The ACOS-SC must be skillful in interpersonal relationships often dealing with employees, managers, and other Service Line Directors using advanced consultation and problem-solving skills. The director has skills in persuasion, negotiation, and motivation to negotiate multiple program policies within the service line and the facility. They must coordinate the efforts of multiple program elements across a complex system. Serves on medical center committees, such as Health Care Delivery Council. 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. 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. Preferred Experience: Board-eligible/certified in Primary Care (or a medicine specialty) and Previous leadership / supervisory experience preferred. Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. Placement in this position is subject to meeting the physical requirements. A satisfactory physical examination as determined by the Employee Health Unit upon appointment only. See VA Directive and Handbook 5019. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. The ACOS-SC demonstrates skill in managing and directing the work of large, complex organizational units and in applying effective management practices. He/she has experience and knowledge in the specialty care integrated community care teams. Director has the ability to balance responsibilities in a complex environment, work with great autonomy, set priorities, delegate tasks, meet multiple deadlines, analyze complex organizational problems, and develop and implement effective solutions for those problems. Has the responsibility for developing, implementing, maintaining short- and long-term plans for the Specialty Care ICC (working closely with the ACOS-SC), consistent with the facility strategic plan. The ACOS-SC reviews requests for initial and renewal of credentials and clinical privileges, making recommendations regarding appointment and privileging action. Annually reviews all clinical privilege forms to ensure they correctly and adequately reflect the services being provided at the facility. Maintains performance data on providers including workload, clinical outcomes, appropriate and timely documentation, and maintenance of certification using this when recommending privileges for Professional Practice Evaluations (FPPE/OPPE). Reviews, interprets, and effectively utilizes performance reports, benchmark data, budget expenditure documents, staffing and other reports in decision making. Has basic understanding of health care finance, billing, utilization management, coding and documentation and ensures compliance with facility standards. Spends a portion of time in clinical practice, providing clinical leadership and problem solving for complex cases and ethical dilemmas. Works closely with affiliated school of medicine and residency program to ensure a successful residency program. Responsible for the management of human resources within the service line including hiring and disciplinary action, Labor/Management relations, performance appraisals, and professional boarding procedures for various disciplines. He/she actively embraces the tenets of Equal Employee Opportunity (EEO). The Specialty Care Medical Director has oversight of the following services: Acute Inpatient Medical services, Cardiology, Pulmonology, Hematology/Oncology, Dermatology, Nephrology, Infectious Diseases, Gastroenterology, Neurology, and administrative support staff for Primary and Specialty Care. The incumbent supervises physician supervisors within Specialty Care ICC. Additionally, all administrative staff in Primary Care/Specialty Care report to the Administrative Officer for Primary and Specialty Care. The ACOS for Specialty Care directly supervises the AO for both ICC's. Direct administrative and professional supervision of staff with; administrative and professional supervision/accountability for approximately 110 Specialty Care staff positions. Regular staff meetings of administrative and educational nature are conducted by incumbent and scheduled to meet the goals of the institution and needs of the staff. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Eligible Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of annual paid time offer 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 Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Monday- Friday"]

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