Primary Care Physician (Internal Medicine)

Overview

Ansible Government Solutions, LLC (Ansible) is currently recruiting Primary Care Physicians to provide onsite primary care services to eligible beneficiaries of the Saranac Lake VA Clinic located at 33 Depot St, Saranac Lake, NY 12983 and the Westport VA Clinic located at 7426 NYS Route #9N, Westport, NY 12993. Shift scheduling is generally Mon-Fri, 8:00am-4:30pm with no call or holidays. Physician may be requested to work up to four (4) Saturdays per year. Full-time and Locum Tenens positions with generous compensation packages are available.

Ansible Government Solutions, LLC (Ansible) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own.

Responsibilities

• Primary care as appropriate and within scope of practice/privileging
• Provide comprehensive primary care services, including women’s health to a defined panel of patients
• Work with clinic staff to schedule new and follow-up patients
• Taking history, physical examinations, ordering of laboratories and diagnostic studies, diagnosis and formulation of treatment plans for acute and chronic conditions within the scope of practice/privileging
• Order and monitor appropriate medications for patients using VA Formulary; Physicians shall also query State Prescription Drug Monitoring Programs (PDMPs) before prescribing controlled substances per VHA Directive 1306 Querying State Prescription Drug Monitoring Programs (PDMP); Physicians shall also obtain IMED consents prior to prescribing or dispensing medications requiring consent including prescriptions for controlled substances
• Become familiar with VA Formulary and use the computer system as needed for efficient practice.
• Provide primary care services supporting a continuum of care from prevention to diagnosis and treatment, to appropriate referral and follow-up for simple to moderately complex workload that can be appropriately managed in a primary care outpatient environment to include (but not limited to) care for: hypertension, depression, ischemic heart disease, anxiety, alcohol use disorder, other mental health conditions, hypercholesterolemia, degenerative arthritis, congestive heart failure, respiratory infection, cerebral vascular disease, chronic obstructive pulmonary disease (COPD), peripheral vascular disease, urinary tract infection, diabetes mellitus, common dermatological conditions, acute and chronic pain, acute wound management, gastric disease, skin ulcers (stasis and dermal), anemia,  genitourinary (GU) issues, stable chronic hepatic insufficiency, , constipation, osteoporosis, common otic and optic conditions, basic diagnostic, evaluation,  and tests for infertility, preventive  screening and procedures, cervical cancer screening, breast cancer screening, pharmacology in pregnancy and lactation, evaluation and treatment of vaginitis, amenorrhea/menstrual disorders, evaluation of abnormal uterine bleeding, menopause symptom management, diagnosis of pregnancy and initial screening tests, evaluation and management of acute  and chronic pelvic pain, recognition and management of postpartum depression and postpartum blues, evaluation and management of breast symptoms (mass, fibrocystic breast disease, mastalgia,  nipple discharge,  mastitis, galactorrhea, mastodynia), crisis intervention, evaluation of psychosocial, well-being and risks including issues regarding abuse, intimate partner violence screening, physical, emotional, verbal, and psychological abuse, preconception counseling and assessment of abnormal cervical pathology
• Refer patients to specialty care services as appropriate, admission to hospital care when indicated, and patient education and counseling
• Complete all patient documentation in a timely manner utilizing the CPRS system; Progress Notes shall be entered into the VA EMR the same day as the visit/encounter and must meet CMS guidelines for documentation which include the 3 key components to determine the level of evaluation and management (E/M); these components include: (1) History; (2) Exam; and (3) Medical decision making. Progress Notes associated with each visit/encounter will include pertinent medical treatment, test results, a treatment plan, teaching that was provided to the patient and/or the patient’s family, the date of appointment, and the electronic signature of the treating clinician; all progress notes must be linked to the correct visit/encounter and location; a patient problem list must be present on the patient’s record by the third clinic visit and will be entered via the EMR on the Problem List tab; this list will include all diagnoses, medications and procedures and will be updated as the patient’s condition changes; Physicians are also responsible for proper documentation and completion of all clinical reminders as they appear during a patient’s visit
• Ensure the patient’s care plan contains medical recommendations for clinically indicated care, offering clinically indicated health care services to patients assigned to the PACT, and providing or arranging for care to which patients consent, providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members, reviewing available clinical and performance data with the team, and focusing on continuous improvement of critical team processes, ensuring the patient has same-day access for face-to-face and telephone care visits during regular clinic hours, and collaborating with PACT staff to develop personal health plans that incorporate care management and care coordination appropriate to the patient’s needs
• Provides consultation with and instruction to referring physician regarding appropriate indications for procedures so that the most expeditious and clinically appropriate work-up can be completed
• Determines the appropriate course of treatment and communicate in person or by phone with the referring clinicians
• Initiates appropriate social work referrals for all identified homeless
• Follows all established medication policies and procedures; no sample medications shall be provided to patients

Qualifications

• Board Certified or Board Eligible in Internal Medicine
• Active, full, and unrestricted license to practice medicine in any U.S. State or Territory
• Active NPI report
• Active DEA license
• Must be able to pass a Federal background investigation
• No sponsorship available 

All candidates must be able to:

• Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
• Lift up to 50 lbs from floor to waist
• Lift up to 20 lbs
• Carry up to 40 lbs a reasonable distance
• Push/pull with 30 lbs of force

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.