Major Duties:

• Knowledge of state and federal criminal laws, including procedures, regulations, guidelines, and precedents related to admissibility of evidence and prosecution.
• Influences, motivates, and challenges others; adapts leadership styles to a variety of situations.
• Knowledge of the principles, methods, or tools for developing, scheduling, coordinating, and managing projects and resources, including monitoring and inspecting costs, work, and contractor performance.
• Plans, distributes, coordinates, and monitors work assignments of others; evaluates work performance and provides feedback to others on their performance; ensures that staff are appropriately selected, utilized, and developed, and that they are treated in a fair and equitable manner.
• Identifies problems; determines accuracy and relevance of information; uses sound judgment to generate and evaluate alternatives, and to make recommendations.

• Serve as Army Community Service (ACS) multi-functional specialist with professional and technical responsibility for assisting Commanders with assessing, tailoring and prioritizing ACS service delivery in support of local military and family needs.
• Utilize computer and web-based resources to identify ACS resources and to develop source lists and reference materials.
• Manage and direct volunteers to promote effective team building and improved business practices.
• Design and establish marketing and public relations strategies to ensure target populations are informed of services and activities.
• Research and write articles on ACS services and activities.
• Conduct unit needs assessments through compiling and analyzing data to provide feedback to the unit Commander and ACS Director.

The Registered Nurse for Acute Care is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction. Considers all characteristics of the individual, including age and life stages, state of health, race and culture, and previous experiences. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
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: 8 and 12 hour shifts, to include days, nights, weekends and holidays
Compressed/Flexible: Available
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Bargaining Unit: This position is part of the Bargaining unit.

WHAT IS THE TAXPAYER SERVICESDIVISION?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions

Vacancies will be filled in the following specialty areas:
Taxpayer Services Return Integrity and Compliance Services

The following are the duties of this position at the full working level.

• The incumbent serves as an analyst responsible for developing and/or interpreting guidance on program planning, execution, and evaluation for the compliance, accounts management and/or taxpayer education and communication functions.

• The employee plans, analyzes, determines cost/benefit relationships, and coordinates a variety of functions, operations, and teams.

• Independently studies problems facing operating unit functions or those of particular concern within the organization assigned. This may require coordinating input from activities outside the division and identifying new methods of performing work. This requires the incumbent to demonstrate analytical, technical, and process analysis skills.

• Analyzes assigned program areas to discern trends in program delivery. Consolidates report data to measure the effectiveness in meeting baselines or the degree to which program plans and achievements support strategic initiatives.

• Provides technical advice and staff assistance to executives, field managers, and employees in the assigned program area. Develops and prepares operating guidelines, instructions, and other material pertaining to assigned program areas.

• The duties may include, but are not limited to:
• Responsible for managing Agricultural Quarantine Inspection (AQI) and/or Domestic programs as follows:
• Designing regulatory, survey, control, and/or eradication efforts.
• Representing Plant Protection and Quarantine (PPQ) in cooperative programs.
• Developing survey, treatment, and/or inspection initiative in order to facilitate exports of agricultural products.
• Overseeing the planning and management of inspections, treatments, and survey/eradication programs as well as the enforcement of quarantines.
• Providing guidance to the first-level supervisors who initiate and modify techniques and procedures to meet changing program requirements.
• Developing and maintaining cooperative relations with customers, stakeholders, regulated entities, and other Federal and local governmental agencies.

• Receives children, youth, parents, and other visitors in a courteous and professional manner. Answers telephones, ascertains nature of call, and directs caller to appropriate staff.
• Ensures parents, children, youth, and visitors properly sign into the program prior to passing the reception area of the facility. Monitors children’s departure to ensure only authorized individuals remove them from the building.
• Registers/terminates children/youth within the CYS program and/or waiting list database. Utilizes the Child and Youth Management System (CYMS) to record transactions for customers and to enter data into predefined categories for reports and tracking.
• Provides administrative support including mail preparation, copying, distribution, correspondence, memorandums, briefings, Daily Activity Reports, and other requirements for day-to-day operations.
• Articulates policies relating to patron fees, waiting lists, enrollments, terminations, and program events. Coordinates vacancies and reservations for the hourly care program as required.

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 and Responsibilities

Food Preparation and Service

• Serve as a consultant and direct care provider to all dental programs of the Service Unit area to carry out the preventative community dental program.
• Coordinate a fluoride rinse program, school sealant program, oral health educational program and other community-based interventions.
• Serve as the principal advisor with the service unit for dental health promotion and disease prevention activities.
• Perform oral healthcare and risk assessments, reviewing patient health history, screening and evaluation of oral disease and healthcare and risk assessments, reviewing patient health history, screening and evaluation of oral disease and health.

• Serve as a consultant and direct care provider to all dental programs of the Service Unit area to carry out the preventative community dental program.
• Coordinate a fluoride rinse program, school sealant program, oral health educational program and other community-based interventions.
• Serve as the principal advisor with the service unit for dental health promotion and disease prevention activities.
• Perform oral healthcare and risk assessments, reviewing patient health history, screening and evaluation of oral disease and healthcare and risk assessments, reviewing patient health history, screening and evaluation of oral disease and health.

• Serves as firefighter crew chief. As crew chief on the shift, leads a crew of firefighters in performance of the full range of firefighter duties.
• Performs work leader functions. Distributes and balances the workload, keeps in touch with the status and progress of work, and ensures safe work habits.
• Directs and participates in training. Assists in directing and participating in practice drills and training classes for the assigned crew and others.
• Assigns crewmembers to station maintenance work.
• Directs the crew in fire protection inspections. Makes and/or directs fire prevention inspections of buildings and structures in the assigned area.
• Performs miscellaneous firefighting related duties. Performs related operational, emergency and standby duties.
• As required, responds on-site, as an Emergency Medical Technician (EMT), to accidents and other emergencies involving injury and illnesses; sometimes encounters situations which may be life-threatening.

The Primary Care Provider (PCP) Float will provide primary care services in support of primary care operations in the San Antonio service area. As a float provider, this position will provide support to Patient Aligned Care Team (PACT) at an assigned San Antonio Clinic and may be detailed to other VA Clinics in San Antonio as staffing and workload dictate.

THE PCP Float may be asked to provide coverage for a vacant/absent PACT provider to supplement PACT services by delivering same-day care, routine scheduled care, or new patient intake for PACT panel(s).

The Primary Care Physician is responsible for providing Comprehensive Primary Care for Veterans and should, in the context of a longitudinal relationship, fulfill all primary care needs, including acute and chronic illness, gender-specific PC, mental health (Screen for conditions such as depression, substance use/abuse, military sexual trauma and PTSD, and evaluate and treat uncomplicated mental health disorders as well as substance use disorders and refer patients appropriately for further evaluation and treatment of sexual assault and military sexual trauma, mental health disorders and substance use disorders) and preventative care (age-appropriate cancer screening e.g., colon, breast and cervical cancer - as well as weight management counseling, Chlamydia screening (when indicated), smoking cessation and immunizations, etc.) along with coordination of care delivery (when specialty care is needed, the primary care provider will coordinate this care and communicate with the specialty provider regarding the evaluation and treatment plan to ensure continuity of care).

The PACT Model is a patient-driven, team-based approach that delivers efficient, comprehensive, and continuous care through active communication and coordination of health services through an interdisciplinary team that includes the PCP, RN Care Manager, LVN, clerical associate as well as other clinical services necessary to meet the health goals and needs of the Veteran patient including specialists. While the Primary Care provider's relationship with the Veteran patient will remain key, that bond will be augmented and strengthen by involving other health care staff as part of an integrated team. Together the team takes responsibility for the Veteran patient's ongoing care through a cooperative effort among all members.

Alternative or collateral duties may include management of a subsection of primary care patients, the subsection may be defined either by a disease status, or demographic status (e.g., women veterans, OIF/OEF veterans, employees, etc.). Typically these duties are designated at the time of joining but occasionally during the course of employment, participation in special projects pertinent to assigned section may be necessary as the projects become available through strategic or other initiatives.

Physicians may be assigned duty as a supervising or collaborating physician for one or more mid-level providers. Physicians are expected to provide clinical oversight and review the care provided by mid-level practitioners. Most providers will need to act as surrogates for the patients of their colleagues, when one or more of their colleagues are on leave.

Driving Requirement: Selectee will be expected to travel and must posses a valid and unrestricted driver's license.

Work Schedule: Monday to Friday (8:00 a.m. - 4:30p.m)


VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment Incentive (Sign-on Bonus): Authorized for Internal Employees.
Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VISN17EDRP2@va.gov, the EDRP Coordinator for questions/assistance.
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

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf

The PACT team is comprised of a provider, RN, LPN, and administrative support person. Although this position partners with other PACT team members, PACT LPNs successfully and consistently demonstrate independent technical judgment as well as comprehensive and thorough working knowledge of complex practices and procedures. The incumbent demonstrates knowledge, experience, skill, and self-motivation to carry out complex patient assignments, which include prioritization and coordination of clinical activities with minimal supervision. Duties include but not limited to:

1) Manages patient care problems and deviations using self-direction in accordance with VA Nursing Practice and LPN licensure standards. Maintains knowledge and skill to care for a wide range of patients, including those with chronic and acute illness. Demonstrates comprehensive understanding of disease conditions, nursing principles, and standards/practices to coordinate nursing care required in the clinic setting and alter the sequence and/or care delivered to meet individual patient's needs.
2) Assesses, records, and reports vital signs, neurological signs, weight, and blood glucose levels. Appropriately triages and prioritizes patient needs as routine, urgent, or emergent in the clinic setting and modifies patient care/treatment as needed.
3) Checks patients into the clinic, interviews patient and/or significant other, and documents intake data as per policy. Possesses comprehensive knowledge of VA protocols and VHA directives related to clinic management, documentation, and computer technology.
4) Demonstrates knowledge, skill, and ability to promptly recognize and effectively intervene in potentially urgent or emergent situations. Demonstrates the ability to independently adjust or modify care being delivered to meet the changing needs of the patient with notification to the RN or provider for concurrence. Responsibilities include prompt recognition and treatment of urgent/emergent patient care needs, including hypo/hyperglycemia, acute shortness of breath, acute chest pain, seizures, stroke symptoms, mental health issues, etc.
5) Maintains and implements knowledge of anatomy and physiology as well as scientific principles underlying nursing care and procedures. Provides high quality nursing care using traditional and non traditional modalities, including triage prior to provider face-to-face visits, nurse health maintenance visits, telephone triage, secure messaging, etc. Applies knowledge by considering the interrelationship between age, physical, emotional, social, cultural, and population-specific needs when providing care.
6) Active participant in quality improvement projects/hospital committees to promote evidence based practice and performance improvement in the clinic setting. Demonstrates engagement by regular attendance at committee meetings and providing committee updates during monthly staff meetings.

Work Schedule: 8:00 am - 4:30 pm, Monday - Friday (Subject to change based on the needs of the facility)
Relocation Incentive Sign-on Bonus): Not Available.
Permanent Change of Station (Relocation Assistance): Not Available.
Pay: Competitive salary and regular salary increases.
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
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)
Telework: Not Available.
Virtual: This is not a virtual position.
Functional Statement #: 667-00086-F
Permanent Change of Station (PCS): Not Available.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

Incumbent is responsible for assuring that various aspects of staffing, training, compliance, reporting, quality assurance, and budgetary initiatives are met. These activities directly affect the revenue cycle, patient access to care, hospital performance goals and objectives, as well as VHA public image. The incumbent plays an integral role in identifying and developing ways to resolve problems with the administrative and clinical staff on access, customer service, patient flow, revenue, and data validation issues. His/her work also impacts processes, action plans, monitoring, and reporting. Failure to perform these duties properly could result in the veteran not receiving the treatment to which he/she is entitled or priority access to care to which he/she is entitled. The lack of coordination provided by this employee could negatively impact upon clinical and/or administrative functions. A large part of the duties of a Clinical Support Section employee is acting as a receptionist at the clinic, either face-to-face or telephonically, requiring excellent customer service skills. The work requires a high degree of judgment in responding to both employee and patient concerns and providing solutions to process problems as they affect day- to-day operations. The work is mostly sedentary and is performed in various outpatient clinic or office settings responsible for treating patients with a wide variety of medical problems. The performance of daily rounds to the assigned clinic areas is required. This may include frequent visits to off-site clinics to fill-in for or interact with the Clinical Support Section employees and clinical/administrative staff in these areas. May be required to work staggered shifts and/or weekend clinics in support of Advanced Clinic Access initiatives.

Work Schedule: Monday - Friday, 8:00am - 4:30pm
Recruitment Incentive (Sign-on Bonus): Not authorized
Permanent Change of Station (Relocation Assistance): Not authorized
Pay: Competitive salary and regular salary increases
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
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)
Telework: Available (Regularly teleworks 3 or more days per work week)
Virtual: This is not a virtual position.
Functional Statement #: 000000

Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Total Compensation | Pay (ihs.gov)

• Conducts community assessments to identify physical, mental, social and/or environmental deviations from the normal, responses and attainments of outcomes, using nursing skills of assessment, nursing diagnosis, planning intervention and evaluation.
• Conducts nursing conferences or specialty clinics using nursing physical assessment and diagnosis with treatment procedures according to standing orders
• Counsels patients and/or families in the home, community, school and clinic regarding acute and chronic conditions and the application of health promotion and disease prevention practices
• Participates in Performance Improvement activities, facilitates and promotes Government Performance Results Act activities, and is involved in facility accreditation activities