Physician-Psychiatrist

The VA Hilo Community Based Outpatient Clinic (CBOC) Mental Health Service Line provides care in outpatient programs. Psychiatrists assigned to the Mental Health Service Line provide psychiatric care for outpatients. The Mental Health Service Line has one full-time psychiatrist position that reports to the VA Hilo CBOC Chief/Mental Health Supervisor who is responsible for the overall clinical and administrative function of the Mental Health Service.

**This is an OPEN CONTINUOUS ANNOUNCMENT and will remain open until July 13, 2026. The initial cut-off date for referral of eligible applications will be May 19, 2026, with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized Work Schedule: Monday - Friday, 7:00am - 4:00pm 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 Contract: No Physician Employment Contract and no significant restriction on moonlighting Duties including providing a full range of psychiatric care, but primarily psychopharmacotherapy with some psychotherapy, for Veteran patients consistent with clinical privileges in psychiatry. Incumbent will provide psychiatrist services as part of a multidisciplinary mental health team. Incumbent will provide the full range of outpatient psychiatry services to patients who primarily receive services through the Hilo COBC, consistent with psychiatric privileges. Incumbent will participate in team meetings, committees, and other assigned duties as a member of the VAPIHCS medical staff. Incumbent may be required to provide cross coverage for other VAPIHCS mental health CBOC sites Clinical Care: Provide a full range of psychiatric services with a primary focus on psychopharmacotherapy and some psychotherapy for Veteran patients. Deliver outpatient psychiatry services to patients primarily at the Hilo CBOC, consistent with psychiatric privileges. Participate in team meetings, committees, and other duties as a member of the VAPIHCS (Veterans Affairs Pacific Islands Health Care System) medical staff. Provide cross coverage for other VAPIHCS mental health CBOC sites as needed. Diagnostic Services: Conduct general psychiatric evaluations for assessing cognitive function, emotional status, and personality structure. Provide evaluations for specific areas such as risk of harm to self or others and substance use/chemical dependency. Medication and Crisis Management: Perform medication evaluations and management, especially for veterans new to mental health treatment, in crisis, or with a dual diagnosis, including substance use disorders. Screen and diagnose veterans with a spectrum of mental health disorders including psychotic, affective, anxiety (including PTSD), and substance use disorders. Assess for dangerousness and determine appropriate initial treatment. Psychotherapy and Intervention Services: Provide psychotherapeutic services, crisis intervention, or psychological interventions based on training and experience. Offer Mental Health Triage coverage throughout normal working hours with other providers. Integration with Primary Care: Provide psychiatric assessment in the Primary Care Clinic as needed and consult with Primary Care Clinic providers for veterans with psychiatric issues. Collaboration and Consultation: Work collaboratively with other professionals on an interdisciplinary mental health team and participate in scheduled team meetings at the Hilo CBOC. Engage in cross-disciplinary collaboration with other providers across the VAPIHCS system to ensure comprehensive, integrated care for veterans. Interface with the Suicide Prevention Team/Suicide Prevention Coordinator and Emergency Response Teams to provide comprehensive care during, as well as after, life-threatening psychiatric acuity events. Promote out-of-the-box thinking by seeking innovative solutions and approaches to enhance patient care and address complex mental health challenges within the multidisciplinary team. Intensive Community Mental Health Recovery (ICMHR) Team Participation: Work collaboratively with the ICMHR team to develop and implement individualized treatment plans aimed at supporting recovery and improving the quality of life for veterans with chronic mental health issues. In addition to BHIP duties, be an active member of the ICMHR team, focusing on providing psychiatric medication management for Veterans enrolled in intensive community-based services for severe mental health conditions.

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. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.