Physician (Home Base Primary Care Medical Director) w/Recruitment-Relocation Incentive
Department: Department of Veterans Affairs
Location(s): Temple, Texas
Salary Range: $250000 - $350000 Per Year
Job Summary: The Central Texas VA Health Care System, Temple, Texas is seeking a full-time Physician (Home Base Primary Care Medical Director) to provide clinical oversight of all Non-Institutional Care (NIC programs to include all Home and Community Based Services, Contract Nursing Homes and State Veterans Home Programs) in collaboration with NIC program Manager. A Recruitment/Relocation Incentive may be authorized for a highly qualified candidate.
Major Duties:
- The HBPC Medical Director is the senior clinician leader and is responsible for the overall medical care delivered by the HBPC team. He/she works in collaboration with the HBPC Program Director to meet the requirements of the program. The incumbent may have a faculty appointment and be involved in academic activities with affiliated Medical Schools, residency and fellowship programs. The incumbent provides patient care directly and/or through the supervision of licensed independent practitioners (LIPs), residents, fellows and/or medical students in the home setting. In addition to their role as clinician, the HBPC Medical Director will have administrative responsibilities for leadership and direction of HBPC development and programs, as well as effective interface with the HBPC staff. The HBPC Medical Director will participate fully in all accreditation processes, reviews, and site visits. The incumbent will provide direct patient care which includes assessments, diagnosis, treatment, and outcome measures of healthcare problems. This includes the following: initiating and adjusting therapeutic regimens, performing histories and physicals, ordering diagnostic and therapeutic tests/studies, initiating consults and referrals, and prescribing medications/supplies in accordance with VA policy, VA formulary, Federal & state regulations, and scope of practice. Collaborate with in house specialty clinics as well as community providers. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. Administrative Responsibilities: The HBPC Medical Director is responsible for collaborating with the HBPC Program Director to: 1. Provide leadership to the HBPC Program. 2. Determine appropriateness and eligibility for veterans referred to HBPC program. 3. Plan and direct the educational and clinical experience of medical students, residents and fellows assigned to the HBPC Program. 4. Assume a leadership role in the development and implementation of the HBPC performance improvement plans. 5. Advocate for HBPC with VHA leadership and the medical community. 6. Jointly select HBPC Team members. 7. Providing clinical input and oversight for all patient treatment plans. 8. Being readily available to the team members for collaboration when medical or other problems arise. 9. Participating in HBPC interdisciplinary team meeting and other meetings as arranged to ensure clear, effective communication. 10. Keeping the HBPC team apprised of medical care advances and practice standards through regular educational activities. 11. Arranging physician coverage and communicating the plan of coverage to the HBPC team. 12. Collaborating with other HBPC Medical Directors, VISN leadership, and VA Central Office staff on program development issues. Clinical Responsibilities: The HBPC Medical Director, in collaboration with the HBPC interdisciplinary team, is responsible for: 1. Assuming primary medical responsibility for HBPC patients. 2. Identifying the patients' medical problems. 3. Defining the medical management of these problems. 4. Determining the need for consultation from medical, surgical, and/or psychiatric subspecialty clinics as well as community care. 5. Determining the need for, and facilitating, admission to the hospital. 6. Visiting the HBPC patients at home, when appropriate. 7. Serving as collaborator for advanced practice nurses and/or physician assistants. 8. Providing medical administrative support such as signing forms requiring physician signature for the HBPC patients. 9. Possess DEA licensure to prescribe controlled substances II - V. Other Responsibilities: 1. Collaborating with community home health and hospice agencies as needed for HBPC patients. 2. Following HBPC Staff Safety procedures. 3. Complying with Medical Center and VHA regulations regarding the use of government vehicles. 4, Demonstrating work practices that include adherence to Infection Control standards and the safe use and operation of equipment. Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): 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
Qualifications: 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. 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. Licensure and Registration: 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: Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR Those approved by the American Osteopathic Association (AOA),OR 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. Physical Requirements: See outlined below. English Language Proficiency. Physicians appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7402(d) and 7407(d). Preferred Experience: Board Certified In Internal Medicine/Family Medicine and Geriatrics or Palliative Medicine 3-5 years experience in Geriatrics or Palliative Medicine/Home Care 1-2 years of experience in supervising and collaborating with NPs 2-3 years of supervisory experience in the VA/Community Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Moderate lifting, 15-44 pounds; Use of fingers; Walking (4-6hours); Standing (4-6hours); Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish basic colors; Hearing (aid permitted).
How to Apply: To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. To apply for this position online complete steps 1 and 2 above by 11:59 PM (ET) on 01/30/2026 to receive consideration. Please note, this announcement may close prior to the closing date indicated if the position is filled through other means. If you are unable to apply online before the closing date click here and include the CAZM-12831511-26-HL in the Notes field. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. 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.
Application Deadline: 2026-01-30