Total 17 job vacancies by Veterans Health Administration

The Advanced Medical Support Assistant (AMSA) interact with both internal and external customers providing exceptional customer service and ensuring overall customer satisfaction. Candidates will be reviewed for minimum qualifications as outlined in the qualifications section of this announcement and referred to the Greater Los Angeles VA Health Care System AMSA Interview panel. Ideal candidates resumes must be skilled in customer service, identify customer concerns, customer satisfaction and resolution, ability to operate computer programs, and scheduling of appointments. In addition, you will be contacted by various entities within Human Resources to begin all pre-employment processes and must satisfy all condition of employment before a firm offer of employment is made.

Major duties include, but are not limited to:

• Scheduling, canceling, re-scheduling patient appointments and/or consults.
• Entering no-show information.
• Monitoring appointment requests from multiple electronic sources.
• Participating in team huddles and team meetings to manage and plan patient care.
• Setting priorities and deadlines.
• Adjusting the flow and sequencing of the work to meet team and patient needs.
• Monitoring pre-appointment requirements to assure readiness for patient visit/procedure (e.g. X-Ray, Lab Work).
• Managing electronic wait list to verify and validate accuracy and resolve issues.
• Participating and providing input in problem solving on operational issues or procedures in team meetings.
• Performing administrative follow up actions.
• Evaluating patient information and clinic schedule lists to determine whether patient is vested.
• Educating providers about shared patients (those who receive their care at multiple VAs or those who have care in the community and bringing to the attention of the provider.

Duties may include but are not limited to:

• Extensive knowledge of SWS and its programs as they relate to administrative functions.
• Detailed knowledge of the organizational structure of the VA at local and higher levels, in-depth working knowledge of VA policies and regulations especially those pertaining to SWS and its Programs.
• Knowledge and ability to apply patient privacy regulations and release of information procedures.
• Knowledge of medical terminology and usages, (in general, medicine, surgical, geriatrics, hospital terms, medical abstracts, abbreviations, nursing, social work, pharmacology, aging, and home health), spelling, grammar, and composition, and ability to determine and follow required formats for VA memos and reports.
• Ability to plan effectively, set priorities, coordinate activities, have a high degree of skill in oral and written communications with a variety of people of different backgrounds and comprehension, and present a positive image of the VA to the community. This may include clerical, technical, administrative, and professional people at all levels in the medical center and community agencies.
• Ability to adapt to changing situations, to modify plans and demonstrate flexibility in changing circumstances, while displaying a high degree of interpersonal skill.
• Knowledge of the duties, priorities, commitments, policies, and program goals of SWS staff, and ability to support these with a spirit of teamwork in performing non-routine assignments. Knowledge sufficient to recognize which information is or is not relevant to the problem at hand. Ability to perform, plan and organize work in situations where numerous demands are made.
• Knowledge required to coordinate the work of the office with other stakeholders, and for recognizing the need for such coordination in various circumstances.
• Thorough knowledge of statistical and analytical processes and deductive reasoning to conduct problem and trend identification and resolution.
• Skill in use of Microsoft Work, Outlook, and Excel programs, scheduling, and other VISTA packages as indicated by duties of the position. Ability to retrieve information from CPRS to assist field staff with information needs by phone.
• Skill in operation and routine maintenance of facsimile and copier machines, as well as personal computers and printers.
• Ability to identify safety issues related to patient/staff safety and acts appropriately to report unsafe conditions.
• Skill in applying basic data gathering methods, such as standard interviewing or surveying techniques, to collect various types of factual information.
• Excellent telephone and personal interaction skills to ensure tact and diplomacy in dealing with veterans, families, high level officials, staff and other administrative and clinical departments, representatives from private and community corporations, members of service organizations and other stakeholders.
• Plans and carries out the successive steps and handles problems and deviations in the work assignment in accordance with instructions, policies, previous training or accepted practices in the occupation.
• The work includes various duties involving different and unrelated processes and methods.

Major duties include but are not limited to:

• Coordinates and provides administrative support;
• Schedules and manages appointments;
• Screens calls and visitors to the office, referring to other staff members as appropriate;
• Composes and prepares correspondence, forms, letters, memos, and reports;
• Schedules conferences, coordinates meetings and prepares meeting minutes;
• Maintains office supplies and equipment;
• Serves as the timekeeper for the service;
• Receives and reviews all incoming correspondence; and
• Performs other related duties as assigned.

The Supervisory MSA is responsible for managing and supervising the appointment management services within OCC and supervises one Lead Advanced Medical Support Assistant and ten Advanced Medical Support Assistants (MSAs) within the program. He/she collaborates with and has an extensive knowledge of all clinical applications, services and programs, to include but not limited services within the OCC. The Supervisory MSA is flexible, multi-skilled and creative in solving everyday challenges unique to this standalone service. The Supervisory MSA assigns work and daily priorities to the Lead and Advanced MSAs and ensures the goals and mission of the Office and Health Care System are being met. S/he is responsible for all performance management functions related to Lead and Advanced MSAs.

The Supervisory MSA applies principles, methods and guidelines to evaluate administrative operations in order to determine best practices for organizing administrative work and the flow of information throughout the service. S/he must take into consideration the staff ratios and skill mixes needed to accomplish the work. Analysis results in recommendations for improvement and implementation of new systems and processes that are discussed with the rest of the management team for decisions regarding the efficiency of service operations. The Supervisory MSA performs duties related to the receipt, intake and indexing of health and administrative information.

The Supervisory MSA will interface with personal computer (PC) applications as well as numerous Veterans Health Information and Technology Architecture (VistA), applications. The Supervisory MSA will serve as a backup for time and leave management processing. The Supervisory MSA must possess a high degree of tact and diplomacy when dealing with Veterans who have multiple medical problems and may be frustrated with the administrative process associated with coordinating treatment with community care providers.

The Supervisory MSA provides a variety of complex and unique duties in support of the MISSION Act. The Supervisory Advanced Medical Support Assistant will conduct and lead daily team huddles to assist with the coordination of patient care management, deploying customer contact and call center strategies, monitoring performance of the unit and make recommendations for improving the Veteran access to care and experience with VA and community care providers. The Supervisory MSA plans and directs programs within the Office of Community Care. The Supervisory MSA is responsible for implementing and deploying operational changes when necessary to ensure care in the community is provide in accordance with MISSION Act guidelines.

The Supervisory MSA has full supervisory responsibility of at least one lead MSA and ten Advanced MSA's. Assignments at this level include but are not limited to; assigning and evaluating the work of subordinate staff, resolving complex problems to ensure patient requirements are met. Analyzing staffing and workload patterns to ensure appropriate coverage of workload needs. Planning work to be accomplished by subordinates, setting and adjusting priorities. Determining appropriate tours of duty. Approving or denying leave. Evaluating performance, rating employees, and recommending performance awards. Interviews and selects subordinate staff. Advises Program Manager with process improvement suggestions and new strategies by extracting and analyzing data to better manage care access and ensure compliant appointment management practices per the MISSION Act and scheduling directive guidelines.

The Supervisory MSA manages CPRS view alerts from providers, correspondence from external community care affiliates, caregivers, family support staff and Veterans for needed actions involving patient care and follow-up. Ensures subordinate Lead and Advanced MSAs appropriately manage inquiries and requests for care in the community to ensure requests are routed to the appropriate external provider and scheduled timely in accordance with MISSION Act and VA guidelines. Supervisory MSA has full administrative and professional responsibility for planning and directing the Lead and Advanced MSAs activities. In certain situations, the Supervisory MSA will be required to conduct scheduling assignments if no Lead MSAs or AMSAs are available to schedule patients or if the situation is complex or emotionally or politically charged.

Other duties as assigned.

Work Schedule: Monday - Friday 8:00am - 4:30pm or as determined by supervisor.
Compressed/Flexible: At Supervisor discretion
Telework: Yes, position eligible
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required

As a nursing assistant, you serve as a member of the nursing team, performing a variety of nursing assignments in the outpatient clinical setting. This position requires the Nursing Assistant to perform such tasks as recording vital signs, doing EKGs, blood glucose monitoring and administering care to patients. The Nursing Assistant also provides support to providers and nurses in the performance of personal care and assisting with diagnostic examinations. The Nursing Assistant requires excellent customer service and communication skills when dealing with the veterans, their family and co-workers. Tasks include:

Maintaining unit flow in busy, high-volume environment by ensuring equipment is clean/sterile and in working order; exam/procedure rooms are clean, stocked and set-up, providing timely turnover of exam/procedure rooms to facilitate providers/clinic staying on time. The Nursing Assistant assists providers and other nursing staff with minor procedures. The Nursing Assistant will monitor for expiring medication/supplies. Assist with repeat blood pressures, patient admissions and transfers, general transporting of patients, lab and pharmacy running for clinic. The Nursing Assistant will be entering information into the patients' electronic records or charts using standard medical terminology for the human body, physical and emotional reactions, nursing care, and contraindications to medications, etc. The Nursing Assistant will foster/support a learning environment by participation in the orientation of new employees, providing feedback as appropriate and seeking opportunities for self-improvement. Must have basic computer skills to perform daily tasks. The Nursing Assistant will be required to monitor patients who are disoriented and in need of constant direction. You will be required to work as a team in improving patient care. You will be required to perform other related duties as assigned. This position reports directly to the Nurse Manager of the Surgical Specialty Clinics.

Clinical Skills
1. Completes all care assignments in a safe and timely manner
2. Actively participates in unit level quality improvement activities and attends huddles, team meetings, and assigned committees.
3. Completes applicable documentation per policy to include but not limited to Intake/Output, daily weights, vital signs, pain score, hourly rounding, blood glucose testing with accurate comment for notification.
4. Uses the appropriate equipment for safe patient handling to include but not limited to: SCDs, bladder scanner, Bucks tractions, lift equipment, CPM, glucometer to include maintenance of quality controls as applicable.

Emergency Intervention:
1. Is able to apply knowledge of effective verbal interactions and preventative tactics, such as the use of the least restrictive environment, when confronted by aggressive, potentially assaultive, disruptive, confused and elopement risk patients.
2. Is able to utilize knowledge of physical, social, and emotional factors when assisting with patient care.

Patient Education and Planned Activities:1
1. Applies knowledge of human behavior and the various degrees of physical and mental impairment, is able to reinforce patient/family teaching provided by the registered nurse.

Assessment and Communication:
1. Is able to recognize patient care management difficulties or problems and brings their finding to the attention of the registered nurse.
2. Is able to communicate with patients and families in a calming, reassuring, and supportive manner.

Interpersonal Relationships:
1. Establishes therapeutic relationships with patients and all members of the Interdisciplinary Team.
2. Maintains courtesy during telephone and direct verbal interactions with patients, families, visitors, coworkers, and supervisors.

Fire and Safety/Infection Control:
1. Maintains a safe work environment and has knowledge of Safety and Infection Control Guidelines.
2. Utilizes proper body mechanics, encourages others to do so, and includes participates during unit In-service and Patient Care Conferences.

Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf

Work Schedule: Monday-Friday 0730-1600
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 00000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized
Financial Disclosure Report: Not required

The incumbent functions as a program and administrative assistant to the ICMHRS/VRC Social Worker Coordinator and provides support to both teams. The incumbent takes initiative in certain aspects of program planning and development, scheduling, manages resources and establishes and maintains communications with such services as Human Resources Management, Supply Chain Service, OI&T, Fiscal, Quality Management and patient care services. Primary duty station is San Jose CBOC throughout the work week.

Major duties and responsibilities include, but not limited to:

• Provides major and complex program, administrative and technical assistance in the day-to-day operations and program planning/evaluation for the ICMHRS and VRC
• Gathers and organizes and facilitates the submission of all data for performance measures and reporting this data to the care team weekly, including local ICMHRS, PRRC and Northeastern Program Evaluation Center (NEPEC) in order to meet all deadlines, set by VACO. Using a national data base (KLF) to obtain comparative data on encounters tracked for performance measures. .
• Provides customer service, general information and/or responds to telephone inquiries - assisting veterans, families, medical center staff and community agency personnel who are seeking ICMHRS or PRRC services. This may include identifying and contacting available clinicians in response to urgent needs of Veterans, families, and caregivers.
• Provides general clerical and administrative support coordination.
• Provides customer and general information for telephone calls from ICMHRS and PRRC team members in the clinic, field, or other program locations. Remains available to other VA staff, and/or community agency staff, regarding program inquiries, program concerns, etc. Incumbent obtains as much information as possible, provides information and resolves problems independently, when possible, prioritizes, and makes decisions regarding caller referral based on specific caller needs. The incumbent ensures timely response to team members that potentially have an emergent or urgent care need through prompt identification of the problem and appropriate team referral. Interacts with visitors and co-workers in a courteous, tactful, helpful manner, exercising mature judgment and diplomacy.
• Produces a wide range of documents using a variety of office automation technologies. Applies advanced work processing software to materials involving complex formats such as automatic generation of indices and tables of contents, importation of graphics, charts, or special symbols or precise alignment of multiple columns. Prepares files and charts in a timely manner, ensuring that all relevant correspondences and clinical material pertinent to ICMHRS and PRRC are in place.
• Creates and maintains respective electronic Program Manuals to assist ICMHRS and PRRC staff in the implementation of VACO directives, policies and procedures and accompanying databases.
• Receives/screens and manages all incoming and outgoing documents, publications, directives, and correspondence, determining appropriate action and/or response with minimal direction from ICMHRS and PRRC Coordinators. Collects, identifies, records and tracks community resources as appropriate to ICMHRS and PRRC programs. Attends trainings, as needed, to fulfill ICMHRS and PRRC program and VAPAHCS facility requirements

Lead Duties:

Duties listed in this section (a) comprise at least 25% of the Lead Dental Assistant's time.
(1) Leads a team of dental employees. Provides the guidance and technical direction necessary for accomplishing the work of the team. Takes responsibility for the dental team's performance on National dental performance measures/monitors and indicators.
(2) Serves as a work leader, assuring the work assignments of employees in the unit are carried out. Coordinates daily work assignments at the start of the shift and throughout the day as the need arises.
(3) Monitors the status and progress of work and makes adjustments in accordance with established priorities. Obtains assistance from the Dental Chief or Supervisory Dental Assistant as needed for major issues or problems which arise.
(4) Provides expert advice on specific tasks, procedures and policies.
(5) Identifies training needs and instructs employees in specific tasks and job techniques. Trains employees and fee basis providers in computerized dental patient record systems including generating patient consults, storing and viewing digital images, entry of diagnostic data and preparation of treatment plans.
(6) Trains (or makes arrangements for training) team members, students and volunteers in the accomplishment of tasks or projects.
(7) Maintains current knowledge and answers questions from team members on procedures, policies, and directives.
(8) Makes written instructions, reference materials, and relevant background material available. Obtains needed information on decisions from the Dental Chief or Supervisory Dental Assistant on major issues and problems that arise.

Clinical Duties:
Provides dental assistance with general dentistry specialty procedures including oral surgery, endodontic, prosthodontic and implant
placement and restoration services to the Veteran population enrolled in the VA San Diego Healthcare System.
(1) Proficiently provides procedures commonly recognized by the dental profession for safe performance by a dental assistant: fourhanded chair-side
dental assisting, dental lab procedures, and performing other such procedures as may be delegated by the dentist consistent with the California State Dental Practice Act.
(2) Complies with all Patient Safety processes: Infection control, patient identification, time-out, iMed (informed) consent, medication reconciliation, and
hand-off communication.
(3) Follows standard operating procedures for all reusable medical device (RMD), instruments, materials, and personal protective equipment (PPE) in use in the dental clinical areas.
(4) Keeps patients informed of clinic delays by directly communicating with patients when treatment will not commence within 10-minutes of the patient's scheduled appointment time.
(5) Prepares the operatory with all needed equipment, materials and supplies for planned dental procedure(s) prior to seating the patient and cleans operatory after the patient is dismissed for timely turnover.
(6) Performs and records patient's blood pressure, pulse, and medical history; recognizes patient signs of physical distress and monitors patients'
condition during treatment.
(7) Captures and saves diagnostic quality digital radiographs of the mouth, gums, jaws, and/or teeth --- both intraoral and extraoral --- within the
desired time frame.
(8) Anticipates the dentist's need at each stage of the treatment procedure, including specialty procedures (in oral surgery, periodontal therapy,
endodontics, prosthodontics, and implant placement and retention), and makes instrumentation and/or materials readily available, whether in the dental clinic, operating room, or the patient's bedside.

Work Schedule: Full time, Mon-Fri, 7:00am-3:30pm
Compressed/Flexible: Not Authorized
Telework: Not Authorized
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

ASU/PACU Nursing Assistant duties include but not limited to:

• Escort patients to and from medical center appointments, canteen, patient services, hospital, and other locations within the Medical Center.
• Escort patients throughout the facility or hospital lobby for discharge.
• Deliver specimens, blood and supplies as directed.
• Pick up supplies and run errands for patient care, including delivery of patient belongings that can't be sent to the clothing room (i.e., wheelchairs or scooters).
• Assist with transfers and movement of patients including ambulation as directed.
• Moving and cleaning equipment as directed including IV poles, chairs, beds, bedside tables, gurneys, vital sign machines/monitors, and microwaves.
• Answers phones at the nursing station.
• Stock supplies as directed on the nursing station and bedside tables.
• Clean medication carts, nursing station and break rooms.
• Bag and inventory patient belongings and take to personal effects.
• Sit and socialize with patients for short periods of time.
• Clean bedside tables and patient laundry.
• Pass water to patients.
• Change linens on beds/gurneys.
• Clean and organize storage rooms.

Major Duties and Responsibilities to include but not be limited to:

• Schedules, cancels, re-schedules patient's appointments and/or consults; entering no-show information and appointment cancellation information.
• Sends appointment notifications, instructions, and reminder/cancellation letters to patients, checking in patients arriving for their appointments.
• Verifies and updates demographic and performing basic eligibility, co-pays and preauthorization requirements for specific coverage and insurance capture.
• Logs into automatic computer-based phone system to answer and direct multi-line phone systems in a courteous manner. Taking complete accurate telephone messages and/or documentation of contact into CPRS via view alerts.
• Checks and responds to voicemail.
• Monitors incoming and outgoing faxing and distribution.
• Monitors and/or manages multiple reports, lists and suspenses to include but not limited to: electronic wait list, unseen report, recall reminders, open encounters/EARRS, NEARS, Veteran Choice List, missed opportunity report, consult management and tracking.
• May be required to perform the following: Timekeeping, Encounter completion, Coordination of Hoptel requests, Patient Travel, ADPAC (Automated Data Processing Applications Coordinator).
• Enters appropriate, complete, accurate information into electronic record (CPRSNISTA) and other clinical information systems as appropriate to the area assigned.
• Responsible for Lobby Management to include but not limited to: Keeping lobby presentable, restocking flyers and or brochures, be mindful of Veterans that have been waiting longer than 15 minutes.
• Performs typing work from written material using word processing software and equipment (such as but not limited to Microsoft office applications). Responds to incoming correspondence Performs general filing. May maintain office supplies as a designated shopper. Receives sorts and delivers to the appropriate individual's incoming and outgoing mail or other documents.
• Completes initial paperwork for walk-in "triage" patient's, notifies the appropriate nursing staff members and brings urgent matters to immediate attention of nursing, or physician staff.
• Collaborates effectively with the other staff to ensure seamless care.
• Acknowledges and/or completes routed view alerts with-in 48 business hours.
• Types routine correspondence, progress reports, memorandums and statistical reports using Vista, MS Word and Excel.
• Maintains up to date training on VA Scheduling Requirements.
• Provides on-the-job training to new employees in accordance with established procedures and practices and may provide feedback to the new employee.
• Responds to view alerts via CPRS within 48 hours.
• Prepares for clinic visits to include PACT scrubbing.
• Coordinates patient discharge.
• Reconciles end-of-shift/end-of-day processing and reports.
• Generates, receiving and distributing mail to medical staff and patients.
• Orders and keeps records of supplies.
• Files results of treatment in medical records electronically.
• Determines patients' eligibility for treatment and paid travel expenses, if applicable.
• Records physicians' orders for patients on a variety of records, if applicable.
• Selects, completes, and routs requests for patient activities and treatment procedures.
• Schedules appointments for patients with other medical services.
• Prepares patient projection reports.
• Serves as timekeeper for permanent and contracted staff.
• Must have minimum of basic knowledge of the following eligibility, TRICARE & ChampVA eligibility, Release of Information process, Vetlink, Kiosk, MyHealtheVet, HIMS, office equipment to include copier/fax machine, and preauthorization requirements for specific coverage (i.e., TRICARE, sharing agreements, etc.).
• Occasional travel to the San Bruno CBOC for training or other back office assignments.
• Performs other duties as assigned.

The Spinal Cord Injury Physical Therapy Assistant is responsible for the following: Patient Evaluation, Treatment, and Development

• Under the clinical supervision of a PT; plans, integrates, and communicates comprehensive physical therapy treatments for patients with SCI/D who have a variety of deficits including complete or incomplete paralysis of upper lower extremities with the associated medical and functional problems. Therapeutic objectives are complex, and the treatment procedures involved require the application of highly specialized skills and knowledge.
• Develops and implements individualized physical therapy treatments including resistive exercises, passive and active range of motion, functional mobility training, postural training, transfer training, etc., for acute and chronic, inpatient and outpatient spinal cord injured patients.
• Recognizes and considers the various interacting medical and psychosocial variables, which affect the individual with SCI/D when preparing a treatment plan and motivate the patient to become an active participant in their rehabilitation process.
• Monitors patient progress and modifies treatments as necessary according to an ongoing evaluation .. process, in order to optimize patient condition and allow patient to reach the goals established in conjunction with team. Factors include medical and functional status, psychosocial variables, patient needs and goals, and available treatment modalities.
• Participates on ward rounds, patient planning meetings, and discharge conferences and informs team of patient status and expectations.
• Assists PT's in home evaluations, mobility evaluations, gait and transfer evaluations, activities of daily living evaluations and equipment evaluations.
• Demonstrates knowledge, skills and abilities that are required for a Lead PTA. Advanced knowledge of treatment techniques in order to assess changes in physical, mental, and /or medical status. Determines if a patient is oriented x 4 (name, place, date and their situation) checking patient·· blood pressure, loss of normal strength, sign of early fatigue secondary to under or over medication or deconditioning. Able to work with PT's to progress patient within PT treatment plan.
• Advanced knowledge of physical therapy data collection and assessment techniques in order to perform specified aspects of patient evaluations and interventions. Evaluates patient position and technique when performing therapy exercises. Instructs patient in the correct and proper way of performing transfers, wheelchair management and using gym equipment.
• Skills to manage and/or maintain responsibility for a specialty program. Trains patients on highly specialized therapy equipment at the SCI Center, including the Lokomat, Alter G treadmill, Bioness, and Functional Electrical Stimulation bike. Conduct research on the specialized equipment and communicate closely with vendors to ensure receipt of updates to the equipment. Provides staff with periodic training on the specialized equipment to ensure they remain familiar with the complex equipment.
• Receives requests or instructions for procedures. Interprets requests or instructions from the therapist or physician. Plans and implements specialized treatment programs and applies physical therapy procedures to patients under the general supervision of a physical therapist. Completes a preliminary review/examination of patient data (including medical history), compiles and organizes pertinent information, and develops/presents a patient profile to be used in assessing patient's status and ascertaining patient's need for therapy services. Procedures require close consultation with a therapist or physician.
• Secures the confidence and cooperation of Veterans during procedures. Explains procedures, positions patients for desired results, and cushions and shields Veterans as appropriate. Varies procedures or positions to adjust for Veterans' medical conditions. Instructs, motivates, and assists patients to use and care for orthoses, prostheses, or other supportive devices. Persuades and motivates Veterans and family members to participate in treatment plans and comply with indicated regimens and post-discharge activities. Interacts with the patient and family about the goals for treatment. Instructs, motivates, and assists patients to learn and improve functional activities. Supports therapists or other staff in treating patients with physical disabilities, injuries, or disease by use of a wide range of physical therapy techniques and procedures.

Duties include but are not limited to: The Spinal Cord Injury Physical Therapy Assistant is responsible for the following: Patient Evaluation, Treatment, and Development

• Under the clinical supervision of a Physical Therapist (PT); plans, integrates, and communicates comprehensive physical therapy treatments for patients with SCI/D who have a variety of deficits including complete or incomplete paralysis of upper lower extremities with the associated medical and functional problems. Therapeutic objectives are complex, and the treatment procedures involved require the application of highly specialized skills and knowledge.
• Develops and implements individualized physical therapy treatments including resistive exercises, passive and active range of motion, functional mobility training, postural training, transfer training, etc., for acute and chronic, inpatient and outpatient spinal cord injured patients.
• Recognizes and considers the various interacting medical and psychosocial variables, which affect the individual with SCI/D when preparing a treatment plan and motivate the patient to become an active participant in their rehabilitation process.
• Monitors patient progress and modifies treatments as necessary according to an ongoing evaluation process, in order to optimize patient condition and allow patient to reach the goals established in conjunction with team. Factors include medical and functional status, psychosocial variables, patient needs and goals, and available treatment modalities.
• Participates on ward rounds, patient planning meetings, and discharge conferences and informs team of patient status and expectations.
• Assists PT's in home evaluations, mobility evaluations, gait and transfer evaluations, activities of daily living evaluations and equipment evaluations.
• Demonstrates knowledge, skills and abilities that are required for a Lead PTA. Advanced knowledge of treatment techniques in order to assess changes in physical, mental, and /or medical status. Determines if a patient is oriented x 4 (name, place, date and their situation) checking patient·· blood pressure, loss of normal strength, sign of early fatigue secondary to under or over medication or deconditioning. Able to work with PT's to progress patient within PT treatment plan.
• Advanced knowledge of physical therapy data collection and assessment techniques in order to perform specified aspects of patient evaluations and interventions. Evaluates patient position and technique when performing therapy exercises. Instructs patient in the correct and proper way of performing transfers, wheelchair management and using gym equipment.
• Skills to manage and/or maintain responsibility for a specialty program. Trains patients on highly specialized therapy equipment at the SCI Center, including the Lokomat, Alter G treadmill, Bioness, and Functional Electrical Stimulation bike. Communicate with vendors to ensure receipt of updates to the equipment. Provides staff with periodic training on the specialized equipment to ensure they remain familiar with the complex equipment.
• Receives requests or instructions for procedures. Interprets requests or instructions from the therapist or physician. Plans and implements specialized treatment programs and applies physical therapy procedures to patients under the general supervision of a Physical Therapist (PT). Completes a preliminary review/examination of patient data (including medical history), compiles and organizes pertinent information, and develops/presents a patient profile to be used in assessing patient's status and ascertaining patient's need for therapy services. Procedures require close consultation with a therapist or physician.
• Secures the confidence and cooperation of Veterans during procedures. Explains procedures, positions patients for desired results, and cushions and shields Veterans as appropriate. Varies procedures or positions to adjust for Veterans' medical conditions. Instructs, motivates, and assists patients to use and care for orthoses, prostheses, or other supportive devices. Persuades and motivates Veterans and family members to participate in treatment plans and comply with indicated regimens and post-discharge activities. Interacts with the patient and family about the goals for treatment. Instructs, motivates, and assists patients to learn and improve functional activities. Supports therapists or other staff in treating patients with physical disabilities, injuries, or disease by use of a wide range of physical therapy techniques and procedures.

The Advanced MSA (AMSA) utilizes numerous advanced patient systems in support of multiple clinics involved in an interdisciplinary coordinated care delivery model.

Duties include, but are not limited to:

- Coordinates with the patient care team to review clinic appointment availability.
- Schedules new and established patient appointments.
- Tracks and facilitates completion of encounters and consults.
- Participates in team huddles and team meetings to manage and plan patient care.
- Sets priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs.
- Works with the team to reinforce the plan of care and self-help solutions and entering appropriate information into the electronic record.
- Monitoring pre-appointment requirements to assure readiness for patient visit/procedure (e.g., X-ray, lab work).
- Manages electronic wait list to verify and validate accuracy and resolve issues.
- Participates and provides input in problem solving on operational issues or procedures in team meetings.
- Performs administrative follow up actions.
- Participates in and independently following up on team huddles by sharing information and collaborating with the medical team to assure continuity of care.
- Evaluates patient information and clinic schedule lists to determine whether patient is vested.- Gathers information and collects/compiles data to meet the needs of the service.
- Educates providers about shared patients (those who receive their care at multiple VAs or those who have care in the community) and brings to the attention of the providers.
- Takes care of inventories, supplies, and office supplies.

Work Schedule: Monday- Friday 8:00AM-4:30PM.
Telework: Not Available
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Major Duties and Responsibilities to include but not be limited to:

• Demonstrates dependability and reliability by scheduling and using leave appropriately for positive impact on patient/resident care.
• Recognizes and reports subtle or obvious changes in patient's/resident's behavior, communication, or physical condition. Documents observations, changes in patient's/resident's condition, and response to nursing interventions as applicable.
• Assists in the development of the nursing care plan by defining problems and needs and suggesting nursing actions based on information gained through interaction with the patient/resident and/or group meetings.
• Assists with planned therapy sessions in conjunction with RN. Works with assigned patients/residents using a variety approaches for the purpose of promoting independence and self reliance and encouraging patients/residents to accept responsibility for their own behavior. Shares patient/resident information and reactions with the interdisciplinary team.
• Assists in maintaining a safe, clean, and therapeutic environment. Recognizes and reports problems and makes suggestions for corrective actions.
• Anticipates potential for critical situations attempts to prevent such situations. Recognizes and takes appropriate action in emergencies.
• Delivers safe, basic physical and emotional care to patients/residents with simple to complex needs while developing technical skills under the supervision of the Registered Nurse. Adheres to VA BHHCS and Nursing policies and procedures.
• Escorts patients/residents scheduled for diagnostic procedures and/or appointments, on or off stations. Appropriate care is provided for a population ranging from young adult to geriatric age group, considering gender and culture.
• Demonstrates interactions with customers (patients/residents, family members, visitors, co-workers) in a courteous, tactful, and helpful manner.
• Performs other duties as assigned

- Responsible for managing Human Resource aspects of service operations, including hiring process, disciplinary action and Labor/Management relations. Responsible for resource management and distribution, assessing staffing levels and needs, space planning, and assessing equipment and technology needs along with corresponding requests for needed resources.
- Prepares performance plans and performance evaluations; recommendations for appointment, awards, advancements and ensuring new hires are properly vetted. Incumbent monitor's staff competencies and updates staff competency folders in accordance with all regulatory guidelines and identifying continuing education and training needs.
- Skillful in interpersonal relationships and conflict resolution. Complies with and ensures that Department of Veterans Affairs EEO guidelines are followed within the Service.
- Supervise, direct and manage a diverse MSA staff and is involved to on-the-job team problem solving; developing, implementing and evaluating improvements to work processes and identifying continuing training needs. Supports and is involved in teamwork and/or team building both within the incumbent's Service and other Services.
- Responsible for a full range of functions associated with the daily operation of the assigned clinic, ensuring that referrals for the section are processed, treatments are provided, and documentation is completed according to TJC, CARF and service policies.
- Provides advanced professional oversight and consultation to MSA staff and evaluates complex processes with great autonomy. Incumbent develops and implements new processes and provides guidance for MSA staff.
- Consults with medical staff through patient presentations, clinics and confer.
- Responsible to continually evaluate the success of ongoing improvement projects programs and recognizes the need for new programs. As the need for new programs is identified, the incumbent must develop and initiate new treatment programs which apply current research finding.
- Monitor's inventory, projects equipment and supply need for treatments and submits requests of those if indicated.
- Responsible safe operations of the clinic, ensuring the safe environment, the work area is secured, and equipment is clean.
- Possesses subject matter knowledge of the organization and Service in order to respond to requests, inquiries, problems, and to identify and communicate any discrepancies in scheduling or improperly completed orders. Incumbent must be able to follow extensive guides in form of instructions, manuals, regulations, and precedents that apply to the work. Incumbent uses own judgment in locating and selecting appropriate guidelines, policies, procedures, and other sources and adapts them according to the circumstances of the specific situation.
- Responsible for data collection and validation. He/she will ensure that encounter errors (e.g., open encounters) and appointment wait time errors are corrected timely. He/she will also ensure that consults are addressed by staff in a timely manner. This will include setting goals, assigning and reviewing work, setting deadlines, and taking corrective action when goals are not me

Work Schedule: Full Time 40 hours a week. Exact work schedule to be discussed during interview.
Financial Disclosure Report: Not required

Duties consist of the following, but are not limited to:

• Record and transcribes meeting minutes, prepares agenda and keep the open issues tracking grid.
• Serve as focal point to track office assignments to ensure timely reply or actions and to ensure that deadlines are met.
• Maintain and controls records of incoming correspondence and follow-up working process to ensure timely reply and/or action.
• Gather, compiles providers' specific data such as productivity, compliance with mandatory trainings, practice review reports, unsigned notes, consults, etc.
• Type memorandums, minutes, letters, reports, and other general office materials including confidential matters pertaining to disciplinary actions, boards of investigation and controlled correspondence for which is required to maintain high level of confidentiality.