Mobile Acute Care for the Elderly (MACE) Medical Director

About the Role:

The San Francisco VA Health Care System is seeking an innovative and compassionate physician leader to serve as the Medical Director for the Mobile Acute Care for the Elderly (MACE) program. This position focuses on delivering hospital-level care to older Veterans in their home environments, supporting early discharge, reducing hospitalizations, and improving overall outcomes.

Location: San Francisco

Salary: $240,000 - $335,000

Work Schedule: Monday – Friday, 8:00am – 4:30pm

Key Responsibilities:

• Provide medical leadership and clinical oversight for the MACE program
• Direct and support an interdisciplinary team delivering acute care in the home
• Guide program development, quality initiatives, and process improvement
• Collaborate with inpatient, outpatient, CLC, HBPC, and emergency teams
• Ensure regulatory and VA compliance in clinical operations
• Apply geriatric care principles to enhance patient safety and recovery

Qualifications:

• MD or DO degree
• Board Certified/Eligible in Internal Medicine or Family Medicine (Geriatrics preferred)
• Active, unrestricted U.S. medical license
• Experience with geriatrics, acute care, or home-based care preferred
• Leadership experience a plus

Why SFVAHCS:

• Competitive federal compensation and benefits
• Flexible schedules and generous leave
• Federal pension and Thrift Savings Plan
• CME reimbursement and protected time
• Mission-driven work improving care for older Veterans
• Faculty appointment opportunities with UCSF (if eligible)

Paid Time Off:

• 26 Days paid annual (vacation/personal) leave
• 13 Days paid sick leave each year with no limit on accumulation
• 11 Federal holidays with pay annually
• 5 Days paid absence to attend approved CME courses

Insurance:

• Health Insurance: VA employees have an outstanding number of health insurance plans from which to choose (premiums are partially paid by VA) Lifetime Healthcare Insurance options available
• Dental & Vision: Our insurance options also include exceptional vision and dental plans (premiums are partially paid by VA)
• VA employees have the option to use Flexible Spending Accounts, which allow you to use tax-free dollars to pay for medical, dental, and vision care expenses that are not reimbursed by your health insurance plan
• Term life insurance, family, and additional coverage options are available with the cost shared by the Federal Government
• Long-term care insurance is available as an option

Federal Retirement Plan:

• VA employees are covered by the Federal Employees Retirement System (FERS). FERS is a three-tiered retirement plan composed of 1) Social Security benefits, 2) FERS-RAE basic benefits (pension), and 3) Thrift Savings Plan (TSP) which is a 401K-type plan
• How is the pension funded? VA employees automatically contribute 4.4% of their salary each pay period and the VA contributes 12.2% of the employee’s salary each pay period for a total annual contribution percentage equal to 16.6% of the employee’s salary
• Similar to the 401(k) savings plans widely available in the private sector, the TSP allows employees to tax defer a portion of their income each year, subject to the requirements of the Internal Revenue Service. For calendar year 2025, employees under the age of 50 may contribute up to $23,500, while those over age 50 are eligible to make catch-up contributions that allow them to defer up to $31,000.
• The Federal Government also provides an automatic basic contribution (1% of salary) and up to 4% of salary in matching contributions, depending on the amount of the employee contribution
• For retired military personnel, these benefits are in addition to full monthly retirement pay or pension
• In addition to FERS, VA provides health care insurance coverage for retired personnel
• Disability Retirement
• Employees are vested in a federal pension after only 5 years service