Physician (Psychiatrist - Home Based Primary Care)

The incumbent serves as a psychiatrist in the Geriatrics Extended Care Service Line. The psychiatrist performs general psychiatric assessment and treatment including co-occurring substance use disorders assessment and treatment within a multi-disciplinary team. Driving/Traveling to patients homes is required for this position.

NOTE: This announcement will be open until the position is filled. Applications will be sent to the hiring manager every two weeks. This announcement may close prior to the closing date listed if a selection has been made. Duties include, but are not limited to: Driving/Traveling to patient's home is required. The psychiatrist provides evaluation and treatment for patient population. The psychiatrist must be skilled in psychotherapy, psychopharmacology, integrative mental health modalities, and will provide therapeutic interventions including diagnostic assessments, medication evaluation and management, suicide risk assessments, crisis intervention, and overall care of patients with psychiatric disorders. Ensures practice of psychiatric medicine is consistent with TJC, CARF, HIPAA, VA policies and procedures, clinical practice guidelines, national statutes and regulations, medical record documentation, and mandatory continuing education. Provides a full range of psycho-diagnostic services including assessment and the most appropriate psychotherapeutic techniques in providing quality care. Participates effectively in team meetings and treatment planning conferences and collaborates with multidisciplinary team members that enhances coordination of comprehensive patient care. May participate in supervision and teaching in support of the psychiatric residency program, performs on call duties, and performs other directly related duties as assigned. Provides chart-based consultation, including E-consults as needed/requested. Offers and provides formal education sessions as desired by other team members. Provides ongoing training, supervision and backup for care management (CM). Provides appropriate clinical documentation for all contacts with or about Veterans. Documents patient care in the patient medical record via the Computerized Patient Record System. Training regarding the use of the Computerized Patient Record System will be provided by the VAMC. All Documentation shall be completed in accordance with VA policy and procedures. Provides staffing coverage to support the general mission of the assigned program, including functions related to interdisciplinary staff coverage, addressing urgent and crisis patient events/situations, and assisting in the training functions of the program, as assigned and consistent with professional skills, training and experience. Documents such activities as consistent with all applicable medical center policies and procedures. May participate in the supervision and teaching of medical students in association with ETSU/Quillen Medical School. Adheres to all quality management performance measures. The psychiatrist will complete clinical reminders, encounters, and clinical pertinence reviews as directed. The psychiatrist will, when called upon, engage in a collaborative agreement with a nurse practitioner and/or provide clinical supervision to a physician assistant. Participates in performance improvement activities, physician peer review, committees as assigned, and other duties as assigned. Performs other related duties as assigned VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Learn more. This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VISN9HREDRP@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 Work Schedule: Monday - Friday 7:45am - 4:30pm, on call is required.

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.

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: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or 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. 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.