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Summary
The Supervisory Chiropractor (Service Chief) will serve as the Chief, Physical Medicine and Rehabilitation (PM&R) Service at the Cincinnati VA Medical Service which includes oversight, planning and development of all Service functions and programs.
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Duties
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This facility is a level 1b complexity facility servicing one of the largest geographical catchment areas in the United States. As the Chief, PM&R Service, the incumbent will plan, direct, and coordinate all aspects of a multifaceted, complex service. The duties of the position includes but are not limited to the following:
Administrative Supervisory:

• Develops, plans and implements monitors of quality care with respect to the PMR Service Line as part of the comprehensive health care services delivered to the patient within the medical center and the four Community Based Outpatient Clinics (CBOCs).
• Develops and implements policies and procedures to address focused clinical needs and the overall services delivered and provided within the PMR Service line.
• Demonstrates autonomy in performing supervisory responsibilities.
• Participates in research studies and/or as a consultant to others conducting research.
• Maintains statistical records and necessary information for each section supervised.

Clinical:

• Provides appropriate treatment, with emphasis on maximizing function, both in the psychosocial and physical restorative areas. Assesses effectiveness of treatment daily, and modifies as necessary, always utilizing appropriate graded treatment modalities/activities.
• Completes electronic progress notes on patients assigned, at appropriate intervals, including observations of patients' functional status, behaviors pertinent to rehabilitation, relevant sort and long-term goals, progress towards discharge, and disposition recommendations.
• Refers patients via the Consult package when other subspecialty (for example speech language pathology, neuropsychology, social work, psychology, wheelchair clinic, etc.) involvement is indicated.
• May direct Chiropractors, CAM clinical providers, Chiropractic assistants, students, or aides in performance of proper patient treatment; support the primary staff member leading this effort. May or may not serve as the site director for this program.

Administrative:

• Surveys Service Line areas or safety, adequacy of supplies and proper use of equipment. Works with support staff and stakeholders to resolve issues and track to closure/completion.
• Provides patient/family education and home treatment programs with instructions for independent therapy, to include safe therapeutic practices.
• Compiles and submits statistical data required to document patient attendance, therapist workload, and productivity indicators.
• Represents service at ward rounds and other meetings.
• Teaches students from affiliated college of university program.
• Assists in training program for students and in-service training for Chiropractic staff.
• Assures required supplies, prosthetic items and materials are available in a timely manner as to not negatively impact upon patient care.

Education:

• Identifies developmental and maintenance training needs and presents the same to the Medical Director for Pain Clinic, DRS.
• Provides treatment education to patients and families/significant others.
• Serves as a mentor for Chiroptic assistants and restorative nurses.
• Acts as a resource person and anticipates need by providing teaching-learning experiences for non-Chiropractic staff through in-service.

VA offers a comprehensive total rewards package.
Recruitment/Relocation Incentives (Sign-on Bonus): A Recruitment/Relocation Incentive(s) may be authorized for a Highly Qualified Individual.
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.
Work Schedule: Monday - Friday with subject to negotiable upon selection. A driving license is required.
Telework: Ad-hoc
The VA has been named as one of the Top 5 Best Places to Work in the federal government.
Cincinnati is a family friendly, affordable, metropolitan city with great parks, fine arts, and food scene.
With both an urban energy and southern charm, the Cincinnati region has a vibrant and unique culture that flows from the Ohio River to the things to do, landmarks and events all around town. With rich cultural offerings, award-winning family adventures, an ever-expanding art scene, a foodie's paradise, and breweries galore, this is one picturesque river region with much to explore!
With major league sports, big-city arts, fun festivals and award-winning attractions, it can be hard to decide what to do in our dynamic river region! https://www.frommers.com/destinations/cincinnati
Requirements
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Conditions of employment

• All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.
• 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.

Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

• Citizenship: Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens.
• 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).
• 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. Approved schools are:
  
  • United States schools or colleges of chiropractic listed as accredited by the Council on Chiropractic Education, at http://www.cce-usa.org/, or equivalent agency, in the list published for the year in which the course of study was completed.
  • Schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth of the United States (i.e., Puerto Rico), or in the District of Columbia as qualifying for full or unrestricted licensure.

• Licensure or Registration: Current, full and unrestricted license to practice chiropractic in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. The facility Director may waive this requirement if the doctor of chiropractic is to serve in a country other than the United States and the doctor of chiropractic has licensure in that country.
• Driving License is required.

Grade Determinations: In addition to the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates.
Grade Determinations: In addition to the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates.
Associate Grade (11). None beyond the basic requirements.
Full Grade (12). 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.
Intermediate Grade (13). Intermediate grade meets the requirements for Full grade and the requirements outlined below:

1. 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.
2. Demonstrates a high level of professional attainment. Examples of such attainment are:
   
   • 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.
   • 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.
   • 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.
   • 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 (14). The Senior grade is restricted to selected leadership positions. The individual's qualifications, as well as the scope and complexity of the assignment, are considered. Senior grade meets the requirements for Intermediate grade and the requirements in subparagraphs 3d(1) and (2):

1. The doctor of chiropractic at this grade will meet one or more of the following:
   
   • Possesses such academic stature as would warrant a faculty appointment of a professorial level (i.e., full professor) in a school or college of chiropractic or other appropriate affiliated school or college.
   • Has been awarded Diplomate status by a specialty board recognized by the American Chiropractic Association, the International Chiropractors' Association, or the American Board of Chiropractic Specialties and is currently in good standing with the specialty board.
2. Demonstrates superior professional attainment. Examples of such attainment are:
   
   • Serves as a team leader in addressing major chiropractic problems affecting the continued provision of quality care health services at a Veterans Integrated Service Network or national level. The recommendations and conclusions of the doctor of chiropractic are highly regarded.
   • Has assumed responsibility for carrying out a major chiropractic program segment on a national level.
   • Conducts research in a difficult area of major scientific interest that has contributed to a substantial advance in the chiropractic health field with important professional publications.

Chief Grade (15). The Chief grade is restricted to selected leadership positions. The Individual's qualifications, as well as the scope and complexity of the assignment, are considered. Chief grade meets the requirements for Senior grade and must demonstrate a sustained very high level of professional performance with evidence of the exceptional professional and/or administrative development in subpara