The Miami VA Healthcare System (Bruce W. Carter VA Medical Center) Primary Care Service is seeking a dynamic physician to serve as Physician Chief of Community Care based in Miami, FL, this leadership role serves as Service Chief for the Community Care Service, Virtual Care, and the Blind Rehab Service.
VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized. Education Debt Reduction Program (Student Loan Repayment): Learn more. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact the VISN 8 Compensation Center of Excellence at VISN8CCOE@va.gov 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 The Physician (Primary Care) - Chief of Community Care reports on a regular basis to the Deputy Associate Chief of Staff (DACOS) for Primary Care Outpatient Clinics (PCOC).
Clinical Responsibilities Care Coordination & Delivery: Directs quality, consistent, and timely clinical review and coordination of community care delivered to Veterans through the Veterans Community Care Program (VCCP) and Community Care Network (CCN), ensuring continuity between community providers and facility clinical services.
Program Development: Oversees operational clinical programs, policies, and standards for Community Care delivery, including consult management, utilization review, clinical documentation, and eligibility-determination processes consistent with IVC and VHA requirements.
Care Integration: Enhances Veteran access to timely care by streamlining consult forwarding under the VHA One Consult process, coordinating inpatient transfers from community hospitals, and integrating community care with facility services and Patient Aligned Care Teams (PACT).
Eligibility & Clinical Review: Applies federal regulations and VA clinical criteria to make community care eligibility determinations, completes Clinical Review Summaries timely, and minimizes reversals on appeal review opinions by the Board of Veterans Appeals (BVA). Safety Oversight: Leads patient safety in community care transitions, maintaining accountability for safe transfer and discharge of Veterans between community facilities and the medical center.
Direct Clinical Consultation: Serves as the physician clinical expert and consultant to Community Care nurses, allied health staff, and physicians across other services, modeling sound clinical judgment on consults, claims, and appeals. Administrative Leadership Policy Enforcement: Enforces medical center policies, Community Care program procedures, and medical staff bylaws across the service.
Regulatory Compliance: Develops internal review systems to ensure compliance with IVC standards, VHA directives (including consult management requirements), federal community care regulations, and accrediting bodies. Strategic Alignment: Integrates Community Care operations with medical center priorities, VISN 8, national VHA/IVC initiatives, and community provider partners.
Operational Efficiency: Leads workflows that improve consult and claims timeliness, authorization turnaround, cost-effectiveness, and resolution of community care access barriers. Provider Network Relations: Serves as the facility physician point of contact for clinical coordination with CCN/VCCP community providers, promoting effective relationships, clear clinical expectations, and adherence to VA standards of care.
Personnel & Labor Relations: Directs labor-management relations, EEO, merit promotion, and employee career development within Community Care. Performance Evaluations: Completes annual proficiency evaluations for subordinate supervisors, nurse managers, and direct reports using established performance metrics.
Performance Improvement & Education Quality Compliance: Drives Joint Commission and VA performance improvement requirements related to community care, engaging and educating staff on consult, documentation, and timeliness standards. Educational Oversight: Manages educational programming for Community Care staff and contributes to clinical training on community care regulations, utilization management, and care-coordination practices.
Work Schedule: Monday - Friday, 7:30 am - 4:00 pm(Note: Work schedules are determined and approved by the supervisor. The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs).
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.
Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year 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.
Desiree.Dellafosse@va.gov · (209) 557-6225
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $276039 – $350000/yr.
Applications close on 2026-10-16.
This position is open under the 'Fed Competitive' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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