The Chief Specialty Care Officer is the medical official for the VISN 10 Specialty Care Integrated Clinical Community and is responsible for the quality of care and the utilization of health care resources. The position functions in a clinical and administrative role and accordingly, must have strong managerial and organizational skills as well as extensive clinical knowledge. The CSCO is expected to maintain a minimum of 0.1 FTE direct patient care clinical practice. This position is located within Ohio, Indiana or Michigan (the boundaries of VISN 10). 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: Supervisory experience over other physicians. Five years or more clinical practice experience in area of specialty. 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: Periods of long standing. Extended periods of sitting at a computer station. Rigid deadlines and the need for high degree of accuracy, high stress situations, and the ability to adapt work plans based on patient status. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): May be offered to a highly qualified external candidate 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 The Chief Specialty Care Officer is responsible for oversight of Allergy and Immunology, Cardiology, Critical Care, Dermatology, Diabetes and Endocrinology, Emergency Medicine, Gastroenterology, Genomics, Infectious Disease, Internal Medicine/Hospital Medicine, Nephrology, Neurology, Nutrition, Oncology and Hematology, Pain Management, Pulmonology, Rheumatology, and Sleep Medicine services. In collaboration with the VISN Chief Medical Officer (CMO), the CSCO assists in the development, organization, implementation and support of high-quality patient care, medical education and research. Through persuasive and facilitative skills, influences the quality and effectiveness of SC ICC through collaborative relations with facility Specialty Care leadership. Communicates directly with the VISN 10 Chief Medical Officer ensuring quality and coordination of patient care across the VISN. The major duties of the Chief Specialty Care Officer include but are not limited to the following: Reports to the VISN Governing Body; Executive Leadership Council (ELC) as requested regarding overall vision/direction for the ICC. Responsible for the management and operations of the SC ICC in close collaboration with the Chief Officers from the Surgery ICC, Primary Care ICC, Rehabilitation & Extended Care ICC, Diagnostic ICC, Mental Health ICC, and cross-cutting services (Pharmacy, Nursing, Social Work, Sterile Processing Service, and Prosthetics). Reviews/assists and consults with development of VISN ICC clinical protocols, policies, guidelines and directives. Provides standing reports/updates to VISN 10 CMO, Chiefs of Staff and ELC on ICC activities, concerns, and improvement initiatives. Chairs or provides leadership for VISN and/or national clinical workgroups, task forces, and other efforts related to clinical aspects of Specialty Care Medicine. Monitors and promotes compliance with VA regulations and professional standards, working to ensure that facility programs reflect the mission and priorities of the Veterans Health Administration and VISN 10; ensuring that current Specialty Care practices across the VISN are in compliance with VHA policy. Represents the organization, internally and externally, in such a manner as to reflect positively on the VISN and VA. Promotes an effective mix, coordination, and support of clinical programs by evaluating current and potential patient population needs; clinical workload and resources; special program mandates and cost/benefit analyses; making recommendations to the VISN 10 CMO and ELC; and ensuring implementation of approved clinical proposals. Minimizes variance in Specialty Care services across the VISN. Oversees and addresses any deficiencies in VISN clinical outcomes and standards of care. Chairs a VISN Specialty Care Subcommittee and ensures that each VA medical facility has a Facility Specialty Care Subcommittee. Evaluates critical Specialty Care events at the time they are reported by VA medical facilities and advises the VISN Director and CMO on the appropriate course of action. Assesses current Specialty Care need(s) across the VISN and assists the VISN CMO in the development of a VISN strategic plan that includes the future needs for care. Actively involved in the management of resources for the ICC and VISN. Promotes and supports use of virtual care modalities and initiatives as appropriate. One of the pivotal responsibilities for this position is improving and continuously monitoring access to care across VISN 10 facilities while predicting what demand will be and facilitating efforts to meet demand. Conducts or participates in facility Specialty Care ICC site visits upon request and provides reports. Work Schedule: Typically Monday to Friday, 7:30am - 4:00pm Telework: The selected candidate will primarily work at home, from a location within Ohio, Indiana or Michigan. Virtual: This is not a virtual position. Remote: This is a remote position located within Ohio, Indiana or Michigan."]

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