We are seeking a Nocturnist (Board Certified in Internal Medicine) to join our team in Columbia, MO. At the VA, your work will carry purpose as you provide care to Veterans while enjoying strong federal benefits and stability. This is an open-continuous announcement and remains open until June 21, 2027, or until the vacancies are filled (if a selection is made, announcement will be closed). Qualified applicants will be referred, as they are available from the opening date of the announcement. Why Choose Harry S. Truman VAMC? State-of-the-Art Facilities: Work in a modern medical center equipped with cutting-edge technology and resources, ensuring you have the tools needed to provide the best care. Work-Life Balance: Enjoy a balanced lifestyle with competitive salaries, generous benefits, and ample opportunities for professional development and continuing education. Columbia is a vibrant city with a rich cultural scene, excellent schools, and outdoor recreational activities. Supportive Community: Be a part of a community that values and supports its veterans. Columbia is known for its welcoming atmosphere, diverse population, and strong sense of community. Activities: Columbia is the site of internationally renowned "Roots N Blues N BBQ" annual music festival, the "True False" documentary film festival, and also hosts numerous arts, theater, and music events throughout the year. Top collegiate sporting events average 25 per month, with easy access to professional sports in nearby St Louis and Kansas City. Centralized location offers quick access to St. Louis and Kansas City, the State Capitol, Jefferson City, and the beautiful vacation getaway, Lake of the Ozarks. Columbia is also ranked by Niche.com as #25 best city to live in America, #28 best city to buy a house, and #24 best city to raise a family. Columbia is also minutes away from historic towns and state parks featuring boating, fishing, hiking, biking and more. http://www.visitcolumbiamo.com/ VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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 Work Schedule: 6pm- 6am Nocturnist Duties: The duties and responsibilities of the Hospitalist-Nocturnist include, but are not limited to the following: Provide general Internal Medicine care of inpatient services in keeping with good clinical practice and standards of the Hospitalist Section and Medicine Service at the Harry S Truman Memorial Veterans' Hospital Participation in educational activities related to the Internal Medicine residency program. Collaboration with the physician extenders and nursing care providers throughout the hospital. Be a resource for Primary Care providers ensuring a smooth transition of patients from inpatient to outpatient settings. Provide expertise in multispecialty and patient care-related discussions. Provide inpatient General Internal Medicine consultation services to non-medicine teams, including direct supervision and education of medical consultation house staff. Provide inpatient Internal Medicine attending services including clinical procedures within your specialty area of expertise on the general medicine teams Nocturnists cross-cover the Intensive Care Unit (ICU) patients with the help of the ICU fellow and attending physician intensivist as needed in the evenings. You will be expected to serve on committees as requested by the Medical Center Director, Chief of Staff, or Deputy Chief of Staff. You will be expected to follow the Medical Staff bylaws and will complete all medical records timely through CPRS (Computerized Patient Record System) in accordance with VA Policies and Regulations. All attending physicians are expected to participate in ongoing process improvements within their specific areas of expertise thereby promoting quality, efficiency, patient safety, and timely access to care for our Veteran patients. Will participate in inter-hospital transfers of patients as needed. Responsible for the provision of medical diagnostic evaluation and initial assessment of patients to include a minimum of focused history, physical examinations, and pertinent laboratory investigations. Responsible for the evaluation of all new admissions to the medicine team with completion of an admission History and Physical (H&P), or completion of the short-form admission note as appropriate. Perform, at a minimum, basic procedures expected of any board-eligible Internist. This includes lumbar puncture, thoracentesis, and paracentesis. Supervise any residents, students, fellows, or teams assigned to their areas of responsibility. Other related duties as assigned, or as prescribed 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 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. 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.