Total 495 Health / Beauty / Fitness job vacancies in Grand Rapids, MI 49525

Major duties include, but are not limited to:

• The Health Technician (Pedorthist) communicates and interacts with physicians, allied health professionals, patients and caregivers in various interdisciplinary clinical settings as a subject matter expert to develop the pedorthic treatment plan.
• The Health Technician (Pedorthist) provides complex patient analyses in accordance with established procedures for patients with unusual conditions, multiple complex conditions and interrelated conditions.
• The Health Technician (Pedorthist) assesses patients for indications/contraindications.
• The Health Technician (Pedorthist) discusses the assessment with the physician/requesting provider for the purpose of developing the overall treatment plan with considerable influence in the development of the plan.
• The Health Technician (Pedorthist) analyzes the potential use of new and emerging technologies in designing unique or innovative pedorthic devices to accommodate or treat a wide range of complex medical conditions which include unusual problems or complications
• The Health Technician (Pedorthist) takes scans and measurements for advanced devices, prepares and modifies casts for advanced devices, repairs and fabricates advanced devices and provides patient/caregiver education for advanced devices.
• The Health Technician (Pedorthist) recognizes physical abnormalities, deviations and complicating conditions with potentially life-threatening implications.
• The Health Technician (Pedorthist) privileges (Individual Scope of Practice) other credentialled clinicians to provide pedorthic care based on ABC privileging requirements.

Major duties include, but are not limited to:

• The Health Technician (Pedorthist) communicates and interacts with physicians, allied health professionals, patients and caregivers in various interdisciplinary clinical settings as a subject matter expert to develop the pedorthic treatment plan.
• The Health Technician (Pedorthist) provides complex patient analyses in accordance with established procedures for patients with unusual conditions, multiple complex conditions and interrelated conditions.
• The Health Technician (Pedorthist) assesses patients for indications/contraindications.
• The Health Technician (Pedorthist) discusses the assessment with the physician/requesting provider for the purpose of developing the overall treatment plan with considerable influence in the development of the plan.
• The Health Technician (Pedorthist) analyzes the potential use of new and emerging technologies in designing unique or innovative pedorthic devices to accommodate or treat a wide range of complex medical conditions which include unusual problems or complications
• The Health Technician (Pedorthist) takes scans and measurements for advanced devices, prepares and modifies casts for advanced devices, repairs and fabricates advanced devices and provides patient/caregiver education for advanced devices.
• The Health Technician (Pedorthist) recognizes physical abnormalities, deviations and complicating conditions with potentially life-threatening implications.
• The Health Technician (Pedorthist) privileges (Individual Scope of Practice) other credentialled clinicians to provide pedorthic care based on ABC privileging requirements.

This position serves as a Supervisory Inventory Management Specialist for expendable (EX) assets/material in a VA Health Care System (VA HCS) and supported catchment area. Supervises multiple supply series of consumable medical supply/inventory used in the healthcare system as well as the micro-purchase program. Recognized as the Commodity Management Division's subject matter expert and serves as advisor and consultant to the Chief Supply Chain Officer (CSCO) and Assistant CSCO on inventory management matters for sound commodity management concepts, practices, and control of all consumable inventory. Major duties include but are not limited to the following:

• Supply Management: responsible for the inventory management, control and distribution of expendable inventory; ensures maximum effectiveness in the management of inventories; has oversight and accountability of the management plan for the commodity program; conducts effectiveness/efficiency reviews; oversees the computation of requirements for supplies; may serve as the approving official for approving reconciled purchase card transactions; oversees the care and handling of specialized items; prepares/reviews submissions to obtain approval or funding; and acts as the central point of contact for the coordination of commodity support and the resolution of logistics problems;
• Returns, Recalls and Reutilization: manages federal and agency programs for the return and reutilization of medical supplies; approves emergent procurement decisions; participates in root cause analysis process; and serves as the utilization and disposal official for excess consumables;
• Supervision: supervises employees from separate but interrelated units; makes recommendations for promotions, reassignments and awards; develops position descriptions and performance standards; conducts semi-annual and annual performance reviews; assists subordinate staff with performance issues; schedules and grants leave; monitors overtime usage; resolves informal complaints and grievances; develops the ability of subordinate staff; develops individual development plans for professional growth and development; coordinates and integrates various technical units to ensure compliance; conducts on the job training and in service training; and assesses training and educational needs and implements training programs;
• Performs other related duties as assigned.

Major duties include but are not limited to:

• Provide administrative oversight of the Personnel Management program for the service line.
• Monitor the utilization of authorized positions and identifying personnel needs in response to changes in program goals and objectives, budgetary constraints, and/or regulatory mandates.
• Develop proposals for new employees when existing staff are insufficient.
• Serve as a liaison to each of the three distinct unions representing employees at the facility.
• Develop the annual budget proposal for the service line, forecasting needs for all program operations.
• Create business plans for the expansion of existing programs and the implementation of new programs.
• Examine the clinical, operational, financial, and strategic implications of all significant changes to the Agency, Facility and/or Service Line program goals and objectives.
• Integrate data, analyses, conclusions, and recommendations into a concise and persuasive deliverable.
• Research and draft required documentation for the purchase of all equipment utilized by the service line programs.
• Continuously assess the performance of service line programs in relation to national and local access targets.

Supports Diagnostic Procedures

• Assists physicians and nurses in the performance of diagnostic examinations by performing duties such as monitoring vital signs, preparing, and positioning the patient, or by performing a variety of routine diagnostic tests such as glucometer test for blood glucose level, collection of urine sample, etc.
• Assists with Technical Nursing Treatments
• Assists physicians and nurses in the care and treatment of veteran patients receiving medical, surgical, or skilled longer-term treatment.
• Observes and reports to the professional nurse changes in patient behavior, attitude, bodily complaints, and appearance.
• Observes patients for any change in condition (deviation in color, pulse, respiration, temperature, and blood pressure) and reports them to the Registered Nurse.
• Reports the condition of wounds and skin and any reaction to or results of treatments.

• Provides a full range of patient care to complex patients with a variety of physical and/or behavioral problems including personal nursing care, support duties and treatments.
• Uses good communication skills in dealing with patients, some of whom are unusually difficult to care for or communicate with.
• Provides effective action in emergency situations.
• Performs actions targeted to the maintenance/restoration of skin integrity by assisting nurses with turning patients and cleaning patients as needed.
• Assists nurses, preparing patients for transport to procedures by obtaining oxygen tanks or other needed equipment.
• Complies with universal precaution and with all infection control policies and procedures
• Provides emotional patient and family care.
• Maintain patient privacy.
• Responds appropriately to emergency situations
• Assists/completes clerical and transport functions as needed.
• Makes rounds to ensure visual contact, safety and comfort of each patient.

• Maintains a safe/clean work environment and completes assigned environmental duties
• Demonstrates appropriate actions in environmental emergency situations.
• Employs appropriate lifting/moving, transfer and assistive devices and demonstrates safe and proper body mechanics.
• Utilizes equipment in a safe manner.
• Reports unsafe equipment and working conditions to appropriate individuals.
• Offers assistance to coworkers when needed.
• Participates in QI activities as directed.
• Practice cost effective measures in the use of supplies and equipment.
• Enters Information on the Patients' Records/Charts
• Enters specific information onto the patients' records using the Computerized Patient Record System (CPRS).
• Enters information regarding the care rendered and the condition and progress of the patient.
• Performs direct patient support work including personal patient care and/or basic patient education.

• Performs a wide variety of duties aimed at increasing the comfort and spirit of the patient.
• Takes care of patients' routine care and comfort needs for psycho/social/spiritual well-being, personal hygiene, physical comfort, nutrition, elimination, prevention of skin breakdown, rehabilitation, safety, etc.

• Teaches patients and family members the necessity to continue the procedures for proper health care.
• Assists with specific health teaching, such as reminding diabetic patients of the importance for skin care and following a diet, reinforcing the importance of exercise and diet for the cardiac patients, etc.

• Support professional staff and veterans as needed with maintaining a clean, safe environment of care.
• Cleans bedside tables, stocks linens, cleans wheelchairs and other direct resident care equipment using appropriate precautions.

• Use standard precautions and personal/patient protective devices
• Recognizes and reports unsafe situations. Initiates appropriate emergency interventions
• Maintains a safe/clean work environment, ensuring patient privacy
• Participates in unit-based medical center and organizational in-services and continuing education activities
• Adheres to dress-code policy

Supports Diagnostic Procedures

• Assists physicians and nurses in the performance of diagnostic examinations by performing duties such as monitoring vital signs, preparing, and positioning the patient, or by performing a variety of routine diagnostic tests such as glucometer test for blood glucose level, collection of urine sample, etc.
• Assists with Technical Nursing Treatments
• Assists physicians and nurses in the care and treatment of veteran patients receiving medical, surgical, or skilled longer-term treatment.
• Observes and reports to the professional nurse changes in patient behavior, attitude, bodily complaints, and appearance.
• Observes patients for any change in condition (deviation in color, pulse, respiration, temperature, and blood pressure) and reports them to the Registered Nurse.
• Reports the condition of wounds and skin and any reaction to or results of treatments.

• Provides a full range of patient care to complex patients with a variety of physical and/or behavioral problems including personal nursing care, support duties and treatments.
• Uses good communication skills in dealing with patients, some of whom are unusually difficult to care for or communicate with.
• Provides effective action in emergency situations.
• Performs actions targeted to the maintenance/restoration of skin integrity by assisting nurses with turning patients and cleaning patients as needed.
• Assists nurses, preparing patients for transport to procedures by obtaining oxygen tanks or other needed equipment.
• Complies with universal precaution and with all infection control policies and procedures
• Provides emotional patient and family care.
• Maintain patient privacy.
• Responds appropriately to emergency situations
• Assists/completes clerical and transport functions as needed.
• Makes rounds to ensure visual contact, safety and comfort of each patient.

• Maintains a safe/clean work environment and completes assigned environmental duties
• Demonstrates appropriate actions in environmental emergency situations.
• Employs appropriate lifting/moving, transfer and assistive devices and demonstrates safe and proper body mechanics.
• Utilizes equipment in a safe manner.
• Reports unsafe equipment and working conditions to appropriate individuals.
• Offers assistance to coworkers when needed.
• Participates in QI activities as directed.
• Practice cost effective measures in the use of supplies and equipment.
• Enters Information on the Patients' Records/Charts
• Enters specific information onto the patients' records using the Computerized Patient Record System (CPRS).
• Enters information regarding the care rendered and the condition and progress of the patient.
• Performs direct patient support work including personal patient care and/or basic patient education.

• Performs a wide variety of duties aimed at increasing the comfort and spirit of the patient.
• Takes care of patients' routine care and comfort needs for psycho/social/spiritual well-being, personal hygiene, physical comfort, nutrition, elimination, prevention of skin breakdown, rehabilitation, safety, etc.

• Teaches patients and family members the necessity to continue the procedures for proper health care.
• Assists with specific health teaching, such as reminding diabetic patients of the importance for skin care and following a diet, reinforcing the importance of exercise and diet for the cardiac patients, etc.

• Support professional staff and veterans as needed with maintaining a clean, safe environment of care.
• Cleans bedside tables, stocks linens, cleans wheelchairs and other direct resident care equipment using appropriate precautions.

• Use standard precautions and personal/patient protective devices
• Recognizes and reports unsafe situations. Initiates appropriate emergency interventions
• Maintains a safe/clean work environment, ensuring patient privacy
• Participates in unit-based medical center and organizational in-services and continuing education activities
• Adheres to dress-code policy

This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until December 31, 2024 or until vacancy is filled. The first group of eligible applicants will be reviewed December 12, 2024. Subsequent reviews will be conducted as needed until position is filled.

Major Duties include, but not limited to:

• Participating in the implementation and development of the Palliative and Hospice Care (PHC) program throughout WCHCS.
• Overseeing day to day coordination of PHC responsibilities for both inpatient and consult services.
• Development of educational materials for faculty, residents, and other trainees in conjunction with palliative care team.
• Development of educational materials for patients and families with regards to hospice and palliative care issues in conjunction with the palliative care team.
• Staff educational in-services for hospice and palliative care.
• Leading Palliative Care Committee meetings
• Leading Hospice Interdisciplinary Team meetings
• The Palliative and Hospice Care Program Manager executes position responsibilities that demonstrate leadership, experience, and creative approaches to the management of the palliative and/or hospice patient.
• He/she is accountable for adhering to established policies, standards of care and standards of practice and for demonstrating leadership and accomplishments when providing patient care and in developing and implementing programs to improve the delivery of patient care.
• The incumbent screens patients for the medical necessity, and provides appropriate care for veterans, taking into consideration their diagnosis, and physical, psychosocial, spiritual, and cultural needs.
• Develops and manages a plan of care which will assure quality of care, access to care and cost efficiency regardless of payer source.
• Demonstrates continued ongoing education in the field.
• Participates in Palliative Care Clinic
• Other duties as assigned by the Chief of GEC.

Position located in the Health Services Department at a Federal Bureau of Prisons (BOP) correctional facility.

Primarily responsible for providing emergency assessment and medical care to inmate patients.

First responder at the scene of sudden illness or emergency and sometimes encounters situations which may be life threatening.

Determines, upon consultation with a medical provider (physician/physician assistant/nurse practitioner), the most appropriate method of transportation to the local hospital.

Prioritizes treatments for patients having multiple problems and employs a variety of established medical emergency procedures, techniques, methods and equipment, including the performance of emergency triage.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.

Major Duties include, but are not limited to:

• The Patient Safety Nurse (PSN) assists the survey preparedness team in translating VHA, regulatory and accrediting body standards, policies, and strategies into action, providing guidance and support to various levels of leadership.
• The individual provides support during external surveys and participates in continuous survey readiness activities, as requested and as required by the program.
• The Patient Safety Nurse (PSN) will perform various degrees of rounding throughout the facility.
• Will be a point of contact for patient safety policies, activities, and education for Western Colorado Health Care System.
• Demonstrates the ability to improve the effectiveness of communications and interactions with others, to inspire their cooperation and confidence to ensure safe and effective outcomes in the current practice setting.
• Considers alternative courses of action. Respects the opinions, abilities, and contributions of others. Encourages individual growth and development
• Reviews Joint Patient Safety Reports (JPSRs) daily and routes to appropriate parties for action/review.
• Coordinates and participates in Root Cause Analysis (RCA) and Healthcare Failure Mode Effects Analysis teams.
• Will participate in the development, maintenance, and operation of the patient safety program at the facility level.

The incumbent provides a wide range of vocational services to veterans with disabilities of varying type and severity. Many of these veterans have multiple disabilities and major barriers in employment and the incumbent tailor's services to meet their needs. the VRS assists in finding training and employment opportunities closely aligned with their vocational goals, interests, and abilities. Major duties and responsibilities include but are not limited to:

• Determines the vocational goals and objectives of SARRTP residents by conducting a vocational assessment, through observation, supervision, and follow-up with therapeutic work sites.
• Determines the extent to which the resident possesses the knowledge, skills, or abilities necessary to meet the goals or objectives.
• Determines training needs established by the agency or Federal guidance for expenditure of agency funds.
• Analyzes mental and physical disabilities or other handicaps, in terms of the practical effects of such handicaps on motivations, adjustment to training, and challenges in employment placement.
• Participates in treatment planning with other disciplines within the SARRTP.
• Provides vocational counseling to individual participants and/or groups of clients.
• Conducts seminars for other professional staff concerning vocational rehabilitation. The VRS will coordinate with various community agencies that offer training opportunities.
• Establish a referral process with these agencies and ensure an appropriate Release of Information is secured.
• Monitor training progress of SARRTP Veterans, through frequent meetings with clients, staff, and work area Supervisors.
• Develop and maintain contact with companies and agencies in the community by correspondence, telephone, and personal contacts for the purpose of securing work for Veterans.
• Maintain day-to-day contact with potential employers, placement personnel, or other likely placement resources.
• Oversees the placement program and approves any new placement facilities proposed.
• Finds suitable employment opportunities. The placement requires an in-depth analysis of the environmental demands at the work site.
• Determine facility modifications or adjustments to accommodate the client's limitations.
• Evaluates the results of the program and makes sound professional arguments for recommended changes.
• Counsel and guides Veteran through difficult transition or rough spots in the adjustment to the job.
• Assists employer understand the nature of the resident's limitations while maintaining a positive impression of the resident's capability to succeed.
• Reports program progress in accordance with established procedure.
• Assist with resume writing, interviewing skills, job coaching and job hardening skills.
• The VRS will keep the rest of the treatment team appraised on Veteran's progress regarding employment.
• Coordinate discharge plans with the rest of the treatment team.
• Assist the rest of the treatment team on program development/evaluation projects and will contribute towards continuous readiness for upcoming surveys.
• Performs other duties as assigned.

This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until positions are filled. Eligible applications received will be referred at regular intervals or as additional vacancies occur.

The Physicians (MD/DO) in Primary Care (PACT) is accountable for adhering to established policies and standards of care/standards of practice in evaluating, tracking, and following up on patient care. The MD/DO works in collaboration with heath care professionals to provide longitudinal case management of the PCP's entire PACT panel with independent care delivery for acute/same day needs, or when otherwise requested by the PCP.

The Physician, Patient Aligned Care Team duties include, but are not limited to the following:

• Provide independent care delivery for chronic, acute/same day medical needs. The type of care is served to the Veteran population, with diseases consistent with those seen in the general population namely diabetes, hypertension, hyperlipidemia, chronic obstructive pulmonary disease, mental health disorders, etc. A part of your responsibility is to write orders for diagnostic testing, prescribe medications, consult with specialty service, and utilize computerized/electronic medical records. Major function of the position includes Health risk Assessment, goal setting for prevention, and chronic diseases management. A major focus is in preventive medicine with focus on the achievement of positive outcomes for patients, improve coordination of care, decrease clinic waits or delays, and appropriate use of resources.
• Provide direct patient care to include, but are not limited to: history and physicals, medication management, evaluation of diagnostic tests and treatment planning, clinical reminder completion as applicable.
• Function as a leader in the PACT approach in the delivery of care, which emphasizes a team-based approach to healthcare. Oversee PACTs compliance to Message Manager, MyHealtheVet, and encounter completion. Proficient in Tele-Health to home visits (VA Video Connect), and Comprehensive Women's Health care.
• Document all medical information in an electronic medical record.
• Perform medication reconciliation.
• Other duties as assigned.

Major duties include, but are not limited to the following:

• Pharmacy Dispensing/Distribution Services: The Pharmacy Technician will be involved in assuring appropriate, safe, and accurate medications are dispensed to veterans in an efficient manner. The pharmacy technician will provide a range of medication management and administrative services. These activities include:
  • Maintains workflow patterns that assure timely delivery of pharmacy services and ensures accurate documentation and dispensing of pharmaceuticals.
  • Effectively organizes workload, solves problems, and achieves established goals.
  • Provides patient care utilizing an in-depth knowledge of specialized areas of pharmacy practice. Maintains and understands the operation of pharmacy equipment and automation, such as ScriptPro, TCG-Rx, BD Cato, and Pyxis.
  • Assists staff and patients, either by phone or in person, concerning drug distribution, refill requests, mail, and general triaging of requests for the pharmacists. Documents patient requests as necessary in CPRS and alerts the appropriate provider.
  • Assists in assuring that pharmacy programs are compliant with all regulatory and accrediting body requirements (i.e., Joint Commission, FDA, ASHP, DEA, OIG, etc.).
  • Actively participates in the procurement process supporting just in time inventory management. This may include serving as a back-up procurement technician where responsibilities may include ordering or receiving product. This may also include processing of invoices using the VistA Drug Accountability system.
  • Inspects all areas of the facility outside of the pharmacy where medications are dispensed, administered, or stored, including medication carts, automated medication dispensing cabinets, (Pyxis Medstations™), physical cabinets and drawers, supply carts, refrigerators, crash carts, and emergency kits.
• Distributive
  • Interprets pharmacy orders; obtains medication in the correct strength and dosage form; determines proper amount and prepares product; affixes proper label; and documents proper information.
  • Prepares non-sterile compounds independently for dispensing to patients or other health care providers for use in clinical areas.
  • Compounds sterile products to be delivered in the form of large volume, small volume, and other complex pharmaceuticals such as chemotherapy. Completes documentation and uses knowledge of safe handling and disposition of hazardous materials used in pharmacy.
  • Dispenses controlled substances according to current policies and procedures and standards established by DEA, FDA, VA, and Joint Commission.
• Controlled substances:
  • Accurately interpret, fills, and readies prescriptions with appropriate medications for pharmacist verification
  • Appropriately restocks controlled substances items in automated secured cabinets (i.e., Pyxis) in pharmacy or throughout medical center, as assigned.
  • Documents all controlled substance related transactions as indicated by VA and DEA guidelines.
  • Assures that inventory counts are correct at the time of restocking.
  • Ensures that proper handoff occurs when receiving or delivering controlled substances, always assuring that these medications are never left unsecured.
  • Reports unresolvable discrepancies to immediate area supervisor for resolution. Assist in investigating, witnessing, and resolving discrepancies.
  • Complies with all laws, regulations, directives, policies, and procedures applying to the dispensing, storage, transfer, inventory, and accountability of controlled substances. h) Assists inspectors with the inventory and accountability inspections.

Duties include but are not limited to the following:

• Performs duties relative to the care, maintenance, protection and preservation of grounds, ornamental beds, trees, shrubs, and grass in an assigned area.
• Prepares the soil in areas where flowers and seeds are to be planted.
• Determines the proper amount of plants, seeds, fertilizer, lime or other materials required for an area.
• Selects and applies the correct fungicide, insecticide, or herbicide to control plant insects, diseases and/or weeds.
• Plants and transplants shrubbery and trees and thins flowers to promote proper growth and enhance appearance. Applies mulch and/or decorative stone to ornamental beds and weeds, as required.
• Reseeds areas as necessary to promote fullest growth: Salvages, labels, and stores bulbs and seed for the following year.
• Prunes and trims shrubbery and trees which require shaping, thinning and removal of dead/diseased/unsightly branches.
• Operates mechanical powered equipment such as riding and push mowers, edgers, trimmers, chain saw, blowers, cultivator, snow plow, and various hand tools.
• May be required to operate a small forklift to retrieve and/or store supplies used for gardening or grounds maintenance.
• Operates pick-up truck with trailer to transport personnel, equipment, supplies and other materials to and from worksite within the installation.
• Ensures vehicle is properly and securely loaded. Performs operator maintenance such as checking oil and water and completes trip tickets and accident reports as necessary. Reports vehicle malfunctions to supervisor

Conducts safety and environmental inspections of the institution and prepares a report for the Environmental and Safety Compliance Administrator’s review.

Promotes the adherence of safety policy for the facility.

Assist in the training of staff and inmates in the techniques of firefighting, occupational safety and environmental protection.

Assist the Safety Administrator or Assistant Safety Administrator in conducting investigations and obtains statements from witnesses and securing physical evidence.

Prepares factual written reports for all concerned that will identify the accident, injuries suffered by staff and/or inmates, cost of property damage and offer recommendations to eliminate future accidents in the future.

Responsible for developing and conducting safety training classes for the inmate population and staff.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staffs correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.

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· You will perform work as a certified Emergency Medical Technician- Paramedic within the Division of Resource and Visitor Protection, operating independently to make patient care decisions.
· Respond to medical emergencies involving injured and ill persons, ranging from minor medical to life threatening emergencies in an out of hospital/field setting.
· Provide basic and advanced life support measures including I.V. therapy, drug therapy, Advanced Cardiac Life Support (ACLS), and advanced airway management in an out of hospital/field setting.
· Assist and mentor other park staff (AEMTs, EMTs, First Responders) in providing emergency medical services in the park.
· Operate and maintain the district's ambulance and related equipment.
· Cooperate with all EMS providers, including clinic staff, to provide medical care. Communicate with medical control to receive medical orders on patients.
· Assist in EMS training of park personnel at EMT refresher courses, EMS Endorsement, ambulance orientation, CPR, and other opportunities.
· Review park EMS run reports and assist with the parkwide quality assurance program.
· Provide assistance and input to the park EMS Coordinator on a variety of EMS issues.
· Operate Federal government vehicles.
· Complete all required medical forms and reports.
· May perform search and rescue, Wildland and Structural Fire, visitor assistance, and resource management work.

This job opportunity announcement will be used to fill one or more additional selections at anytime without notification.

Not all locations listed will be filling positions. Eligibility and qualifications will be verified if there is a vacancy for the location and grade for which you applied.