Associate Chief of Staff Primary Care Job in Fargo, ND

Vacancy No. OCA-CBSY-12420754-FY24-JHL Department Veterans Health Administration
Salary $270,000.00 to $400,000.00 Grade 15 to 15
Perm/Temp Permanent FT/PT Full-time
Open Date 5/17/2024 Close Date 6/17/2024
Job Link Apply Online Who may apply Public
Locations:
Fargo, ND


Job Description (Please follow all instructions carefully)

Summary

Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay)


This job is open to

Clarification from the agency

All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.

Duties

Duties of the Associate Chief of Staff for Primary Care:

- Clinical duties assigned that would involve work in the outpatient setting at the Fargo VAHCS Primary Care Clinic or as otherwise specified based on the unique skills of the candidate and needs of the facility. It is anticipated that the position will be approximately 75% administrative and 25% clinical but may vary depending on the needs of the service line.

- Supervise directly, or indirectly, the physicians, physician Associates, nurse practitioners, and other clinical staff as assigned by the Associate Chief of Staff.

- Manages and provides oversight of clinical operations within the clinical services under their responsibility at the Fargo VA Health Care System and affiliated CBOCs. These duties include supervision of physicians, and physician assistants, clinical oversight of nurse practitioners, and other clinical
staff as directed, coordination of work schedules, responsibility for clinical performance measures and other administrative/clinical functions within the department. - Collaborates with other leaders within the service line and facility to ensure optimization of resources in the care delivery model.

- Provides physician/clinical/ administrative leadership and serves as an advisor to the Assistant Chief of Staff of Primary Care.

- Participates in activities/ committees/ boards impacting patient care/access as assigned.

- Manages/approves the leave schedules and respective Time & Leave (T&L) sections to ensure there is adequate coverage for planned leaves and a contingency plan for unexpected absences as well as accurate/timely leave approvals and labor mapping.

- Develops, manages/conducts Pay-for-Performance, OPPE, FPPE, and performance evaluations for those under his/her supervision as appropriate.

- Ensures the staff under his/her supervision maintains required training/competencies in timely manner.

- Supports, and is supported by Fargo VA Health Care System Executive Leadership and ICC Leadership.

- Supports, and is supported by Fargo VA Health Care System Executive Leadership and ICC Leadership.

- Shares budgetary responsibility and authority for funds allocated to the Service Line in the local department budgeting process.

- Ensures services are provided in an efficient, high-quality, cost-effective manner within the budget allocation.

- Works with Executive/ICC, departments leadership, and Human Resources staff to ensure adequate and appropriate staffing for all assigned areas.

- Recruits, hires, evaluates, disciplines, and terminates actions for assigned staff.

- Collaborates with ICC operation team and other staff as appropriate to ensure operations issues/problems are resolved in a logical, fashion with clear resolution, communication, and implementation plans and timelines for decisions made.

- Ensures a forum exists in which staff participate in identifying, communicating, and resolving issues related to local service line operations, overall health care system operations, ancillary and support operations, and VISN-wide mandates.

- Collaborates with the VISN Primary Care and VISN Medical Director to ensure VISN-wide ICC policies, procedures, performance goals, strategic plans and initiatives are communicated to staff and implemented.

- Seeks and enhances opportunities to promote and strengthen VISN 23's goal of creating an integrated delivery system with ICC structure.

- Reviews, interprets, and uses performance reports, benchmark data, budget cost/expenditure documents, staffing, and other reports in decision-making. Understands managed care practices, including health care finance, billing, coding, and documentation. Has knowledge, ability, and willingness to use and promote the wide dissemination among clinical staff of current automated technology for patient data tracking, patient orders, encounters.

- Contributes to the development, maintenance, and enhancement of relations with internal and external entities including but not limited to: County Veterans Service Officers (CVSOs), medical and nursing schools, local public/private health care entities, and other Fargo VAHCS departments including, but not limited to: Information Technology, Laboratory, Pharmacy, Finance, Human Resources, Business Office, Unions, VISN and VHA task forces, decision-making, and policy development bodies.

- Participates in VISN, Fargo VAHCS, and strategic, performance planning.

- Participates in local administrative, management, safety, quality assurance/performance, and other assignments, meetings or committees as assigned.

- Provides direct patient care in outpatient clinics and will participate in the On Call schedule if required and/or extended hours clinics, dependent on qualifications/expertise, and/or the needs of the ICC.

- ACOS, PC's performance reflects and demonstrates support of the Health Care System Director's, and VISN's performance plan, as well as Network and National goals.






Requirements

Conditions of Employment

Duties continued:

The ACOS oversees the professional primary care practice across the Fargo VA Health Care system. The incumbent serves as the ACOS leading, organizing, executing, and monitoring the delivery and coordination of care in the Primary Care ICC and the programs that are under the direct supervision of the ACOS.

The Associate Chief of Staff is the Fargo VA HCS subject matter expert and local authority on matters of primary care and policy and must be involved in decision making on practice and policy throughout the facility. The ACOS is involved in all recruitment and retention of qualified primary care providers across the Fargo HCS.

This position requires professional administrative expertise, mature judgement, and the ability to interact with health care leaders in an effective manner.

The ACOS leads department meetings, assists in metric management, and oversees provider time, access, book ability and utilization. The ACOS primary Care has other duties include, professional practice reviews and research, patient safety, backfill of positions of supervision and other duties as assigned.

Typical work hours are Monday to Friday 0800-1630. Full-time staff are required to work a minimum of 80 hrs. per pay period (every two weeks) unless on leave status.

Program management experience preferred. One year of supervisory experience is preferred.

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications

About Fargo: If you're looking for a variety, North Dakota has it all! The state experiences all four of the breathtaking seasons, has a growing economy, rolling farmlands, and the lowest unemployment rate in the country. The Fargo-Moorhead area is a lively, vibrant community featuring three universities and one technical/community college as well as a thriving arts scene. If you like sports, Fargo is home to the FM Redhawks (Independent Baseball Organization), the Fargo Force (USHL Hockey Team), the Red River Valley Speedway as well as the North Dakota State University Bison. We also are in close proximity to attend the University of North Dakota Fighting Hawks Division I hockey games. There are an assortment of outdoor activities from which to choose - snowmobiling, ice fishing, regular fishing, cross-country skiing, downhill skiing, water skiing, jet skiing, swimming, hunting, tubing, canoeing, hiking, camping, & biking to name a few. For more information about Fargo check us out at http://fargomoorhead.org/ or http://livability.com/fargo/nd/magazine

Experience the VA: The Fargo VA Health Care System is a Level 2 Medical Center and a member of Veterans Integrated Service Network 23. This facility combines a 39 bed medical facility along with a 38 bed Community Living Center providing transitional care, both accredited by the Joint Commission on Accreditation of Healthcare Organizations. Fargo also has a Department of Veterans Affairs Benefits Office on campus, offering veterans the unique opportunity to obtain health care, benefits services, and Readjustment Counseling at one location. Due to the growing veteran population in our service area, ten Community Based Outpatient Clinics have been established. The Fargo Health Care System provides a wide spectrum of primary and tertiary acute and extended care inpatient and outpatient activities in an academic setting. The Fargo Health Care System has an active research program and has a successful affiliation with the University of North Dakota School of Medicine. 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.
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.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment Incentive (Sign-on Bonus): Authorized
Permanent Change of Station (Relocation Assistance): Authorized
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

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.

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.

Education

Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:
  1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
  2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted.
  3. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.]
NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Benefits

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Required Documents

To apply for this position, you must submit a C.V. and/or resume. Other documents may be requested later in the process if needed.

How to Apply

  1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
  2. Click Submit My Answers to submit your application package.
To apply for this position online complete steps 1 and 2 above by 11:59 PM (ET) on 06/17/2024 to receive consideration. Please note, this announcement may close prior to the closing date indicated if the position is filled through other means. If you are unable to apply online before the closing date click here and include the OCA-CBSY-12420754-FY24-JHL in the Notes field.

To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

Agency contact information

JOSHUA LAYFIELD

Address

Fargo VA Medical Center
2101 Elm Street
Fargo, ND 58102
US
Learn more about this agency

Next steps

Once your online application is submitted you will receive a confirmation notification by email. We will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.


Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.