Primary Care Physician (Internal Medicine)

Ansible Government Solutions•Saranac Lake, NY
•Onsite

About The Position

Ansible Government Solutions, LLC is recruiting Primary Care Physicians to provide onsite primary care to eligible beneficiaries at the Saranac Lake VA Clinic and Westport VA Clinic in New York. Full-time and Locum Tenens positions are available. Scheduling is generally Monday through Friday, 8:00 a.m. to 4:30 p.m., with no call or holidays; physicians may be requested to work up to four Saturdays per year. The physician provides comprehensive primary care, including women’s health, to a defined patient panel, supporting care from prevention through diagnosis, treatment, referral, and follow-up. The role includes managing acute and chronic conditions appropriate for an outpatient primary care setting, coordinating with clinic and PACT staff, and referring patients to specialty or hospital care when indicated. Physicians also provide patient education and counseling, consultation to referring clinicians, and appropriate social work referrals. The physician documents care in the VA CPRS/EMR system, entering progress notes on the day of each encounter and maintaining problem lists and clinical reminders in accordance with CMS and VA requirements. Physicians use the VA Formulary and follow medication policies, including querying state prescription drug monitoring programs before prescribing controlled substances and obtaining required IMED consents.

Requirements

  • Board certified or board eligible in Internal Medicine.
  • Active, full, 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.
  • Must be able to sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift.
  • Must be able to lift up to 50 lbs from floor to waist.
  • Must be able to lift up to 20 lbs.
  • Must be able to carry up to 40 lbs a reasonable distance.
  • Must be able to push or pull with 30 lbs of force.

Responsibilities

  • Provide primary care within the physician’s scope of practice and privileging.
  • Provide comprehensive primary care, including women’s health, to a defined panel of patients.
  • Coordinate with clinic staff to schedule new and follow-up patients.
  • Take histories, perform physical examinations, order laboratory and diagnostic studies, diagnose conditions, and formulate treatment plans for acute and chronic conditions.
  • Order and monitor medications using the VA Formulary; query State Prescription Drug Monitoring Programs before prescribing controlled substances and obtain required IMED consents.
  • Become familiar with the VA Formulary and use the computer system for efficient practice.
  • Provide outpatient primary care spanning prevention, diagnosis, treatment, appropriate referral, and follow-up for simple to moderately complex conditions, including the conditions and services listed in the posting.
  • Refer patients to specialty care as appropriate and arrange hospital admission when indicated.
  • Provide patient education and counseling.
  • Complete patient documentation promptly in CPRS/VA EMR, including same-day progress notes meeting CMS documentation guidelines, and ensure notes are linked to the correct visit and location.
  • Maintain the patient problem list and update it as the patient’s condition changes; complete clinical reminders and other required documentation.
  • Ensure care plans include clinically indicated recommendations and provide or arrange care to which patients consent.
  • Provide leadership to the care team, delegate appropriate care processes, review clinical and performance data with the team, and support continuous improvement of team processes.
  • Ensure same-day access for face-to-face and telephone care during regular clinic hours.
  • Collaborate with PACT staff on personal health plans, care management, and care coordination.
  • Consult with and instruct referring physicians on appropriate indications for procedures and communicate treatment decisions to referring clinicians in person or by phone.
  • Initiate appropriate social work referrals for patients identified as homeless.
  • Follow established medication policies and procedures; do not provide sample medications to patients.
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