Total 621 Health / Beauty / Fitness job vacancies in Fort Bliss, Texas

You will manage the care of Veterans with post-operative, post-procedural and chronic pain. You will be responsible for maintaining physical and emotional comfort of patients. Assess patients and make decisions based on critical thinking skills. Set up and maintain a sterile field for procedures and will stabilize vital signs and maintain the patient's hemodynamic status as required. You will assess orientation status of patients and compare it to baseline, assess motor and sensory function as needed, and reassess for contraindications of administered pain medications. Document responses to interventions, findings, and report changes in patient status, and will communicate handoff information regarding patient status to: receiving unit prior to transfer, physician for emergency needs, significant others identified by the patient. You will be responsible for closing encounters daily. Document and utilize secure messaging and message manager to engage with Veterans and coordinate care. Make pre-procedural calls and provide Veterans with education on planned procedures and review patient records and coordinate care as appropriate. Follow Joint Commission VA and Facility and nursing standards of care. Deliver nursing care pre-procedure, intra-procedure and post-procedure. Strong interpersonal, communication, organizational and problem-solving skills are required.

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: Full-time; Monday-Friday; 7:30am-4:00pm
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Bargaining Unit: This is a bargaining unit position.

Major Duties as Assigned, but not limited to:

• Incumbent will be the first line of contact with the Veteran and must be knowledgeable on a wide variety of subjects regarding the VA.
• Responsible for running the Encounter Action Required Report (EARR) and providing findings to providers to facilitate accurate workload credit and revenue collection.
• Promotes Veteran registration for and utilization of MyHealtheVet (MHV), an online personal health record for Veterans.
• Performs in-person authentication (IPA) for Veterans requesting initial access to individually identifiable health information within the MHV web-based application.
• Responsible for receiving and routing all Veterans who report to the facilities for scheduled and unscheduled examinations and appointments.
• Ensures that the patients are electronically checked in for their appointments.
• Responsible for processing first party requests and ensuring forms are complete and accurate.
• Responsible for ensuring non-VA records are forwarded to the appropriate provider for review and forward to the appropriate agency prior to inclusion into the patient's medical record.
• Captures insurance and demographic information on all Veterans, explaining VA's role in insurance reimbursement.
• Responsible for running the following reports/queries on a daily basis (not all-inclusive): Open Text Orders, Patient Care Encounter (PCE), Recall Reminder Delinquent Report, Recall Reminder Non-Compliant Report, and Consult Tracking Report.
• Receives telephone calls and visitors to the VA, (i.e., patients, families, and friends of patients) regarding such things as the availability of, and procedures for obtaining medical assistance, directions and information for contacting various departments, services and requests for changes in scheduled appointments.
• Schedules outpatient clinic appointments according to VHA Directive 2010-027 using Veterans Heath Information Systems and Technology Architecture (VistA) scheduling options or VistA Scheduling Enhancement (VSE).
• Must work in a multi-screen computer environment being able to use VistA and CPRS (Computerized Patient Record System) screens bilaterally.
• May be required to cross cover for other areas of the service due to patient care needs, workload demands or staff shortages.

• Coordinates and establishes new Telehealth services including equipment, clinics, orientation, and competency completion for staff with the assistance of the RN.
• Provides disease specific education as appropriate. Independently and accurately reinforces patient education using teaching approaches that are individualized to incorporate patients' health education needs, age, culture, and level of understanding.
• Demonstrates knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions; uses judgment in selecting the appropriate order and sequence of procedures and treatment; and accurately recognizes, reports, and records relevant patient information.
• Demonstrates knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing, and handling specialized instruments or specialized equipment and monitoring the patient's condition before, during and following the procedure.
• Demonstrates ability to observe, identify and respond to the patients' needs for care, including medication, equipment-assisted care, and patient/family education.
• Demonstrates ability to review and interpret clinical problems with medications and labs from patient records and communicate to RN and/or MD/DO.
• Demonstrates ability to organize and deliver care recognizing and considering the emotional, cultural, spiritual, socio-economic, and age-related factors.
• Performs phlebotomy (venipuncture) and specimen collection on patients, centrifugation, splitting specimens into aliquots, and separation of components and ensure they are transported to the lab for processing.
• Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures.
• Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to the RN and/or/MD/DO.
• Promotes the incorporation of current patient care data in actively contributing to the development of the patient's overall health plan and in carrying out assigned nursing interventions.
• Promptly recognizes urgent or emergent patient care situations, seeks assistance from the registered nurse and or physician provider for appropriate team intervention and effectively intervenes, as directed to ensure optimal safe and therapeutic patient care delivery.
• Assist at front desk to facilitate timely assessment by interviewing and screening patients, addressing administrative and clinical concerns.
• Utilize data bases (i.e., almanac, VSSC, SAIL) for population care management to support the team with improving patient care outcomes.

• Provide direct assistance in the management, direction, oversight, and creation of policies in the areas of Civilian Payroll business operations support, over the shoulder support, compliance, reporting, and training for the DHA enterprise.
• Provide oversight, advice, and guidance covering a wide variety of financial policies and requirements.
• Responsible for resolving problems for which no clear precedent exists and independently developing methodologies to address such problems.
• Provide expert guidance and advice to the J8, Deputy J8, FOD, and other senior management officials within the Military Health System concerning financial and management and processing of financial civilian pay actions within DCPS and GFEBS.
• Provide direct supervision to multiple subordinate civilian employees.
• Set performance goals, objectives, and standards and prepares formal evaluations of performance.
• Responsible for the oversight of helpdesk support for financial automated systems, such as Automated Time Attendance and Production System (ATAAPS) and Defense Civilian Pay System (DCPS) for the DHA enterprise.

• Assists the MRC CG in integrating FLCM operations and activities with appropriate stakeholders to accomplish the mission of the MRC and ensure adequate and timely support.
• Issues FLCM guidance to MRC subordinate commands and DHA facility managers related to Army programs / requirements within the MRC’s area of responsibility.
• Provides analysis and recommendations on the real property assets supporting the MRC’s and subordinate command’s missions.

Duties to include but not limited to:
Conduct psychosocial assessments and make psychosocial diagnoses.
- Conduct mental health assessments and provide psychotherapy for the
amelioration of mental health conditions.
- Develop psychosocial treatment plans with attention to age specific
needs/concerns.
- Provide psychosocial interventions for individuals, groups and families.
- Utilize standardized instruments in the assessment of mental health conditions.
- Provide individual and group counseling.
- Provide marital and family counseling.
- Develop information and referral resources and services.
- Develop community linkages and coordinate the clinical application of community
services.
- Provide admission and discharge planning services.
- Provide care management and coordination services.
- Document in computerized medical record.
- Provide Veteran advocacy/Veteran rights services.
- Provide psychosocial crisis intervention services, with adherence to High Risk
protocol.
- Provide Veteran and family education services.
- Screen for substance abuse, tobacco use, depression, suicide risk, post-
- traumatic stress disorder (PTSD), domestic violence/interpersonal violence, complete risk assessments, and provide treatment services.
- Screen for homelessness in Veterans and address housing needs.
- Provide education on advanced care planning, including assistance with
advance directive documents.
- Complete any additional screenings, as required.
- Place and complete consults.
- Conduct comprehensive psychosocial assessments and formulate psychosocial
diagnoses utilizing a differential diagnostic scale.
- Conduct mental health assessment and make DSM diagnoses.
- Provide consultation to colleagues; render professional opinions based on
experience and expertise.
- Develop new models of psychosocial assessment or intervention and incorporate
complex multiple causation in differential diagnosis and treatment.
- Utilize outcome evaluations to further treatment and design system changes
Teach and mentor staff and students in the specialty area of practice to provide
supervision for licensure of for specialty certifications, to include but not limited to in-service education & continuing education presentations.
- Provide subject matter consultation to care line managers, colleagues and
students on Social Work qualification standards, practice standards,
competency, productivity and continuing education.
- Provide clinical supervision to those seeking advanced licensure based upon
state regulations.
- Pursue eligibility for academic appointment with VA academic affiliates



Work Schedule: Monday-Friday, 8:00am-4:30pm
Telework: Ad Hoc
Financial Disclosure Report: Not required

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***

Major duties and responsibilities include:

• Pulls stock inventory and material for delivery; replenishes stock inventory; interacts with clinical and administrative customers and maintains records on stock levels;
• Communicates to the Lead or Supervisor any concerns related to supplies, equipment and procedures.
• Provides information to customers regarding medical supplies;
• Monitors expiration dates, rotates stock to limit outdates and removes items from use as required by outdates;
• Monitors and controls critical supplies;
• Performs daily inventory using bar coding equipment on a predetermined schedule that will allow for timely replenishment;
• Resolves differences between records and physical count of stock;
• Distributes items according to established or ad hoc requirements in computerized inventory management systems;
• Delivers supplies in a timely manner and ensures supplies and material delivered are in sterile and operational condition;
• Completes specialty cart preparation;
• Cleans assigned secondary areas in accordance with aseptic principles;
• Receives supplies and material into the medical center's catchment area; and
• Performs other related duties as assigned.

• Provides direct nursing care to Veterans in a variety of healthcare settings.
• Demonstrating knowledge to provide a full range of practical nursing care to Veterans with a variety of physical and/or behavioral problems.
• Documenting care provided, observations and responses on appropriate tools or forms.
• Observing changes in Veteran's condition (e.g. behavior shifts, mood changes, skin coloring, appetite, medication side effects etc.)
• Administering medications, stoma care (e.g. tracheotomy, suctioning, colostomy), enemas, skin care, simple dressing, braces and prosthetic devices. Monitors intake and output according to established policy and procedure.
• Reinforces medication education and age related healthcare education to residents in relations to common disease processes, medications, and/or prescribed treatment regimes.
• Participates in the interdisciplinary treatment team meeting process, including sharing observations and Veteran's responses to interventions.
• Maintains stock levels of supplies and medications.

Functions or Scope of Assigned Duties:
The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients.-

1. Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.-
2. Develops and implements an individualized plan to achieve optimal population health and disease management.- Demonstrates leadership and works collaboratively with the interdisciplinary team
3. Orders and interprets labs, tests, and diagnostic studies.-
4. Prescribes pharmacologic and non-pharmacologic interventions.-
5. Initiates referrals and consults to specialty services.-
6. Provides education to patients and their families.-
7. Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.-
8. Exemplifies the ICARE core values of- Integrity, Commitment, Advocacy, Respect, and Excellence.

Duties included:
(1) Provides quality patient-centered care to adults age 18-65 and older adults age 65+, as assigned by ACOS of Primary Care.
(2) Assesses Veterans by utilizing advanced clinical judgment and physical assessment skills. Identifies acute/non-acute/chronic health problems.
(3) Ensures that safe, efficient, and high quality healthcare is delivered within the department.
(4) Ensures appropriate initial evaluation, treatment, and consultation, as well as documentation, consistent with current VHA Directive
(5) For admissions to the inpatient units, will ensure a physician-to-physician conversation regarding the need for admission, including diagnoses, assessment and recommendations.
(6) Demonstrate sound decision making skills, both clinical and administrative, which bring credit to the profession and serve to enhance the distinctive and contributory role of physicians.
(7) Daily care of patients also entails regular interaction with nursing, coordination of consultations and care and facilitation of diagnostic studies and therapeutic procedures.
(8) Other vital roles include: communication with patients and their families, patient education, discharge planning and communication with outpatient providers, arranging follow up, preparing discharge instructions, medication reconciliation, and ensuring communication during hand-offs of care.
(9) Ensures a sign-out to the oncoming physician to ensure an informed transition of care; coordinate with the admitting physician and consultants to organize diagnostic and treatment plans for all patients pending admission.
(10) Maintain appropriate clinical privileges in order to fulfill the duties of assignment within Primary Care Service.

Hours: Mon-Friday 0800-430 pm
Recruitment Incentive (Sign-on Bonus): Authorized.
Compressed/Flexible: Available- Per supervisor approval
Telework: Approved - per supervisor approval- AD-HOC
Virtual: This is not a virtual position.
Education Debt Reduction Program (Student Loan Repayment): Authorized.
Paid Time Off: 50-55 days of annual paid time offer 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
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***

The primary purpose of this position will serve as the principal advisor and coordinator in the areas of EEO, Affirmative Employment, the Civil Rights External Programs, Diversity Management and ADR-Mediation. Duties will include but may not be limited to the following:

• Advises senior management on EEO issues/problems, EEO laws, regulations, and policies.
• Analyzes and addresses workplace conflicts, EEO complaints, and barriers to EEO.
• Recommends ADR and coordinates ADR complaints resolved with legal advisor.
• Contacts supervisors/managers and obtains information, documents, and signatures that supports management's decisions and actions.
• Assists individuals and groups in resolving employment disputes. Provides assistance to managers, employees, and groups to resolve sensitive and often moderately complex work-related issues and disputes.
• Conducts studies and analysis to identify program goals that may conflict with policies and practices, disciplinary and adverse actions, reassignments, job training, sexual harassment, and reprisal based on factors of race, religion, national origin, sex, age, and disability. Gathers program data that reflect the effectiveness and efficiency and recommend EEO process improvements.
• Applies knowledge of human resources management practices including recruitment and selection methods, the use of employment agencies, promotion practices, disciplinary procedures, and functions of labor agreements.
• Performs other duties as necessary.

Duties include but are not limited to:

• Histology Duties: Technician performs histological techniques such as: fixation, embedding, cutting, and staining in order to prepare tissue slides for final diagnosis by the pathologists. The incumbent is responsible for maintaining specimen integrity and identification from initial accessioning through the entire specimen processing procedure. The incumbent performs a variety of extremely difficult, delicate and complex tissue handling procedure such as preparation of frozen sections for rapid diagnosis of tissue during surgery.
• Prepares/receives specimens: Receives all requests and specimens for testing into the laboratory. Verifies the accuracy and completeness of the request and proper sample submission. Properly identifies all specimens. Verifies discrepancies with the provider. Accessions all specimens into the hospital computer system. The incumbent must be proficient in recognizing tissue from any part of the body and be able to identify the origin and type of tissue.
• Fixation: Perform fixation techniques that are non-routine such as EM, Immunohistochemistry, muscle, and nerve studies, as well as bone decalcification. Understands the unique fixation requirements of each type and size of specimen, and whether or not the specimen must have special treatment before fixation.
• Processing: Must have an excellent understanding of anatomy, and the difference in each type of tissue, how they will respond to different processing protocols, and to determine the correct processing fit for each individual specimen.
• Embedding: Due to the wide variety of specimens the lab can receive (from any part of the body) Knowledge of chemistry and the basic anatomy is essential to understanding the correct orientation of tissue in embedding so that imperative tissue is not lost during cutting. Understanding not only normal, but abnormal/diseased tissue is important. Pathology specimens are irretrievable, therefore trouble-shooting must be done prior to many steps performed.
• Cutting: Incumbent must be able to operate and maintain a microtome, understanding how to perfect the angle, speed, and extra treatments that may be needed (decalcification, softening) and co1Tect temperature are required to produce acceptable sections. Verifying co1Tect embedding techniques, determining the proper manner for appropriate sectioning and thickness, and following the cutting protocol for each type of specimen and stain are essential. Manual and automated coverslipping skills are also required.
• Routine and special stains: Performs staining of tissue sections including advanced staining techniques through automation and manual methods ( e.g. Papanicolauo, Romanowsky, GMS, PAS, Prussian Blue, Verhoeff Van Giesen elastic). These procedures are often complex, difficult, and non-standardized. Many choices of alternative ways of proceeding are determined through the incumbent' s professional training and experience. Procedures must be adapted to individual variance in specimen and stain perfo1mance. Appropriate fixation, embedding, and cutting techniques are evaluated to obtain the co1Tect specimen section for staining. After each stain, the incumbent accepts or rejects slides based upon the proper staining reactions before submitting to the pathologist for microscopic diagnosis. The principles of each unique stain involve chemical procedures such as pH balance and altering the concentration of chemical solutions. Chemical interaction with microorganisms, certain tissue fibers, and types of cells, as well as physiology of different tissues, all must be understood in order to dete1mine proper staining.

Duties include but are not limited to:

• Histology Duties: Technician performs histological techniques such as: fixation, embedding, cutting, and staining in order to prepare tissue slides for final diagnosis by the pathologists. The incumbent is responsible for maintaining specimen integrity and identification from initial accessioning through the entire specimen processing procedure. The incumbent performs a variety of extremely difficult, delicate and complex tissue handling procedure such as preparation of frozen sections for rapid diagnosis of tissue during surgery.
• Prepares/receives specimens: Receives all requests and specimens for testing into the laboratory. Verifies the accuracy and completeness of the request and proper sample submission. Properly identifies all specimens. Verifies discrepancies with the provider. Accessions all specimens into the hospital computer system. The incumbent must be proficient in recognizing tissue from any part of the body and be able to identify the origin and type of tissue.
• Fixation: Perform fixation techniques that are non-routine such as EM, Immunohistochemistry, muscle, and nerve studies, as well as bone decalcification. Understands the unique fixation requirements of each type and size of specimen, and whether or not the specimen must have special treatment before fixation.
• Processing: Must have an excellent understanding of anatomy, and the difference in each type of tissue, how they will respond to different processing protocols, and to determine the correct processing fit for each individual specimen.
• Embedding: Due to the wide variety of specimens the lab can receive (from any part of the body) Knowledge of chemistry and the basic anatomy is essential to understanding the correct orientation of tissue in embedding so that imperative tissue is not lost during cutting. Understanding not only normal, but abnormal/diseased tissue is important. Pathology specimens are irretrievable, therefore trouble-shooting must be done prior to many steps performed.
• Cutting: Incumbent must be able to operate and maintain a microtome, understanding how to perfect the angle, speed, and extra treatments that may be needed (decalcification, softening) and co1Tect temperature are required to produce acceptable sections. Verifying co1Tect embedding techniques, determining the proper manner for appropriate sectioning and thickness, and following the cutting protocol for each type of specimen and stain are essential. Manual and automated coverslipping skills are also required.
• Routine and special stains: Performs staining of tissue sections including advanced staining techniques through automation and manual methods ( e.g. Papanicolauo, Romanowsky, GMS, PAS, Prussian Blue, Verhoeff Van Giesen elastic). These procedures are often complex, difficult, and non-standardized. Many choices of alternative ways of proceeding are determined through the incumbent' s professional training and experience. Procedures must be adapted to individual variance in specimen and stain perfo1mance. Appropriate fixation, embedding, and cutting techniques are evaluated to obtain the co1Tect specimen section for staining. After each stain, the incumbent accepts or rejects slides based upon the proper staining reactions before submitting to the pathologist for microscopic diagnosis. The principles of each unique stain involve chemical procedures such as pH balance and altering the concentration of chemical solutions. Chemical interaction with microorganisms, certain tissue fibers, and types of cells, as well as physiology of different tissues, all must be understood in order to dete1mine proper staining.

VA Careers - Prosthetics: https://youtube.com/embed/3NUvF5jjErQ

Duties may include but are not limited to:

• Serves as a Prosthetic Representative completing a variety of prosthetic and sensory aids assignments, projects, activities independently to meet PSASs long-and-short term program goals. Performs technical, administrative, and analytical prosthetic related assignments for the PSAS.
• Works directly with Veterans and clinical teams to assist with applications and answer questions related to benefit programs that cannot be handled by lower level employees. They provide recommendations to the treatment team regarding the development of prescriptions and provide technical assistance and guidance on planning and coordination efforts, to address complex patient medical and rehabilitative needs for equipment, services, and benefits. At this level employees may serve as the lead for the prosthetic program providing oversight of specific services within PSAS.
• Serves as a VHA and PSAS representative on local and national committees, workgroups, and teams to address a variety of PSAS's issues, initiatives, and projects. Keeps the PSAS senior staff aware of outcomes and recommendations to enhance the program.
• Seeks best practices from other VHA facilities to enhance PSAS's prosthetic and sensory aids program to meet veterans' needs. Conducts visits to VISNs and VHA locations to collect, review, and analyze their best practice information and report findings to the supervisor to consider.
• Ability to communicate tactfully and effectively both orally and in writing.
• Drafts, develops, and implements new local organizational policies, directives, and procedures that are consistent with national policies, procedures, and programs. Provides documents to the supervisor for final approval after the incumbent submits final, review, comments, and recommendations.
• Maintains awareness of VA's, VHA's, and PSAS's requirements by governing bodies, i.e. The Joint Commission (JC), Commission on Accreditation of Rehabilitation Facilities (CARF) and American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC).
• Keeps abreast of current issues in the health care industry and technological advancements and provides subject-matter expertise to VHA and PSAS's senior officials as needed.
• Completes Prosthetic Representative, technical, programmatic, and administrative duties independently. Provides training, advice, and guidance related to administrative functions, including statistics, data analysis, budgeting, contracting, procurement, inventory management, human resources, logistics/space, equipment, and supplies. Oversees the operation of the Prosthetic, Orthotic, optical laboratories, including restorations activities.
• Completes contracting and procurement assignments independently to prepare and authorize purchase orders for a wide variety of prosthetic and orthotic devices. Provides status reports regularly to the supervisor to keep the supervisor well informed for accountability purposes.
• Monitors and ensures requests for items or services are completed and received under established timeframes; and confers with contractors, vendors, and other health care workers as needed regarding procurement status and other needs and concerns.
• Provides oversight and management of contracts. Monitors contracts for compliance with the statement of work; and receives, analyzes, and completes requests for prosthetic equipment and services. Keeps the supervisor well informed of procurement or contract issues as they arise.
• Monitors and analyzes PSAS compliance reports, Delayed Order Report, aged credit card transactions, compliance metrics and scorecards. Develops tools that monitor VHA's quality assurance program. Works in collaboration with supervisor and senior staff to plan, develop, and prepare budget estimates; to develop cost-containment measures for prosthetic equipment and services; to authorize benefit payment and reimbursement.
• Procures materials, supplies, and equipment; familiar with inventory stock and works collaboratively with Supply Chain to provide oversight of prosthetic service inventories; and refers veterans to proper clinical area for evaluation with guidance from supervisor and senior staff.

• Assists the PNC Branch Director in development of the 52-week Practical Nurse Course Program of Instruction (POI) (curriculum).
• Evaluates existing curriculum to ensure the most updated information is included.
• Recommends approval of substitution of materials to improve content presentation.
• Submits request for procurement of education supplies or equipment.
• Reviews instructional materials (i.e., lesson plans, student handouts, practical exercises, power point presentations, etc.) of novice instructors assigned to the department.