Physician - Hospitalist

Department of Veterans Affairs

VA Black Hills is seeking a Hospitalist to care for Veterans within the Specialty Care Service Line. The Hospitalist is responsible for the evaluation, management and care for patients in the acute inpatient ward, intensive care unit, emergency department and/or urgent care. As a float position, the incumbent provides coverage across both the Fort Meade and Hot Springs campuses, depending on shift and staffing needs, including travel to Hot Springs to provide urgent care coverage when required.

• 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. Functions or Scope of Assigned Duties: Manages inpatients with general adult medical illnesses, including histories and physical examinations, rounding, progress notes, discharge planning, and timely completion of discharge summaries. Performs inter-professional rounds on assigned medical wards, managing, and participating in the patients' care. Participates in quality management/assurance and chart review activities. Serves on Medical Staff committees. Performs medical consultation and pre-operative risk assessment on inpatient med/surg patients. Provides patient care decisions regarding admissions, discharges, transfers to a higher level of care, and referrals for admission to VA from outside facilities. Performs history and physicals, establish medical diagnoses, order laboratory and radiographic tests, order appropriate consults, and develops assessments and plans for all assigned patients. Provides inpatient coverage of internal medicine patients on the Acute Medical ward and the Intensive Care Unit. Coordinates medical care of patients with the emergency department and other services as indicated. Functions within CPRS (electronic medical record) for order sets, documentation, administrative requirements, cyber security, and privacy rules. Provides teaching medical students, advanced practice nurse practitioner students, and physicians assistants students as assigned. Participates in peer reviews and process improvement activities. Demonstrates a commitment to continuing medical education and ongoing professional development. Demonstrates personal integrity and commitment to professionalism, including maintaining respectful interaction with all coworkers across all disciplines. Evaluates and manages patients during assigned shifts in the Emergency Department and Urgent Care. Admits and manages inpatients with general adult medical illnesses, including H&Ps, rounding, progress notes, discharge planning, and discharge summaries. Works closely with specialists and primary care physicians to ensure that inpatients receive continuous high-quality care. Takes an active role in optimizing the efficiency and effectiveness of the inpatient care process from admission through discharge. Discusses all medical admissions with emergency room, ICU, and clinic physicians to ensure clinical appropriateness of admission to general medical floors. Discusses possible transfer of appropriate Veterans from outlying hospitals/Emergency Departments with external attending providers. Performs other duties as assigned, which may include consultation on patients residing in the CLC and/or inpatient acute psychiatry and the outpatient residential treatment program. Travels between Fort Meade and Hot Springs campuses as needed to provide urgent care coverage. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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 Work Schedule: Every other week Monday - Sunday, 7:00am - 7:00pm or 7:00pm - 7:00am. Additional information may be provided during the interview process.

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