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Physician (Family Medicine), Offutt AFB, Bellevue, NE

Offutt AFB is located in Bellvue, Nebraska. In Nebraska, we believe that you make your own fun like riding horseback on an honest-to-goodness ranch. Witnessing a Native American powwow. Attending a concert under Nebraska's night sky. Spending family time at a zoo or water park. Chasing pioneers, cowboys and historic sites along scenic byways. Relaxing in state parks, recreation areas and golf courses with epic views, from sparkling lakes and rivers to wide-open plains to monumental bluffs. Bellevue is a city of about 70,000 that is booming with energy & excitement, surrounded by the natural beauty of the Great Plains.

Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/

Duties:

PURPOSE OF POSITION AND ORGANIZATIONAL LOCATION:

The primary purpose of this position is: To provide full scope of primary and preventive health care services to male and female patients of all ages (to include pediatric and geriatric) in small, medium and large-sized general clinics/hospitals.

DUTY 1:

Serves as the Primary Care Optimization (PCO) team leader providing comprehensive outpatient care for over 1,500 TRICARE Prime enrolled beneficiaries as well as TRICARE for Life and space available beneficiaries ranging from newborn to geriatric age presenting with complex and interdependent acute and chronic conditions. These conditions include, but are not limited to the management of: insulin & non-insulin requiring diabetes mellitus, hypertension, cardiovascular disease, asthma, inflammatory and non-inflammatory arthritic conditions, cancer diagnosis/management/surveillance, physical and/or extremity injuries, as well as acute and chronic psychiatric/ psychological disorders. Provides Pre-and Post Deployment health assessments as well as Preventive Health Assessments (PHA). Addresses, manages, and documents medical issues pertaining to the Personnel Reliability Program (PRP), Security Clearances, Overseas Clearances, Pre-Confinement evaluations, Line of Duty Determination (LOD), and Occupational and fitness for duty medical evaluations - all of which will be performed for active duty, reserve, and National Guard members as well as eligible civilian, DoD, and dependent beneficiaries. Provides direct primary outpatient care to include gynecologic, prenatal obstetric, pediatric, and geriatric care. Performs ambulatory surgical procedures including but not limited to: casting/splinting, suturing, excisional skin biopsies, vasectomies, and flexible sigmoidoscopies. (The range of outpatient procedures that may be performed include Loop Excision Electrocautery Procedure (LEEP), colposcopy with biopsies, flexible sigmoidoscopy, nasopharyngoscopy, exercise treadmill testing, microexcisional dermatologic techniques, colonoscopy, esophagoduodenocopy, vasectomy, trigger point injection, joint aspiration and injections, joint splinting and casting, multiple layer skin closures, etc.). Orders and interprets diagnostic and testing procedures to include laboratory and radiological examinations. Ensures appropriate follow-up and documentation of all clinical and diagnostic procedures IAW the Accreditation Association for Ambulatory Health Care (AAAHC), The Joint Commission (TJC), and Health Services Inspection (HSI) guidelines. Independently formulates full treatment and management regimens based on sound diagnoses consistent with current and/or evidence-based clinical practice guidelines. Due to the possible lack of consistent medical specialty support caused by deployment requirements, may be required to provide some sub-specialty services within current granted privileges to patients encountered. Coordinates with facility and community resources to provide multi-disciplinary comprehensive care to all patients, taking into account factors such as new and/or emerging procedures and techniques and the patient’s personal history, as well as information gained through diagnostic tests. Provides advice by telephone and/or in person to other physicians, non-physician providers, and nursing and para-professional staff on the care of patients with urgent, emergent, and non-urgent medical problems. Documents clinical encounters and patient instructions into the medical record via current electronic medical record system and prepares appropriate clinical narrative summaries for both civilian and military occupational programs in a timely manner.

DUTY 2:

Provides clinical and administrative leadership to the Patient Centered Medical Home (PCMH) team. Facilitates and manages full spectrum of professional and patient care activities for the PCMH team. Evaluates and analyzes how the team provides care through a continuum, thereby facilitating the achievement of efficient, high quality, and cost-effective healthcare. Guides, counsels, and supervises PCMH team personnel to include physician assistants, nurse practitioners, medical technicians, and administrative personnel. Provides input and guidance on clinical aspects and/or resolves issues relating to the management of the provider templates to ensure access-to-care standards are met. For an enrolled population, supervises interpretation of population-based health assessments in order to identify strategies for effective resource utilization, disease management, case management, and preventive health.

DUTY 3:

Serves as member of the professional medical staff and complies with hospital plans and policies to meet accrediting agencies’ (AAAHC or TJC) requirements. Participates in continuing education programs to update and maintain skills and knowledge in accordance with AFMS, MTF, and unit policies including department in-services education. Actively participates and contributes to medical oversight activities to include peer review programs. Serves as clinical preceptor for other professional providers which may include other Physicians, Physician Assistants, Nurse Practitioners, etc. Participates in hospital/clinic committee work as determined by the Chief of the Medical Staff commensurate with other physicians of the same specialty performing like duties (i.e. Credentials, Pharmacy & Therapeutics, Population Health, Occupational Health committees, and other such activities). Provides professional guidance concerning unit/MTF policies and/or operating instructions.

DUTY 4:

Participates in local disaster training exercises as directed by the Chief of the Medical Staff (SGH) or MTF Commander; responds to real-world disaster situations. Participates in local disaster training exercises to maintain preparedness levels. Responds to assigned MTF in real-world disaster to facilitate primary care delivery in the face of an emergent local situation. Coordinates with local, state, and county medical emergency personnel to execute primary care delivery in accordance with the assigned facility’s Medical Contingency Response Plan (MCRP).

Performs other duties as assigned.