Chiropractor
The James E. Van Zandt VA Medical Center is currently recruiting to fill two Full Time Chiropractor vacancies aligned under the Physical Medicine and Rehabilitation Service (PM&RS). The Chiropractor provides examination, diagnosis, treatment, and management of musculoskeletal and neuromuscular conditions. Chiropractors are state licensed independent providers who work as part of VA interdisciplinary teams including physical medicine and rehabilitation, primary care, pain management, whole health, other relevant medical and surgical specialties, and other relevant associated health disciplines. The PM&RS Chiropractor provides care at the James E. Van Zandt VA Medical Center Altoona Campus, as well as at the Community Based Outpatient Clinics (CBOCs), along with providing care and services in the outpatient, inpatient, and community living center settings. The PM&RS Chiropractor will work collaboratively with various other therapeutic modalities. These modalities may include, but not limited to, acupuncture, physical therapy, occupational therapy, yoga, and tai chi. Physical Medicine and Rehabilitation Services supports the national Whole Health Initiative Program, which includes alternative medicine services within the chiropractor position. Major Duties and Responsibilities include but are not limited to:
Patient Care:
Chiropractors are expected to provide patient care that is compassionate, appropriate, and effective for the promotion of health, prevention of illness, treatment of disease, and care at the end of life. Medical/Clinical Knowledge:
Chiropractors are expected to demonstrate knowledge of established and evolving evidenced based practices, and the application of their knowledge to patient care and the education of others. The Chiropractor will function within their approved scope of practice as defined by the licensing board for their license. Clinical Judgment:
To ensure evidenced based learning and improvement, chiropractors are expected to be able to use scientific evidenced based practice and methods to investigate, evaluate, and improve patient care. Interpersonal & Communication Skills:
Chiropractors are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team. Professionalism:
Chiropractors are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, and understanding and sensitivity to diversity, and a responsible attitude toward their patients and their profession. Systems-Based Practice:
Chiropractors are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve optimizing health care. Telehealth:
Chiropractors are expected to provide telehealth services to appropriate patients, through means of Clinical Video Telehealth (CVT), VA Video Connect (VVC), and other telehealth means approved by VA. Additionally, return phone calls and contact patients as necessary through telephone. Provide individualized evaluation and treatment:
The chiropractor will utilize standard medical evaluation procedures and chiropractic evaluation to evaluate and develop a chiropractic treatment plan. The chiropractor shall incorporate the various evidenced based treatment techniques. The chiropractor will collaborate with the interdisciplinary team, including PM&RS to ensure the whole health approach to patient centered care. The chiropractor will complete evaluations, re-evaluations, plan of care, treatments, and discharges. Provide group chiropractic care:
The chiropractor may provide group chiropractic care, as determined, to be medically indicated and appropriate. Complete clinical notes in electronic health record system:
The chiropractor shall document and code information for billing related to patient care in the VA's electronic health care record on a timely basis following VHA policies. iMed consent shall be completed prior to acupuncture treatment where any needling procedure occurs. Oral informed consent is valid for auricular acupuncture only. The chiropractor only preforms acupuncture treatment if they are educated, certified, and licensed to do so. The chiropractor communicates with other health care providers as appropriate. Work Schedule:
Tour of duty is varying daylight hours, Monday through Friday; however, weekend and evening hours may occur when Veteran needs arise. Financial Discloser Report:
Not required Telehealth:
Knowledge of Telehealth processes and procedures. Applicants must meet all requirements listed below before the closing date of this announcement. 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 chiropractic, or its equivalent, resulting from a course of education in chiropractic. The degree must have been obtained from one of the schools or colleges approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. License:
Current, full and unrestricted license (Doctor of Chiropractic) to practice chiropractic in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Physical Standards:
See listed below. English Language Proficiency:
Doctors of chiropractic 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:
In addition to state license as a chiropractor with a minimum of one year experience, the preferred candidate will also maintain and a National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) Certification in Acupuncture and state licensure as an acupuncturist. Preferred experience would include the candidate utilizing their acupuncture license in addition to their chiropractor license. The incumbent will follow their state license requirements in order to provide acupuncture services in addition to chiropractic services. The training requirements for special privileges in acupuncture for a Chiropractor must, at a minimum, met the requirements of the incumbent's state licensing body in order to preform acupuncture. For example, requirements for Pennsylvania state license, the incumbent in addition to their chiropractor license, they would also have their license as an acupuncturist issued by the state board. In order to obtain that license, the incumbent would have also had to successfully completed an acupuncture educational program which including a course in needle sterilization techniques, and obtained a passing grade on acupuncture examination and certified by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). Education requirements for the NCCAOM certification in Acupuncture requires a 3-year Master's program in Acupuncture. Grade Determinations:
Grade determinations will be determined by the National Chiropractic Professional Standards Board based on the following requirements, the selected applicants qualifications and the duties of the position to be filled. Associate Grade. None beyond the basic requirements. Full Grade. Two years of full-time chiropractic practice or its equivalent. One year of full-time post-graduate residency specialty training from a chiropractic school or college accredited by the Council on Chiropractic Education, or equivalent agency approved by the Secretary of Veterans Affairs, is acceptable in lieu of the 2 years of practice. Candidate must have demonstrated the professional competence and performance necessary to provide independently the full range of clinical diagnosis and chiropractic treatment for the most prevalent neuro-musculoskeletal conditions including subluxation complex. Intermediate Grade. A doctor of chiropractic at the Intermediate grade meets the requirements for Full grade and the requirements in subparagraphs 3c(1) and (2):
A total of 4 years of chiropractic practice or its equivalent. Acceptable in lieu of 4 years of practice is completion of a 3-year full-time post-graduate residency program from an accredited U.S. chiropractic college, as evidenced by documentation of completion (e.g., transcript), which renders the doctor of chiropractic eligible for certification by a specialty board recognized by the American Chiropractic Association, the International Chiropractors' Association, or the American Board of Chiropractic Specialties to obtain Diplomate status. Demonstrates a high level of professional attainment. Examples of such attainment are:
(a) Is a recognized expert in dealing with a variety of unusually difficult chiropractic cases which are referred by other facilities for resolution and recommended courses of action to provide for maximum rehabilitation. Typically, in this capacity serves as a consultant to doctors of chiropractic or other professionals in other health care facilities. (b) Has assumed responsibility for a multi-faceted chiropractic program including clinical research and/or training requiring a high degree of competence and skill in developing innovative, new and advanced diagnostic and treatment techniques. Typically, the program is in an educationally affiliated health care facility having a chiropractic training program of moderate scope involving liaison with other medical services and affiliated schools. (c) Played a significant part in the conduct of research in a problem area of considerable scope and complexity that required novel approaches and which resulted in answers to important questions or important changes in existing methods and techniques. Publications authored by the doctor of chiropractic are of considerable value to others in the individual's field. Typically, overall contributions are recognized by serving on important committees or other bodies in the profession. (d) Has full responsibility for carrying out a chiropractic training program of significant size in which the doctor of chiropractic is responsible for maintaining liaison with the affiliated school and other educational institutions and professional or scientific organizations. The individual has displayed innovative approaches in development of curriculum and course content and in expanding and improving the educational program. Senior Grade. Not applicable. Chief Grade. Not applicable. Physical Requirements:
Moderate lifting, 15-44 pounds; Light lifting, under 15 pounds; Moderate carrying, 15-44 pounds; Light carrying, under 15 pounds; Pushing 1.0 hours; Standing >1.0 hours; Crawling; Kneeling; Repeated bending References:
VA Handbook 5005, Part II, Appendix G16. This document is available at your local VA Human Resources Office.
Estimated Salary: $20 to $28 per hour based on qualifications.
Patient Care:
Chiropractors are expected to provide patient care that is compassionate, appropriate, and effective for the promotion of health, prevention of illness, treatment of disease, and care at the end of life. Medical/Clinical Knowledge:
Chiropractors are expected to demonstrate knowledge of established and evolving evidenced based practices, and the application of their knowledge to patient care and the education of others. The Chiropractor will function within their approved scope of practice as defined by the licensing board for their license. Clinical Judgment:
To ensure evidenced based learning and improvement, chiropractors are expected to be able to use scientific evidenced based practice and methods to investigate, evaluate, and improve patient care. Interpersonal & Communication Skills:
Chiropractors are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team. Professionalism:
Chiropractors are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, and understanding and sensitivity to diversity, and a responsible attitude toward their patients and their profession. Systems-Based Practice:
Chiropractors are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve optimizing health care. Telehealth:
Chiropractors are expected to provide telehealth services to appropriate patients, through means of Clinical Video Telehealth (CVT), VA Video Connect (VVC), and other telehealth means approved by VA. Additionally, return phone calls and contact patients as necessary through telephone. Provide individualized evaluation and treatment:
The chiropractor will utilize standard medical evaluation procedures and chiropractic evaluation to evaluate and develop a chiropractic treatment plan. The chiropractor shall incorporate the various evidenced based treatment techniques. The chiropractor will collaborate with the interdisciplinary team, including PM&RS to ensure the whole health approach to patient centered care. The chiropractor will complete evaluations, re-evaluations, plan of care, treatments, and discharges. Provide group chiropractic care:
The chiropractor may provide group chiropractic care, as determined, to be medically indicated and appropriate. Complete clinical notes in electronic health record system:
The chiropractor shall document and code information for billing related to patient care in the VA's electronic health care record on a timely basis following VHA policies. iMed consent shall be completed prior to acupuncture treatment where any needling procedure occurs. Oral informed consent is valid for auricular acupuncture only. The chiropractor only preforms acupuncture treatment if they are educated, certified, and licensed to do so. The chiropractor communicates with other health care providers as appropriate. Work Schedule:
Tour of duty is varying daylight hours, Monday through Friday; however, weekend and evening hours may occur when Veteran needs arise. Financial Discloser Report:
Not required Telehealth:
Knowledge of Telehealth processes and procedures. Applicants must meet all requirements listed below before the closing date of this announcement. 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 chiropractic, or its equivalent, resulting from a course of education in chiropractic. The degree must have been obtained from one of the schools or colleges approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. License:
Current, full and unrestricted license (Doctor of Chiropractic) to practice chiropractic in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Physical Standards:
See listed below. English Language Proficiency:
Doctors of chiropractic 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:
In addition to state license as a chiropractor with a minimum of one year experience, the preferred candidate will also maintain and a National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) Certification in Acupuncture and state licensure as an acupuncturist. Preferred experience would include the candidate utilizing their acupuncture license in addition to their chiropractor license. The incumbent will follow their state license requirements in order to provide acupuncture services in addition to chiropractic services. The training requirements for special privileges in acupuncture for a Chiropractor must, at a minimum, met the requirements of the incumbent's state licensing body in order to preform acupuncture. For example, requirements for Pennsylvania state license, the incumbent in addition to their chiropractor license, they would also have their license as an acupuncturist issued by the state board. In order to obtain that license, the incumbent would have also had to successfully completed an acupuncture educational program which including a course in needle sterilization techniques, and obtained a passing grade on acupuncture examination and certified by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). Education requirements for the NCCAOM certification in Acupuncture requires a 3-year Master's program in Acupuncture. Grade Determinations:
Grade determinations will be determined by the National Chiropractic Professional Standards Board based on the following requirements, the selected applicants qualifications and the duties of the position to be filled. Associate Grade. None beyond the basic requirements. Full Grade. Two years of full-time chiropractic practice or its equivalent. One year of full-time post-graduate residency specialty training from a chiropractic school or college accredited by the Council on Chiropractic Education, or equivalent agency approved by the Secretary of Veterans Affairs, is acceptable in lieu of the 2 years of practice. Candidate must have demonstrated the professional competence and performance necessary to provide independently the full range of clinical diagnosis and chiropractic treatment for the most prevalent neuro-musculoskeletal conditions including subluxation complex. Intermediate Grade. A doctor of chiropractic at the Intermediate grade meets the requirements for Full grade and the requirements in subparagraphs 3c(1) and (2):
A total of 4 years of chiropractic practice or its equivalent. Acceptable in lieu of 4 years of practice is completion of a 3-year full-time post-graduate residency program from an accredited U.S. chiropractic college, as evidenced by documentation of completion (e.g., transcript), which renders the doctor of chiropractic eligible for certification by a specialty board recognized by the American Chiropractic Association, the International Chiropractors' Association, or the American Board of Chiropractic Specialties to obtain Diplomate status. Demonstrates a high level of professional attainment. Examples of such attainment are:
(a) Is a recognized expert in dealing with a variety of unusually difficult chiropractic cases which are referred by other facilities for resolution and recommended courses of action to provide for maximum rehabilitation. Typically, in this capacity serves as a consultant to doctors of chiropractic or other professionals in other health care facilities. (b) Has assumed responsibility for a multi-faceted chiropractic program including clinical research and/or training requiring a high degree of competence and skill in developing innovative, new and advanced diagnostic and treatment techniques. Typically, the program is in an educationally affiliated health care facility having a chiropractic training program of moderate scope involving liaison with other medical services and affiliated schools. (c) Played a significant part in the conduct of research in a problem area of considerable scope and complexity that required novel approaches and which resulted in answers to important questions or important changes in existing methods and techniques. Publications authored by the doctor of chiropractic are of considerable value to others in the individual's field. Typically, overall contributions are recognized by serving on important committees or other bodies in the profession. (d) Has full responsibility for carrying out a chiropractic training program of significant size in which the doctor of chiropractic is responsible for maintaining liaison with the affiliated school and other educational institutions and professional or scientific organizations. The individual has displayed innovative approaches in development of curriculum and course content and in expanding and improving the educational program. Senior Grade. Not applicable. Chief Grade. Not applicable. Physical Requirements:
Moderate lifting, 15-44 pounds; Light lifting, under 15 pounds; Moderate carrying, 15-44 pounds; Light carrying, under 15 pounds; Pushing 1.0 hours; Standing >1.0 hours; Crawling; Kneeling; Repeated bending References:
VA Handbook 5005, Part II, Appendix G16. This document is available at your local VA Human Resources Office.
- Department:
0601 General Health Science - Salary Range:
$64,009 to $118,603 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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