The Associate Chief of Staff (ACOS) for the Physical Medicine and Rehabilitation Service provides administrative, clinical, and programmatic leadership for the Physical Medicine and Rehabilitation Service to ensure achievement of the clinical, research, and education goals. The ACOS of PMR will also serve as a physician according to approved clinical privileges at VA PIHCS with an expected average clinical time of at least 0.1 FTE. The position is located in Honolulu, Hawaii. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentives (Sign-on Bonus): Authorized Permanent Change of Station (Relocation Assistance): Authorized Work Schedule: Monday - Friday, 7:30am - 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 The responsibilities include hands on clinical work, oversight, and administration of all aspects of the service, including an extensive research program and guidance and training for residents and other trainees. The incumbent reports to the Chief of Staff and serves as a key clinical resource for the Health System Leadership. Major duties include, but are not limited to: Leadership/Supervision Supervises a variety of positions directly, or indirectly (administrative, physicians, nurse practitioners, Rehab specialists, Prosthetics and Sensory Aide staff and other staff as assigned by the Chief of Staff). Responsible for the management and oversight of clinical and administrative operations. Provides physician/clinical/administrative leadership and serves as an advisor to Chief of Staff and other service line leaders. Ensures facility's goals and benchmarks for integrated care delivery are met. Responsible for timely completion of all program evaluations and documents required by the Medical Center, VISN, and VACO, ensuring compliance with appropriate bodies (such as The Joint Commission) and monitoring entities as appropriate. Has supervisory responsibilities noted above, with additional responsibilities including management of Human Resource, performance appraisals, Credentialing & Privileging, and professional boarding procedures for various disciplines. Support all existing safety and infection control practices relevant to this position. Contributes to and keeps abreast of new safety and ergonomic practices as they are developed. Complies with safety, security, and privacy policies, arranges proper clinical coverage during planned absences, and complies with hand-off communication policy. Quality Improvement Directs the continuous measurement and improvement of the quality, timeliness and patient satisfaction with clinical care provided by the services. Targeting performance improvement initiatives to address national programs such as SAIL (Strategic Analytics for Improvement and Learning), HEDIS (Healthcare Effectiveness Data and Information Set), productivity, and utilization Management/Efficiency of care. Plans, coordinates, and ensures high quality, timely, patient centered care through utilization of multiple quality measurement tools. Improves patient outcomes through the implementation of strategies such as clinical practice guidelines and critical pathways, health risk assessments, provider profiling, use of electronic medical record and clinical reminders, and case management. Continuously assesses and improves the processes of patient care delivery in the service to enhance patient safety. Provides continuing surveillance of the professional performance of all providers who have delineated clinical privileges. Budget/Fiscal Management Recommends sufficient number of qualified and competent persons to provide patient care, treatment, and services. Collaborates with other service chiefs in the development and execution of the overall Medical Center strategic and business plan. Plans initiatives and develops programs in collaboration with other services to ensure coordination of service, reduction of redundancies, and enhancement of cost effectiveness. Stays abreast of and educates staff about changing conditions in health care. Encourages and rewards risk-taking and entrepreneurial behavior. Encourages demonstration projects, pilots, and other experimental approaches, which may lead to the development of alternative revenue streams and other gains in the organizational outcomes. Other Duties as assigned by the Chief of Staff. 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 identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation. 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. 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. Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.