The Palliative Care Program is one of the many VA NJ programs that is under Geriatric Extended Care (GEC). S/he reports to the Associate Chief of Staff, Extended Care Service or designee. S/he will be part of the Palliative Care Consult Team and will be serving Veterans inpatient East Orange, Home Based Primary Care, Outpatient PACT, CBOC, and subspecialty services. 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: Preferably with Palliative Care Certification 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 visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment ["S/he will provide consultation for hospice and palliative care for Veterans who are under home based primary care, inpatient, outpatient (CBOC, PACT), VA Community Living Center (CLC). These services include but not limited to advanced care planning, symptom management, inpatient HPC services, collaboration and case findings with PACT/CBOC interdisciplinary team and with community hospice partners. S/he will do the consultation face to face, Video VA connect, telephone, and electronic consults. Performs all Palliative care consults to Veterans needing Palliative care in outpatient (CBOC, PACT, HBPC) and inpatient East Orange. Provides coverage in Palliative Care where it is needed. Provides and implements action plans on national performance measures S/he will work closely with teams in PACT, CBOC, HBPC and inpatient EO to deliver Palliative care service S/he will participate in committees such as Mortality and Morbidity, Cancer Committee and share information to Palliative care team S/he will rounds and participate in huddles with PACT and subspecialties, CBOC, HBPC for case findings Collaborating with other services, VISN leadership, and VA Central Office staff on issues of program development and operations. Processing, assigning, and monitoring referrals of Palliative Care to ensure timely access and care coordination. Provides clinical leadership within the Extended Care Service and collaborate with the Supervisors of the service in the identification of focus areas for performance improvement which includes: trends in patient care, cluster activity, and specific areas impacting patient safety. Feedback from customer satisfaction measures and factors contributing to high customer satisfaction. Factors contributing to staff satisfaction and retention. Participates with national Palliative care and VISN 2 conference calls/meetings S/he will complete all consults in outpatient PACT, CBOC, HBPC, and inpatient. The goal is to increase access by targeting Veterans in the outpatient area. The workload also includes educational/informative outreach to PACT/CBOC and HBPC teams in Lyons and East Orange related to VA NJ Palliative Care Program. S/he will work with PACT/CBOC teams and would be the POC and be readily available to provide PACT staff education about palliative care and comfort care. The Physician would also do Resident educational series in East Orange for throughout the services, and will attend monthly resident orientation to keep orienting them to timely referral, timely intervention, and what is an appropriate referral. The Palliative Care Physician will also do case finding by identifying high CAN scores amongst the Veterans under Home Base Primary Care, CBOC, PACT and will include outreach to community groups. The Palliative Care Physician will work closely with and learn from the existing inpatient VANJHCS' palliative care consult team and outpatient palliative care clinic as well as the VA NJHCS Home Based Primary Care (HBPC) that also includes Medical Foster Home and Rural Health. Travel: 50% or more\nWork Schedule: 8AM to 4:30PM Monday thru Friday"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.