Job opening: Physician - Physician Utilization Management Advisor
Salary: $200 000 - 300 000 per year
Published at: Aug 13 2024
Employment Type: Full-time
This position may be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.
Duties
Fayetteville is nestled in the heart of the Ozark Mountains, and is an outdoor paradise with hiking, golf, fishing, rafting, boating, and four distinct seasons. Fayetteville is the home of the University of Arkansas "Razorbacks" which provides the community with a college atmosphere. The area is home to several fortune 500 businesses such as Wal-Mart, Tyson Foods, and J. B. Hunt Trucking, who have been generous benefactors for the community and the arts. In the neighboring community of Bentonville, Crystal Bridges Museum has been labeled as one the top 10 must see places in America. Fayetteville has outstanding public schools, excellent parks and trail system and is ranked as 4th "best college sports town" and 8th for business and careers by Forbes Magazine. Fayetteville is ranked as 7th best city in America to work, live and play by Kiplinger. The cost of living is 90% of the national average with affordable housing available in all price ranges.
VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact
[email protected], the EDRP Coordinator for questions/assistance
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 Physician Utilization Management Advisor (PUMA) to the VHSO Community Care department will demonstrates leadership in delivering quality, cost-effective care through partnerships with VHA and Community Care providers; establishes and consistently works to improve relationships with customers, including Veterans, VA Providers, Community Providers, and third-party administrator for community health care delivery; demonstrates proficiency and understanding of the entire situation/scope as it relates to Community Care Services, strategies, and goal and provides oversight for subordinate Dental Utilization Manager, APRN and Nurse Executive in conjunction with the Chief of Staff (COS) or designee.
Duties include:
Reviews cases in the community that need additional guidance and conduct needs-based reviews and modifications for patient care coordination.
Proactively partners with all staff in developing organizational systems for CITC using lean management principles to measure quality initiatives for facility performance effectiveness.
Responsible for monitoring and advancing patient safety quality standards and utilization management for the CITC Department.
Represents VHSO Community Care on National Committees and serves on other groups in VHSO or VISN as needed.
Ensures provision of comprehensive care for the target population through the utilization of interdisciplinary teams, care management and application of evidence-based clinical practices.
Ensures implementation of annual Integrated community line specific performance measures for Network-level evaluation to aid in the development of efficient and effective delivery of services.
Maintains accountability within the service line by 1) monitoring various metrics specific to the specialty; 2) analyzing and developing actions to improve metrics; and 3) standardizing workload expectations for clinicians/providers.
Coordinates program improvement through (a) Leveraging relationships with facility, VISN and national leadership (b) didactics and other learning modalities; and (c) Site visits.
Plans for future access points, taking into consideration the geographic distribution of the target population and including analysis of disease prevalence.
Implements and oversees Network-wide virtual care strategies.
Establishes an environment that integrates educational and research activities within the service line's primary function.
Develops/implements an Integrated Clinical Community Care department, that guides, supports and evaluates provision of consistent services to patients across all categories of care.
Communicates effectively with staff, patients, and stakeholders within the service area and throughout the VAMC/VISN.
Assumes a leadership role in Strategic Planning and implementation on health concerns related to the Care of Veterans.
Work Schedule: Monday-Friday 8:00am to 4:30pm
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.
Preferred Experience: Community Care experience; experience with creating educational materials; presentation or educating peers and other ancillary staff; utilization management; and data aggregation.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: Light lifting (under 15 pounds); light carrying (under 15 pounds); use of fingers; walking (1 hour); standing (1 hour); ability for rapid mental and muscular coordination simultaneously; hearing (aid may be permitted); and mental/emotional stability
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.
Contacts
- Address Fayetteville AR VA Medical Center
1100 North College Avenue
Fayetteville, AR 72703
US
- Name: Alisha Crane
- Phone: 909-961-4840
- Email: [email protected]
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