Total 2,060 Health / Beauty / Fitness job vacancies in York/Hybrid, North Yorkshire, YO30 4WY

This position utilizes knowledge of policies and procedures for delivery orders and small purchases and knowledge of commercial supply sources and common business practices related to sales, prices, discounts, units of measurement, deliveries, stocks, and shipments. The Purchasing Agent maintains responsibility for work leading to the purchase of a wide variety of complex and highly specialized services, supplies, equipment, and systems that support the full range of programs and activities. Major duties and responsibilities include:

• Purchasing Support - Conducts purchasing under the micro purchase threshold; reviews and edits purchase requests; resolves issues to ensure requests and bills are processed accurately and in a timely manner; identifies needs or problems and determines corrective action; utilizes federal and agency acquisition regulations to identify possible sources and other pertinent information related to purchases; tracks obligations/commitments and monitors expenditures to support recurring budget forecasts and identify potential fraud, waste and abuse based on procurement history and purchase trends; and,
• Procurement Support - Procures supplies and services to meet the purchase, rental, or lease needs of the organization; develops unique selection criteria for each purchase; Prepare and issue contract modifications for changes in delivery schedule and sends formal correspondence to a variety of customers such as inventory management specialists, other service line contacts, and contracting officers as appropriate for the purposes of auditing documents, processing receiving reports, and payments.; conducting open market research and sole source small purchases for highly specialized medical items with critical product requirements; and,
• Administrative Support - Serves as the first line of contact for medical staff and customers in regard to procured items; develops reports and spreadsheets, obtains, organizes, files and retrieves reports for briefing and presentation purposes; performs a variety of receptionist, timekeeping, record keeping and miscellaneous duties in medical facility; and,
• Performs other related duties as assigned.

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 LPN is responsible for delivering secure and individualized nursing care to patients within the Specialty clinic setting. The incumbent collaborates and communicates effectively with veterans, families, caregivers, and support staff, both internally and externally. Based on observations of the patient's condition, the LPN takes initiative to implement necessary actions, performing duties with minimal supervision under the general guidance of a RN or Healthcare Provider (HCP). LPNs are expected to possess comprehensive knowledge of practical nursing procedures.


The LPN/LVN GS 7 Nurse is characterized by the following:

• . Knowledge and skill to care for a wide range of patients from chronic to critically ill. Comprehensive understanding of conditions, nursing principals, standards and practices to be able to coordinate the nursing care required in the outpatient clinic setting and to alter the sequence and/or care delivered to meet individual patient's needs.
• Knowledge to interpret common test results and other medical data. Skill in observing the patient for subtle changes and deviations from normal and in documenting and reporting this information. 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.
• Knowledge of human behavior with advanced skill in incorporating established customer service standards into practice.
• Knowledge to incorporate patient education into care routine and modify as necessary to meet needs of the patient.
• Knowledge of medical equipment and supplies skill set and/or operate specialized equipment.
• Knowledge of anatomy and physiology, as well as scientific principles underlaying the nursing care and or procedures to be carried out.
• Knowledge and skill to detect subtle changes which indicate potential for cardiac or respiratory arrest. Skills to promptly recognize and effectively intervene in potential urgent and emergent situations.
• Knowledge of standard precautions, medical asepsis and sterile technique with ability to correctly apply these principles and techniques to a variety of patient care situations and to assist others to do so.
• Knowledge about drug side effects, purposes, therapeutic dosage range and toxic effects with skill sufficient to administer a wide range of medications including large volume IV solutions. Ability to accurately calculate IV drip rate and adjust rates of IV fluids to maintain fluid as per provider order.
• Knowledge of written and oral communication skills.
• Knowledge of VISTA and CPRS in order to function and a super user for patient record access and documentation issues.

• Demonstrates knowledge of reusable instruments, equipment, medical devices, and supplies.
• Demonstrates knowledge of items that are sent to SPD for reprocessing and/or sterilization.
• Can suspend the reuse of any RME if it is suspected that the device was not properly cleaned, disinfected, or sterilized per the Standard Operating Procedures and/or Manufacturer's guidelines.
• Demonstrates knowledge of items of the initial decontamination process that must be taken prior to transport of items and the appropriate method of transport.
• Must have annual validation of competency in the set-up, reprocessing, and maintenance of specific reusable medical equipment.

The Registered Nurse for the Behavioral Health Interdisciplinary Program (BHIP) in the Greenville Outpatient Mental Health Clinics will work with the Mental Health Team and collaborate with licensed independent providers (LIPs) to assure high quality care to the Veteran with psychiatric diagnoses/mental health needs.

The BHIP Nurse works closely within an interdisciplinary team framework to help foster independent living through appropriate management of the client's mental illness by providing assessments, planning, interventions and evaluation of treatment. Mental health treatment provided is documented within prescribed guidelines in CPRS.

Duties include but not are not limited to:

• Assist Veterans in the following ways: Provide Veterans and their family members with education regarding their illness, medications and treatment plan.
• Provide outreach to clients who are having problems with treatment adherence and who may be relapsing.
• Coordinate with other agencies and make referrals to provide patients with necessary community services.
• Refer to, consult with and coordinate care with other VA health care providers.
• . Assess patients and provide additional support between visits with LIPs. Facilitate psycho-educational and support groups.
• Act as liaison to Inpatient Psychiatric Unit to facilitate continuity of care. Provide coverage as needed for other staff in the Outpatient Mental Health Clinic.
• BHIP Program responsibilities: Serves as the primary contact for Veterans. Assists in scheduling, re-scheduling appointments, and appointment cancellations.
• Works closely with Program Support Assistant with appointments & scheduling.
• Performs suicide risk assessments and/or mental status exams & Provides crisis assessment/intervention.
• Provides follow-up care, medication evaluation assessment, and administration of medications as needed.
• Enters order for medication refills, laboratory, and consults per policy.
• Provides case management for high risk Veterans & engages in end-of-life care for Veterans with serious mental illnesses.
• . Ensures BHIP team and PCMM are assigned correctly.
• Assists in treatment planning, care coordination, and daily team meetings. Reviews and completes Clinical Reminders per policy.
• Monitors Performance Measures, wait times, incomplete encounters, and outcome measures for BHIP team.
• Follow-up phone calls, secure messaging. Facilitates appointments with Primary Care Provider for medical evaluation.
• Takes vital signs, completes medication reconciliation, documents care and treatment planning in CPRS.

The Boiler Plant Operator utilizes manual and automatic controls to operate multiple utility systems on a continuing basis in accordance with State and Federal regulations and will function as a critical and integral part of the safe and efficient operation of the boiler plant and associated energy systems. Duties include but are not limited to:

• Oversee the areas of operations, maintenance, and repairs in a with minimal or no guidance from supervision.
• Maintaining boiler plant operations when transitioning from multiple fuel sources.
• Troubleshooting and adjusting plant and mechanical systems to ensure proper functioning.
• Maintaining repair equipment needed for routine maintenance.
• Reading gauges, meters, verifying steam pressure and recording maintenance data.
• Maintaining fuel tank levels in accordance with plant operating procedures
• Performing routine testing to determine proper pH balance, heavy metals and hazardous chemicals.
• Performing efficient and economical generation of steam producing systems.
• Performing operational repairs of limited to moderate complexity.
• Following instructions as provided by diagrams, drawings and operating manuals.
• Receiving fuel oil from tractor trailers and other suppliers while following all safety regulations
• Making judgments and decisions based on supervisory guidance and protocol.
• Maintaining boiler plant operations when transitioning from multiple fuel sources.
• Work from heights, confined spaces, tight spaces, from ladders and manlifts.

LPN/LVN responsibilities include:

• Demonstrates knowledge and skills to carry out a full range of practical nursing care and specialized patient care duties to patients with a variety of physical and/or behavioral problems in the outpatient setting.
• Assists with patient education and patient groups regarding Telehealth Services.
• Demonstrates ability to manage telephone care to include Telehealth results.
• Demonstrates ability to effectively manage patient flow to maintain timeliness of appointments.
• Utilizes nursing protocols with attention to the individuality of patients, patient safety and evidence-based practice.
• Assists in care coordination and access to specialty care through communication and placing consult per nursing protocols.
• Demonstrates competence in handling of all RME for patient care use and cleaning post procedure. Adheres to all departmental policies and procedures for reprocessing RME.
• Demonstrates working practices that include adherence to Infection Control standards and the safe use and operation of equipment.
• Maintains knowledge of medical equipment with skill sufficient to set-up, operate and maintain functioning. Recognizes and appropriately responds to breakage/malfunctions or loss of equipment, supply deficiencies and fire, safety or environmental hazards. Promptly reports to appropriate personnel for corrective action including the submission of a work order.
• Demonstrates knowledge of universal precautions, medical asepsis and sterile technique with ability to correctly apply these principles and techniques to a variety of patient care situations and to assist others to do so. Utilizes PPE appropriately.
• Participates in the orientation, education and training of less experienced LPNs and shares knowledge, experience, and skills with co-workers in the form of structured in services and 1:1 interaction. Independently seeks out educational opportunities to enhance their nursing practice.
• Maintains professional ethics and conduct with patient and staff.
• Demonstrates flexibility by willingly and promptly accepting changes in work assignment, locations and rendering safe patient care.
• Articulates the mission, vision, and ICARE (Integrity, Commitment, Advocacy, Respect and Excellent) values of the Department of Veteran Affairs that reflect positively on the VA to patients, staff, students and visitors
• Readily seeks assistance and guidance by consultation with MD/PA/NP/RN about changes in patient's conditions that requires a higher level of intervention.
• Recognizes and appropriately responds to breakage/malfunctions or loss of equipment, supply deficiencies and fire, safety, or environmental hazards. Promptly reports to appropriate personnel for corrective action.
• Demonstrates ability to close open encounters by close of business daily.
• Reviews view alerts throughout the day and completes by close of business daily.
• Consistently provides verbal and/or written information that is thorough and accurate using clear and concise communication methods to ensure that customers understand.
• Establishes constructive relationships with individual patients/families/co-workers to promote honest and meaningful interactions.
• Consistently communicates with patients/families/co-workers and the general public in a courteous, tactful and helpful manner. Both oral and written communications are provided promptly and are responsive to the customer's needs.
• Effectively engages in several forms of communications to complete work assignments in day-to-day work environment (i.e., instant messaging, secure messaging, e-mail, telephone, verbal, VVC, V-Tel, text pagers etc.

• Analyzes issues and prepares briefings for command review.
• Develops program guidance for the command and coordinates with, HRC, and MRC, East regarding strength management challenges.
• Serves as technical consultant and advisor to management on all matters concerning officer and enlisted strength management.
• Monitors status of personnel actions and how those actions affect strength requirements.
• Within established guidelines and procedures, execute officer and enlisted military functions.
• Draft correspondence concerning aspects of officer and enlisted military personnel activities.

Major duties include but is not limited to:

• Receives, reviews, and processes varied requests/documents for the obligation and accrual of funds.
• Inputs obligations, accruals, adjustments, and cost transfers into the automated accounting systems.
• Maintains obligation/accrual files to include disbursements.
• Reviews manual and automated records to determine whether they have been obligated, modified, or cancelled.
• Composes letters and messages to care lines/services, companies, and individuals to notify changes or potential changes to policy.
• Review payments in progress to see if paid on time.
• Monitors timekeeping input for the facility.
• Maintains customer support files for federal, state, and local tax authorizations, and all other documents affecting pay.
• Performs other duties as assigned.

The incumbent is a first level-nursing manager for Ambulatory Care in Community Based Out-patient Clinics (CBOC) or Health Care Center. He/she functions under the direction and guidance of the Chief Nurse (CN) in providing clinical and administrative leadership. He/she uses the nursing process to achieve identified goals for the Health Care System as a nursing leader.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards

• The NM holds responsibility for implementation of the Vision, Mission, and Values of the Fayetteville NC VA Coastal Health Care System within his/her defined areas of responsibility.
• He/she is fully engaged in the administrative and clinical nursing practice characterized by both increased complexity of clinical decision making and enhanced skills in nursing management/leadership.
• He/she provides leadership in the day-to-day operations and input as an influencer in the strategic planning process for the attainment of organizational goals.
• The NM keeps staff informed of Clinical/Administrative goals through facilitating both vertical and horizontal communications in a timely manner.
• The incumbent provides timely information regarding emergencies, unusual occurrences or issues impacting nursing practice or operations to the Chief Nurse, Deputy Associate Director Patient Care Services and/or the Associate Director of Patient Care Services
• He/she provides direct supervision of nursing personnel in their defined area of responsibility and evaluates their performance and competency.
• The incumbent is knowledgeable concerning the counseling/disciplinary process; works closely with the Human Resources representative and seeks assistance as needed keeping their supervisory abreast of actions
• The NM is responsible for all issues affecting nursing including, but not limited to: standards of practice, credentialing, training, functional statements, position descriptions, proficiency reports (timely and complete), performance appraisals (timely and complete), ensuring staff follow policies, procedures, and protocols. May be called upon to edit, format, update the same as required.
• He/she ensures/supervises appropriate orientations, educations, and continuing professional development of nursing personnel
• The NM assumes responsibility for staffing and scheduling of permanent and supplemental nursing staff, ensuring all assignments reflect appropriate utilization, compliance with staffing guidelines, and the Joint Commission Standards.
• The NM is fiscally responsible and participates with the Chief Nurse in planning and monitoring the budget including overtime expenditures/trends
• He/she allocates available resources to promote efficient, effective, safe, and customer focused care. The incumbent serves as a role model coaching and supporting staff in critical thinking in professional nursing practice. He/she fosters an environment conducive to learning and provides educational experiences for nurses.
• The NM facilitates an environment of interdisciplinary collaboration and collegial relationships; promotes peer review.
• The NM has a responsibility to ensure an environment conducive to retention / recruitment of highly competent nursing staff of diverse backgrounds. He/she directs practice according to established policies, standards of care, and standards of practice. He/she monitors/ ensures nursing practice and operations are compliant with all applicable local, VlSN, and/or State/National standards, policies, statutes and regulations.

Major duties includes but is not limited to:

• Conducts daily examination of various accounting transaction listings, cost reports, financial statements, project fund balances, and work orders to ascertain accuracy and completeness of data.
• Reviews and analyzes programs and procedures related to receiving, validating and recording accounting transactions affecting the asset, liability, expense and revenue accounts of supported activities.
• Evaluates General Ledger account balances; analyzes subsidiary ledgers for accuracy and integrity of data and performs necessary research to reconcile account balances.
• Directs the assignment of project and cost codes, accounting classification and file maintenance and provides information for transmitting data to appropriate office.
• Analyzes and reviews ADP maintenance listings and determines what additions, modifications, and deletions to data base are needed.
• Researches operating finance and accounting data interprets data and furnishes the data to various organizations to be used for guidance in establishing and programming costs and obligations for current and future operations.
• Performs liaison function between local operating elements and the finance office in such matters by gathering and interpreting pertinent data and deriving solutions day-to-day finance and accounting matters in accordance with accounting principles, policies and objectives of the accounting system.
• Develops, prepares, and revises regulations, information papers, etc., for project and revolving fund accounting control and reporting instructions. Prepares and implements supplemental accounting procedures, reports, and modifications to existing procedures as required by regulatory guidance and/or work situations.
• Assists in controlling financial operations by controlling obligations and/or expenditures within limitations established by appropriation, allotment, apportionment work allowance, and purposes authorized by public law.
• Manages summary cost accounts verifying validity and accuracy of accounting transactions and data.
• Recognizes significant account variances and assists higher level staff in the proper research and reconciliation of all accounting records.
• Determines proper work methods and develops work sheets and forms necessary to complete assignments.
• Performs other related duties as assigned.

Duties include but are not limited to:
- Responsible for the utilization and maintenance of all automobiles, trucks, buses and special purpose vehicles and equipment owned by or leased to VAWNYHS (Batavia).
- Keep continuously aware of VAWNYHS (Batavia) needs and weather conditions, making available and scheduling vehicles accordingly, and carries out directions, policies and procedures issued by the Engineering Manager.
- Participates with his/her supervisor in the selection, promotion or reassignment of staff and recommends disciplinary actions and incentive awards, plans for improving work performances and training programs.
- Organizes and directs staff in productive daily work schedules, and accomplishes work within established policies of EMS.
- Responsible for ordering and stocking repair parts, supplies, materials, and equipment and participates in preliminary planning of budget for various control points.
- Creates 1358's for all transportation costs.
- Responsible for the maintenance of Medical Center and GSA rental vehicles.
- Responsible for compiling all scheduled vehicles inspection providing upkeep and maintenance services and submitting monthly cost figures to invoice GSA lnteragency Motor Pool, Buffalo, N.Y. for all services and materials provided by VAWNYHS (Batavia).
- Be familiar with spraying and application techniques as well as pesticide use and other controls used in a ground maintenance management.
- Oversee contractors ensuring the safe usage of any materials being used.
- Responsible for the safe and efficient operation of all grounds and snow removal equipment, such as road sweeper, lawn sweeper, salt spreader, flail mower, Bobcats 553, 5528, and 873, power washer, and portable generators.
- Responsible for administering road tests, grading applicants, maintaining records of authorized drivers and conducting a search of the driver's background through the National Driver Request Program.
- Instructs subordinates in the safe and efficient operation of such complex equipment as pay loaders, snowplows, tractors with backhoe, front-end loader and gang-mowers.
- Responsible for all work and documentation to insure the section under his/her direction is in compliance with all regulatory agencies, including but not limited to Joint Commission, GSA, OSHA and all life safety standards.
- Creates and presents reports as required by the department and various regulatory agencies.
- Provides technical expertise and consultative advice to the Assistant Director (Batavia site manager) and the Chief of EMS.
- Comments and makes recommendations as needed to address issues with existing conditions, work assignments, costs, energy savings, and maintenance of items.
- Assigns and dispatches vehicles on a daily basis for all patient, employees and staff trips using up to 25 different vehicles.
- Investigates all accidents and makes out reports sending them to District Counsel.
- Responsible of all repairs and maintenance of all equipment, tools and motorized equipment used by the transportation and EMS section.
- Required to act in the capacity of a Service Manager in assessing mechanical failure on vehicles and equipment.
- Maintains documentation and can account for all services and materials provided by VAWNYHS/Batavia which will be billed to GSA Motor Pool, Buffalo NY.
- Assures that all vehicles and equipment are performing efficiently and that safety items such as tires, brakes, light, etc. are in proper working order.
- Responsible for the upkeep of 48.8 acres of land which consists of 36 acres of lawns to be cut and trimmed, also includes the New York State Nursing
Home.
- Responsible for the removal of debris from all walks, stairs and stairwells, the removal of all trash and debris from VAWNYHS (Batavia) grounds. The removal of ice and snow in all parking lots, walks, and stairs during the winter months is managed by the incumbent.
- Responsible for supervisory oversight which includes environmental sanitation, waste management, and basic pest functions.
- Coordinates logistical support for interior design activities, and for setups and movement for furniture/furnishings.
-Makes daily inspections of areas serviced by Aids to insure adequate coverage and proper work performance, observes quantity and quality of work performed by housekeeping staff and work leaders advising them of conditions that do not meet prescribed standards and regulatory requirements.
-Responsible for the control, use and maintenance of numerous pieces of environmental sanitation equipment such as automatic floor scrubbers, vacuums, buffers, burnishers, and carpet extractors.
- Other duties as assigned.

Work Schedule: Monday - Friday, 6:00 AM to 2:30 PM. May work evenings, weekends and holidays based on agency needs
Position Description Title/PD#: Motor Vehicle Operator Supervisor/PD095110
Relocation/Recruitment Incentives: Not authorized

What to Expect

• Assigned in one or more recreational activities such as recreation or community center activities; youth activities; outdoor recreation; athletics, fitness and sports programs; and/or other similar Marine Corps Community Services (MCCS) programs.
• Provides oversight of activities and necessary services to authorized patrons, including general information on use of equipment, and/or activity instructions.
• May assist in maintaining routine reports and/or perform clerical, custodial and/or general maintenance duties. 
• May operate a computer, cash register, receive payments and make change.
• This is a mixed position where the incumbent must be able to lift or carry objects up to 45lbs independently and objects over 45lbs with assistance. 
• Performs other related duties as assigned.

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

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

The duties of the Nursing Assistant in the Nursing Service include, but are not limited to:

• Assists patients/residents with activities of daily living, i.e., bathing, shaving, feeding, oral hygiene, ambulation, dressing, etc. Assists lower graded Nursing Assistants in the completion of these duties as well.
• Assists Registered Nurses, therapists and others in the rehabilitation and or providing care for patients/residents. Assures the residents are prepared to engage in therapy as much as possible.
• Ability to use clean and aseptic technique to perform various non-medicine treatments, i.e., wound cleansing, applying dressings, performing catheter care, applying external catheters, performing perianal care and monitoring for early signs of breakdown - notifies Registered Nurses, etc.
• Cares for patient/resident and prevents complications of limited mobility or immobilization by turning, maintaining proper body alignment, range of motion exercises, assists with deep breathing and cough.
• Encourages and provides adequate nutrition and hydration within ordered diet. Assists with observation and monitoring of enteral feeding and/or gastro tube and notifies Registered Nurses of concerns or issues. Accurately monitors intake and output and daily weights as ordered.
• Monitors intravenous fluids by informing the nurse of the need to add fluids, any alarm and any patient/resident concerns. Monitors for pain, leakage, swelling or redness at site and notifies nurse immediately.
• Is a leader in activities that promote safety for the veteran and others in the work area, including, but not limited to, performing monitoring of the patient safety monitoring system after completion of orientation and completion of competency demonstration. Assists with safety monitors such as hand hygiene, safety support or others.
• Performs other duties as assigned for the position. Precepts and trains new and lower graded staff in functions of Nursing Assistants.
• Provides patient care in a timely manner, recognizing and responding to physical, psychological, spiritual, and emotional needs of patients.
• Establish a positive rapport with family/caregiver, internal and community-based services and disciplines involved in providing care to the patient.
• Makes caring for the veteran his/her priority while in the work setting and demonstrates customer service principles in all aspects of work.
• Assists the RN in the full range of nursing care to patients/residents with physical and or behavioral problems in a hospital, long term care or outpatient setting under the direction of a Registered Nurse and or Licensed Vocational Nurse.
• Participates in 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, values, and previous experiences. Administers care per established policies and guidelines.
• Influences care outcomes by collaborating with members of the interdisciplinary team.
• Participates in unit/program level quality improvement processes and initiatives as well as customer service programs.