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Physician (ACOS) Ambulatory Care

Company: Department of Veterans Affairs
Location: Temple
Posted on: June 8, 2021

Job Description:

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The Associate Chief of Staff (ACOS), Ambulatory Care- North Central Texas Veterans Health Care System falls under the Chief of Staff.


This is an open continuous announcement. Applications will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. Applications will remain on file until June 30, 2021.

Learn more about this agency


Responsibilities: The ACOS, Ambulatory Care North is responsible for leadership and oversight of the day to day operations of Primary Care and other programs as deemed appropriate. The incumbent has responsibility for Primary Care at the following sites: Temple, Waco, Palestine, and Brownwood This position is supervisory. Provides clinical practice leadership in implementation of VA policies and procedures in Primary Care. Applies PACT principles to attain PACT performance measure goals to provide timely access and quality to care to Veterans in a patient centered fashion and to attain high patient satisfaction ratings (Performance Measures / SAIL/Encounters/unsigned/un-cosigned notes). Works collaboratively with other services supporting Patient Aligned Care Teams to include Nursing, Social Work, Mental Health, Pharmacy, and Dieticians. Bring leadership experience in building new clinic and procedure spaces and enhancing tele health. Establish a culture of quality and safety with these areas and ensure that quality, safety, timeliness, and appropriateness of care are continually monitored and evaluated in conjunction with facility strategic goals. Promote innovation, inspire organizational excellence, and engage the workforce. Priority initiatives include expansion of video encounters and creation of innovative strategies to meet the prevention needs of Veterans during the COVID Pandemic Reviews applications and credentials for membership to the medical staff; interview prospective physicians and mid-level providers; implement and monitor in-house Continuing Professional Education (CPE) training; maintaining the provider specific folders of supervising Physicians and Mid-Levels, and evaluating patient care through an ongoing quality assurance program that identifies problems and their resolution. Monitors the clinical performance of individuals with clinical privileges, drug utilization evaluation, medical records reviews, performance of external services, patient satisfaction, patient complaints (Congressional, STDs, etc). Participates in top level decisions that impact functional areas under his/her oversight through collaborations with Executive leadership. Responsible for consulting with other health care providers to provide training and mentoring and to be directly involved with the evaluation medically complex patient care problems. Participates in the planning, budgeting, and evaluation of the primary care programs. Participates in administrative, management, quality assurance, and other requirements activities, meetings, or committees as necessary or assigned. Provides direct clinical care either in person or by Telehealth. Clinical time 25%. Ensures Productivity. Visit site under supervision at least once every quarter. Leads Committees as determined by Chief of Staff. Works collaboratively with ACOS Ambulatory Care South on performance measures, SAIL, and system development and implementation. In doing so, both will ensure that practices within the System are uniform. Preferred Experience: Board certified Primary Care Physician (Internal Medicine or Family Medicine) with Primary Care leadership experience, and excellent communication skills. Physician Requirements: Leadership/Manager Positions. Physician leadership and manager positions may be Chief of Staff, Directors (i.e., medical center and Veterans Integrated Service Network (VISN)); selected positions in Central Office; Distinguished Physicians; and Service Chiefs or Service Line Managers. Positions are approved for these levels based on the scope and complexity of the assignment and the level of responsibility.

Work Schedule: Monday-Friday, 7:30 am to 4:00 pm or as agreed upon.

NOTE: Candidates must be willing to work weekends, irregular work hours and extended hours. The candidate must be willing to be assigned to other related services and/or locations, if necessary.

This is a Non-Bargaining Unit position.

Position may remain open until filled.

Financial Disclosure Report: Not required

Physician Total Rewards Brochure

Pay: Competitive salary, annual performance bonus, regular salary increases.

Paid Time Off: 26 days paid annual leave (carryover up to 86 days), 13 days paid annual sick leave (unlimited carryover), 10 paid Federal holidays per year.

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 and you can practice anywhere in VHA.

CME: Possible $1,000 per year stipend + possible 1 week paid authorized absence to attend.

Malpractice: Free liability protection with tail coverage provided.

Contract: No Physician Employment Contract and no significant restriction on moonlighting and no restrictive covenants.

Travel Required

Occasional travel - You may be expected to travel for this position.

Supervisory status


Promotion Potential


  • Job family (Series)

0602 Medical Officer

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  • Requirements



Conditions of Employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Designated and/or random drug testing required
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Must be proficient in written and spoken English
  • Selected applicants will be required to complete an online onboarding process
  • Must pass pre-employment physical examination


Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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.
  • Completion of residency training, or its equivalent, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification.
  • Proficiency in spoken and written English.
  • Physical requirements outlined below.

Preferred Experience:

  • Board Certified Primary Care (Internal Medicine or Family Medicine)
  • Primary Care Leadership experience and excellent communication skills
  • Knowledge of regulations and preparation for accreditation surveys, i.e. Joint Commission, OIG, etc.

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: Heavy Lifting (up to 45 lbs); Heavy Carrying (up to 45 lbs); Straight pulling (up to 1 hour); Pulling hand over hand (up to 0.5 hours); Pushing (up to 0.5 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 6 hours); Standing (up to 6 hours); Crawling (up to 1 hour); Kneeling (up to 1 hour); Repeated bending (up to 1 hour); Climbing (up to 1 hour); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Mental and emotional stability.


NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Keywords: Department of Veterans Affairs, Temple , Physician (ACOS) Ambulatory Care, Other , Temple, Texas

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