CRH Cardiologist position is a VISN based position located in VISN 9, under general supervision of the VISN 9 Specialty Care Service or VISN 9 CRH Director. Serves Veterans Affairs facilities within a Veterans Integrated System Network. Expected to provide inter-professional services to facilities that are underserved due to the inability to match provider supply with demand. Services provided by CRH staff are conducted via multiple modalities, virtual and in-person care. This announcement will be open until filled and will be reviewed routinely when asked to review by the selecting official. Primary duties are to provide Cardiology consultative and continuity care services at underserved or understaffed VISN facilities through a combination of virtual and in-person care. Cardiologists are responsible for providing consultation and continuing care for various forms of cardiovascular disease states, both for diagnosis and treatment in the inpatient and outpatient settings and by telehealth. Incumbent is expected to provide comprehensive patient care in the form of non-invasive, consultative, and inpatient/outpatient cardiology care. Expertise in the interpretation of EKGs, Holter monitors, stress test interpretation, tilt testing, non-invasive ICD stimulation, pacer and ICD evaluation and programming, as appropriate to the telehealth setting, are required. Central venous line insertion and management, intra-arterial line insertion and management, cardioversion, and moderate sedation privileges and fluoroscopy privileges are not required unless the Incumbent provides concurrent in-person care services. The physician is responsible for recognizing patients appropriate for referral or consultation. Clinical activities may include, but are not limited to, clinical assessment and evaluation of Inpatients and Outpatients. Health care management of assigned Veteran patients with acute and chronic illnesses. Ordering and interpreting laboratory and diagnostic studies. Consultation and referrals; Inpatients and Outpatients. Patient follow-up, as appropriate. Health promotion and disease prevention. Patient, family, and staff education and counseling. Outpatient Clinics for general and subspecialty Cardiology Patients. Cardiologists are responsible for the oversight of all aspects of cardiology medical care delivered to patients under their care. They may directly provide or supervise fellows, residents, students and/or mid-level providers in the evaluation and treatment of both inpatients and outpatients. Cardiologists evaluate the patient to assess changes in the physical status during inpatient or outpatient care via in-person exams or telemedicine care. Documentation of every encounter will be entered into the electronic medical record, with the appropriate level of detail, with an assessment and plan for ongoing care. Any notes written by the fellow, resident, student or midlevel provider under Cardiology supervision are reviewed by the staff Cardiologist, with corrections and additions added in an attending note, as appropriate and in a manner. MAJOR DUTIES AND RESPONSIBILITIES Physician is licensed to practice medicine and authorized by credentialing, training, and/or experience to provide Cardiology consultative services to CRH Spoke sites. Physician will provide specialty Cardiology consultation and treatment, seeing patients referred to the CRH in an outpatient telehealth setting and supporting CRH clinicians and clinicians at CRH Spoke sites. The practice emphasizes evidence-based medicine, the use of computerized medical record system and continuous quality improvement based on individualized provider data. The physician may sometimes need to work alone but can request assistance from other medical staff (including other CRH telehealth staff, as well as staff in the Emergency Room or inpatient service at the nearest VA medical center when needed). Special training will be provided to utilize CVT technology. Interpersonal relationships: works effectively with patients, families, co-workers and other health care professionals. At the request of authorized personnel, responds to emergencies or covers other CRH services. Physicians comply with information security policy and procedures and all documentation on coding. Documents medical advice to patients by telephone as appropriate and in accordance with the VASNHCS protocol. Performs necessary administrative duties which include operation of VISTA and the computerized electronic patient record (CPRS), and meets established timelines for completion of documentation and encounter completion. There is minimal administrative work, but the physician will be required to attend staff meetings, team meetings, some committee meetings, and complete some peer review evaluations. Time will be provided outside of assigned shifts to complete this work. The CRH Cardiology Physician may perform other duties as assigned. Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay) Work Schedule: Monday-Friday 8:00am to 4:30Pm Financial Disclosure Report: Not required
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.