consult Referrals. Ensure a robust clinical quality review program (auditing, reporting findings and taking appropriate action. Lead and attend weekly meetings as needed, CMC staff meetings/huddles and VA medical staff meetings and provide updates on Medical CMC issues and Community Care changes. Attending various other community care, VISN or National Level Conference calls pertaining to Mission Act, Consults or other CMC medical issues. Serve as the Point Of Contact (POC) and leader for VA and Community providers regarding Community Care Program. Evaluate, complete and communicate clinical staff proficiencies and midterm performance reviews. Monitor productivity of staff and take appropriate action. Conduct reviews to ensure compliance to Community Care policies, guidelines and regulations. Attending facility level meetings, such as, Medical Executive Board (MEB), Consult Management Steering Committee and Community Care Oversight Council. Work Schedule: Monday - Friday, 8:00am - 4:30pm

Requirements

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. (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 Accreditation Council for Graduate Medical Education (ACGME), b) OR [(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: Preferred Experience: 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: This position requires moderate lifting 15-44 pounds; light carrying under 15 pounds; use of fingers; walking 2 hours; standing 2 hours; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other eye; ability to distinguish basic colors, hearing (aid permitted); mental/emotional stability required; working closely with others; working alone.

Education

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
2. 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.
3. 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.]

Contacts

• Address Bob Stump VA Medical Center 500 Highway 89 North Prescott, AZ 86313 US
• Name: Kyle Parker
• Phone: (480)246-0591
• Email: [email protected]