Psychiatrist (Behavioral Health Integration Program)
Veterans Affairs, Veterans Health Administration
Application
Details
Posted: 04-Nov-23
Location: Honolulu, Hawaii, Hawaii
Salary: Open
Internal Number: 720007000
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. 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: Experience of at least one year in substance use disorder treatment. 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: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. ["**This is an OPEN CONTINOUS ANNOUNCMENT and will remain open until September 29, 2023. The initial cut-off date for referral of eligible applications will be April 28, 2023, with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment or Relocation Incentive (Sign-on Bonus): Authorized for highly qualified candidate. Education Debt Reduction Program (Student Loan Repayment): Position Eligible Learn more. EDRP Authorized: Contact Susan.Bringel@va.gov, the EDRP Coordinator for questions/assistance 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 Duties include but not limited to: Incumbent will provide general psychiatrist services as part of an interdisciplinary mental health team, participates in team meetings, committees, and other assigned duties as a member of the VAPIHCS medical staff. Duties including providing a full range of psychiatric care, including psychotherapy and psychopharmacotherapy, for Veteran patients consistent with clinical privileges in psychiatry using various modalities (Face-to-Face; Telehealth; Phone) as required for the program. Initiates and manages medication assisted treatment (MAT) for substance use disorders (SUDs) for patients whose care can be managed in BHIP. In general, these are individuals with lower severity of illness who do not require the intensive outpatient subspecialty support typically available in higher levels of care OR those who are considered to be in extended remission from substance abuse but require ongoing monitoring. MAT interventions commonly include buprenorphine, acamprosate, naltrexone, disulfiram and other less specific medications often used for SUDs. Provides diagnostic evaluation in complex cases that may involve SUD, co-occurring SUD and other mental disorders, distinguishing substance-induced vs primary mental disorder. Performs inductions onto suboxone for Veterans with a diagnosis of Opioid Use Disorder, severe and provides for time unlimited services for those Veterans being treated with Suboxone Documents care in the electronic health record, including regularly updated documentation of treatment plans, and participates in quality improvement activities and peer chart reviews. Performs on call duties, maintains availability for consultation as needed by BHIP and Behavioral Health staff. Provides Prescribing Staff on Duty (PSOD) calendar coverage rotation approximately once per week. Assists in coordination with in-patient treatments and hospitalization processes, manages psychiatric emergencies in the clinic including conducting comprehensive suicide risk assessments and developing safety plans. Provides education and information to veterans engaged in treatment and any relevant family members or care partners. Utilizes a recovery-oriented focus to treatment and care of veterans to help veterans develop the highest level of independence and self-direction. Maintain privileges with Tripler Army Medical Center (TAMC) to enable care of Tricare beneficiaries. Participate in the call pool as an Attending Psychiatrist. Typically ~5 weekends/weeks per year, depending on the size of the on-call pool. Flexible mindset- willing to cover inpatient psychiatry, day hospital, and substance abuse clinic on an ad hoc basis. When there is shortage of staffing, willing to help cross-cover other areas within ambulatory care program mental health as work week allows and as requested by supervisor. Provide training and supervision to psychiatry residents rotating in BHIP Program. - Possibly lead evidence-based groups each week. - Participate in a Performance Improvement Project (PIP) Work Schedule: Monday - Friday, 7:30am - 4:00pm"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.