Summary
Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay Market Pay)
This job is open to

• Federal employees - Excepted service
  Current excepted service federal employees.
• Internal to an agency
  Current federal employees of this agency.

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Duties
This full-time position is the DACOS DIS (MD or DO) with both clinical and administrative roles. As a leader of DIS, the DACOS DIS shares responsibility for the overall operation of DIS with the ACOS DIS and works under the direction of the ACOS DIS. The mission of DIS is to provide a continuum of quality radiology care to our Veterans. He/she shares the oversight of the clinical and administrative aspects of DIS with the ACOS DIS including budget and fiscal management, human resource management, strategic planning, and program development, assuring that the clinical and administrative functions are integrated to provide optimum utilization of the available resources. He/she ensures the quality and timeliness of the services provided, customer satisfaction, as well as compliance with standards of accrediting bodies such as the Joint Commission and the Inspector General's Combined Assessment Program. He/she ensures appropriate use of available resources and is responsible for inspiring, motivating, and guiding DIS staff in achieving the strategic goals and plans of the service. He/she collaborates with other ACOSs, DACOSs, and program managers, in fulfilling his/her responsibilities.
The DACOS DIS will also function as a radiology doctor. He/she will be responsible for the overall medical care of patients with conditions requiring diagnostic and therapeutic imaging treatments to include consultative, prescriptive, and ordering authority in both the outpatient and inpatient settings within VA St. Louis Health Care System (VASTLHCS). He/she is to ensure the quality and timeliness of the services provided and collaborate with referring providers.
Work Schedule: Monday-Friday day with varying shifts, on-Call rotation is required; Holidays, and Weekends as needed.
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.

The DACOS DIS accomplishes health care delivery mission of the Department of Veterans Affairs in general. Services provided are subject to scrutiny by Congressional interests, service organizations, the public and the media. The DACOS DIS is to be a physician, board certified or board eligible in Radiology or Nuclear Medicine, having completed an appropriate residency or fellowship. Certification in Basic Cardiac Life Support is required. The DACOS DIS will be responsible for the following tasks:
RESPONSIBILITIES:
Administrative (50%):

1. Share the responsibility for the overall management of DIS. This includes the organization of the administrative day-to day activities of DIS.
2. Provide leadership and accountability for all aspects of the service, assuring support of the mission and values of VASTLHCS and VISN 15.
3. Assume responsibility for carrying out the goals, objectives, and plans and policies established by the Medical Center Director (MCD).
4. Ensure the service functions as an integrated care delivery system, providing a full continuum of patient-focused imaging services for Veterans.
5. Utilize data about providers and available resources, to formulate strategic short term and long-range plans and goals for the service, and to address deficiencies.
6. Plan, implement, and manage the Performance Improvement/QM programs within DIS.
7. Formulate and implement general policies, procedures, standards, and goals and objectives for DIS that are consistent with, and supportive of, the mission of the VASTLHCS and VISN 15.
8. Formulate and implement general budgets as needed, and plan for equipment and supply purchases including high-cost high technology equipment.
9. Coordinate and integrate the interdepartmental functioning of DIS. This includes chairing relevant meetings.
10. Complete performance appraisal and serve as approving official for the ratings of the DIS practitioners as delegated by the ACOS DIS.
11. Ensure, with the assistance of discipline specific-subject matter experts, and the Medical Executive Board (MEB), that all DIS staff meet or exceed licensing requirements and clinical competencies in their fields.
12. Approve provider leave, including review of conference relevance and approval if appropriate for educational purposes.
13. VISN liaison for DIS issues, meetings, collaborative, and other activities as delegated by the ACOS DIS.
14. Participation in National Collaborative activities including related meetings and others as assigned by the ACOS DIS.

Clinical (50%)

1. Assess, consult, and treat patients with radiology needs requiring opinion or intervention, in the outpatient and inpatient settings. The DACOS DIS is responsible for diagnosis, management, and follow-up of patients in both settings, as appropriate for care of those patients. In some instances, the DACOS DIS will assess, diagnose, and make recommendations to other specialty services regarding management and follow-up of the patient.
2. Interpretation of the testing and other specialty imaging to establish diagnosis and assist in management of radiology conditions.
3. Assess the individual patient for appropriateness of procedures by evaluating the risks and benefits related to the patient's condition. Responsible for performing any radiology procedures covered under his/her credentials. Responsible for identification of radiology managed abnormalities to include, but not be limited to: core privileges contained in the credentials files. Makes clinical recommendations to specialty providers for follow up and management.
4. Act as the consultant for patients referred to him/her for input regarding radiology medical opinion or intervention.
5. The DACOS DIS will be responsible for the management of conditions requiring radiology intervention. When indicated the DACOS DIS will recommend transfer to a tertiary care center for risk reduction and to promote a safe outcome for the patient.

Additional Requirement:
Preferred Experience: The DACOS DIS is to be a physician, board certified or board eligible in Radiology or Nuclear Medicine, having completed an appropriate residency or fellowship. Certification in Basic Cardiac Life Support is required
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: Moderate lifting, 15-44 pounds; Light carrying, under 15 pounds; Use of fingers; Walking, 2 hours; Standing, 2 hours; Work closely with others; and work alone.
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:

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
2. 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.
3. 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.

• Benefits
  A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
  Review our benefits
  Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

• Benefits
  A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
  Review our benefits
  Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
• Required Documents
  As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.
  To apply for this position, you must submit a SF 50, C.V. and/or resume. Other documents may be requested later in the process if needed.
• How to Apply
  
  1. 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.
  2. 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 06/10/2024 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 or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement
  To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
  Agency contact information
  Juan Rivera
  Phone
  314-652-4100 X54936
  Email
  Juan.Rivera3@va.gov
  Address
  VA St Louis Health Care System
  1 Jefferson Barracks Drive
  St. Louis, MO 63125
  US
  Next steps
  Once your online application is submitted you will receive a confirmation notification by email. We will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
  You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
  NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
• Fair and Transparent
  The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
  
  • Criminal history inquiries
  • Equal Employment Opportunity (EEO) Policy
  • Financial suitability
  • New employee probationary period
  • Privacy Act
  • Reasonable accommodation policy
  • Selective Service
  • Signature and false statements
  • Social security number request

Required Documents
To apply for this position, you must submit a SF 50, C.V. and/or resume. Other documents may be requested later in the process if needed.
How to Apply

1. 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.
2. 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 06/10/2024 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 or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement
To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
Agency contact information
Juan Rivera
Phone
314-652-4100 X54936
Email
Juan.Rivera3@va.gov
Address
VA St Louis Health Care System
1 Jefferson Barracks Drive
St. Louis, MO 63125
US
Next steps
Once your online application is submitted you will receive a confirmation notification by email. We will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
Fair & Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

• Criminal history inquiries
• Equal Employment Opportunity (EEO) Policy
• Financial suitability
• New employee probationary period
• Privacy Act
• Reasonable accommodation policy
• Selective Service
• Signature and false statements
• Social security number request