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. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

This is an Open Continuous Announcement & will remain open untilJune 12, 2026, or until all positions are filled. The first cut-off date is January 30, 2026. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.

Applicants will remain active for 3 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period.
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The Chief Medical Officer (CMO) is responsible for the direct management and oversite of clinical and administrative operations within the Kerrville Medical Center, located in Kerrville, TX. This medical center provides primary care and specialty health services, including mental health care, geriatric evaluation, foot care, dental services, kidney care and dialysis, urology, palliative care and hospice, laboratory services. The CMO reports directly to the Chief of Staff. The role includes the monitoring, review and assignment of healthcare providers' workload, clinical effectiveness and efficiency and responsibility for clinical performance measures. He/She works closely with other clinical leaders within the organization to ensure optimization of resources, and delivery of effective and efficient patient care. Additionally, his/her participation in administrative, management, quality assurance, and other activities, meetings, or committees as necessary or assigned. This position requires a minimum of 10% direct patient care which may vary depending on the needs of the organization.

Duties and responsibilities include, but are not limited to:

• Assures that each patient presenting for care at the clinic receives quality care within the limits and resources of the clinic, obtaining referral to other VA facility or VA community care if resources are not available.
• Participates in direct patient care and serves as a role model for peers.
• Ensures that staffing space equipment and materials and systems and support services are utilized appropriately to meet the needs of patient served.
• Ensures that patients receive care in a safe and therapeutic environment.
• Ensures that the care of each patient in the clinic is the responsibility of a qualified and appropriately privileged staff clinician.
• Works cooperatively with other service lines to coordinate care and transfer of care to other facilities when needed.
• Responsible for enforcement of applicable Medical Center policies rules regulations and Medical Staff Bylaws.
• Responsible for meeting the performance improvement requirements of the Joint Commission, other accrediting agencies and the Department of Veteran Affairs encompassing the information for directing, educating, and involving all staff in these areas in the performance improvement process.
• Building relationships with community leaders to better understand and address challenges.
• Ability to admit, perform history and physical examinations, work-up, diagnose, prepare treatment plans for adult patients, age = 18 years to treat various common and complex illnesses, diseases and functional disorders of the circulatory, respiratory, endocrine, metabolic, musculoskeletal, hematopoietic, gastroenteric, and genitourinary systems.
• These privileges also include medical pain management and palliative care and the provision of consultation as well as the ordering of diagnostic studies and procedures related to the problem or disorder.

Work Schedule: Full-time; Monday-Friday; 0800 - 1630
Telework: Available; Ad-hoc
Recruitment Incentive (Sign-on Bonus) or Relocation Incentive: May be available for highly qualified individual

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

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.
• 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.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• 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).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications

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.
• Education: 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.
• License: 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.
• English Language Proficiency: Proficiency in spoken and written English.

Additional Requirement:
Board certification- by the American Board of Internal Medicine or the American Osteopathic Board of Internal Medicine within 4 years of initial appointment or meets equivalent education, training and experience requirements, and maintenance thereafter.

Preferred Experience:

• Planning, developing, and directing all administrative and clinical functions of a clinical service.
• Experience ensuring high quality, efficient, timely and appropriate care with the highest professional and ethical standards and quality of care.
• Experience serving on committees, participation in quality assurance programs and meeting performance measures.
• Experience with graduate and undergraduate medical education.
• Experience driving a culture of improvement.
• Experience developing teams towards a shared goals.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: The position requires light lifting and carrying under 15 pounds), hearing (aid permitted), ability to perform privileges, mental and emotional stability, ability to independently perform physical exam as appropriate to position.

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.

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.

Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.

Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.

Next steps