Summary This is an OPEN CONTINOUS ANNOUNCEMENT and will close on September 30, 2024 or until filled or cancelled. Qualified applicants will be referred to the selecting official at two-week intervals. The first referral will be sent on February 15, 2024. 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. This announcement may close without prior notification. Responsibilities This full-time position is based at the Ralph H. Johnson VA Health Care System. The position reports directly to the Chief of Staff (COS). The Deputy Chief of Staff-Ambulatory Care is responsible for the ambulatory care clinical operations at RHJ VA Health Care system, including Primary Care, Mental Health, Social Work, Physical Integrated Medicine, Neurology, and Geriatrics & Extended Care Service Lines. . This position will work collaboratively with members of the Chief of Staff office, including The Deputy Chief of Staff - Acute Care, service line leaders, and clinical staff to maximize operational efficiencies. The position is in Charleston, SC - tucked along the Atlantic coastline and amid the ever-bustling Harbor, Historic Downtown Charleston is the mecca of this historic city, housing various art galleries, boutiques, and historic sites along with renowned medical centers such as the Medical University of South Carolina (MUSC), our academic affiliate partner. For more information, visit www.charleston.va.gov. 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 Duties include but are not limited to: Represents the Chief of Staff (COS) in all aspects of administrative leadership, including, but not limited to: Serves as a member of key health care system managerial bodies including serving as a member of the organized medical staff, attending its meetings, and helping to ensure adherence to its bylaws, rules and regulations. Supervises employees to accomplish the work of the organization. This involves assigning work, strategic planning, mentoring, educating, and performing personnel management functions - e.g., leave administration, labor management requirements, disciplinary actions, proficiencies, etc. Works as a member of the Senior Management Team, which is responsible for overall leadership, policy, planning, budget, operations, and performance of the organization. Works with multiple clinical and administrative service line leaders across multiple locations to set performance standards, formulate strategic plans, implement policy, perform ethical decision-making, implement systems redesign, submit timely budgets, guide clinical performance improvement, ensure quality outcomes and high patient satisfaction, guide cost-effective/efficient service delivery, and manage professional staff matters. Leads or is an active member of various task groups and committees that address clinical issues at the local, VISN, and national VHA level. Coordinates and integrates programs into a comprehensive package of services to meet the needs of patients and providers by establishing policies, procedures, and guidelines to ensure quality and comprehensive services. Guides management administrative matters affecting patient care, education, research, and organizational policy. Contributes to the strategic mission, vision, values, and goals of the RHJ VAHCS. Has direct patient care responsibilities within his/her area of clinical expertise. Responsible for delivering high quality, cost-effective, patient-centered care while meeting or exceeding performance goals and meeting highest ethical standards. Responsible for ensuring all applicable regulatory and accrediting body requirements are met. Fosters and maintains positive relationships with academic affiliates. Serve as a change agent, promoting change to the facility quality, cost effective patient care. The Deputy Chief of Staff will participate in the numerous training programs sponsored by the Ralph H. Johnson VA and affiliated academic organizations so the preferred candidate must have the academic experience to warrant a faculty appointment at our affiliate, the Medical University of SC. Requirements for appointment can be reviewed at the following web address: http://academicdepartments.musc.edu/faculty_senate/handbook/handbook.pdf Work Schedule: Monday - Friday, 7:30 a.m. - 4:00 p.m. Telework: Ad-hoc only; telework agreement must be in place. 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. 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 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. Additional Requirement: Leadership experience. Preferred Experience: More than two years of Management/Leadership experience within a complex Medical Center. 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: See VA Handbook and Directive 5019. Some light lifting and moving of files maybe required for the position. Employee may work in stressful environment. light lifting, under 15 lbs. use of fingers, both hands required, depth perception, hearing (aid may be permitted), hearing without aid, working closely with others, mentally challenging, high pressure, situations. 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: 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. 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. Financial Disclosure Report: Not required 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.