Physician - Supervisory Physical Medicine and Rehabilitation (PM&R)

Department of Veterans Affairs

The Supervisory Physician provides expert, non-surgical evaluation and management of conditions within the PM&R Section at VA PIHCS. The physician leads clinical activities, supports interdisciplinary rehabilitation and pain management services, and ensures high-quality, patient-centered care for Veterans across VAPIHCS facilities.

• VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentives (Sign-on Bonus): Authorized Work Schedule: Monday-Friday; 7:30am - 4:00pm 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 MAJOR DUTIES AND RESPONSIBILITIES: Clinical Duties Perform comprehensive PM&R evaluations encompassing the full scope of physiatry practice, including functional assessments and rehabilitation planning. Diagnose and manage acute and chronic musculoskeletal conditions through non-surgical, evidence-based methods Provide chronic pain assessment and management with emphasis on multimodal, non-opioid-focused approaches and appropriate tapering or cross-titration to partial agonist opioid therapy when indicated Order and interpret diagnostic studies relevant to PM&R and musculoskeletal medicine (e.g., X-ray, MRI, EMG/NCS, ultrasound as privileged). Perform musculoskeletal procedures within approved privileges (e.g., joint injections, soft-tissue injections, trigger point injections; ultrasound-guided procedures if privileged). Perform interventional pain procedures within approved privileges (e.g., epidural steroid injections, medial branch blocks, radiofrequency ablations, nerve blocks, intraarticular joint injections, spinal cord stimulator trials) Coordinate and collaborate with PT, OT, behavioral health, social work, nurse educator, pharmacy, primary care, and other specialties. Attend and lead multidisciplinary team meetings to formulate and implement treatment plans Provide consultation and/or in service training to other clinical staff in facility which will enable them to improve their ability to manage basic musculoskeletal, chronic pain, and conditions within the physiatry scope Provide care via in-person and telehealth modalities as appropriate. Maintain timely, accurate clinical documentation in accordance with VA standards. Complete other clinical duties as assigned by the Associate Chief of Staff (ACOS)/Service Chief PM&R or their designee. Supervisory and Administrative Duties Provide supervision of staff, guidance, and clinical oversight to staff within the PM&R organizational chart Assist with management of clinic operations, scheduling practices, and access to care across all VAPIHCS sites. Participate in monthly PM&R and/or pain committee meetings and assist with performance and process improvement, quality assurance, and compliance activities. Contribute to development or revision of local policies, procedures, and clinical pathways related to rehabilitation and chronic pain care. Participate in team efforts to expand services and meet the requirements set forth by the VHA Directives. Complete other non-clinical duties as assigned by the Associate Chief of Staff (ACOS)/Service Chief PM&R or their designee. SUPERVISORY CONTROLS The physician works under the chain of command of the Associate Chief of Staff (ACOS) PM&R or their designee, with clinical oversight by the Chief of Staff. The physician exercises supervisory responsibility over assigned PM&R providers or staff. Work is evaluated for clinical effectiveness, compliance with policy, quality of care, and contribution to service-level goals. SCOPE OF PRACTICE / PRIVILEGES Clinical practice is limited to privileges approved through the PIHCS credentialing and privileging process. The scope includes: Comprehensive PM&R and musculoskeletal evaluations. Non-surgical management of musculoskeletal and chronic pain conditions. Musculoskeletal and soft-tissue injection procedures as privileged Electrodiagnostic testing or ultrasound-guided procedures if specifically privileged. Fluoroscopic guided interventional pain procedures if specifically privileged Medication management for musculoskeletal and chronic pain conditions consistent with VA standards of practice. Use of telehealth platforms for evaluation and follow-up.

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