Total 144 Health / Beauty / Fitness job vacancies in Grimsby, North East Lincolnshire

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.

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.

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.

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.

• Primary responsibility will be the implementation and maintenance of the facility's Electronic Health Record (EHR) for outpatient services. Responsible for managing the operations and improvements of the Resource Patient Management System's (RPMS) hardware, software, security, network, client/server interaction and clinical applications.
• Sets up EHR files, parameters, menus and clinical references for users; troubleshoots complex program irregularities and determines appropriate action for correction. Assures System and data are appropriately backed-up and runs system tests to assure restoration can be achieved as needed. Responsible for coding, testing and debugging the system to ensure data recovery. Performs acceptance tests, benchmark tests, and other studies used to evaluate the acceptability of computers, programs, and systems for meeting information system needs.
• Function as an application manager in the planning, development, setup and implementation of all aspects the Indian Health Service Resource and Patient Management System EHR. Prepares written policies and procedures for both long-term and short-term plans for the RPMS; Performs daily, weekly and monthly system checks and documents findings for the record.
• Principle resource person to clinical service program managers and other management officials in resolving difficult and highly complex problems, which may be confined to a single service or may extend across organizational services lines. Provides consultation and technical guidance to Area staff as the RPMS site manager. Verbally communicates with Area staff to identify and resolve system related issues. Provide presentations to senior managers on the RPMS operations.
• Serve as trainer to clinical staff to ensure range of application packages including EHR, Health Summary, Progress notes, etc.

Duties of this position are, but not limited to:

• Provides specialized and expert administrative patient support while working collaboratively in an interdisciplinary coordinated care delivery model.
• Works closely with clinical personnel to ensure veterans receive timely referred and scheduled care in their local community.
• Flexible use of a wide range of clinical flow processes relating to access to care across all disciplines and specialties through community care.
• Recommends changes to existing clinic procedures based on current administrative guidelines.
• Expertise in utilizing numerous advanced patient systems involved in an interdisciplinary coordinated care delivery model.
• Ensure appointments are scheduled accurately, efficiently and within the clinical needs requested by the provider.
• Maintain effective and efficient communication with the veteran, veteran representatives, interdisciplinary care teams, VA medical centers, and other agencies
• Administratively triaging phone calls related to community care requests
• Following up with community vendors to ensure appointment completion and obtaining of medical records.
• Processing incoming veteran messages through message manager and care requests through my healthy vet, and coordinates with care team as appropriate
• Participates in team huddles and team meetings to manage, plan problem solve, and follow up with patient care by sharing information and collaborating with interdisciplinary team
• Other duties as assigned

VA Careers - Medical Support Assistant: https://youtube.com/embed/EE9c4XkaELo
Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

Duties of this position are, but not limited to:

• Provides specialized and expert administrative patient support while working collaboratively in an interdisciplinary coordinated care delivery model.
• Works closely with clinical personnel to ensure veterans receive timely referred and scheduled care in their local community.
• Flexible use of a wide range of clinical flow processes relating to access to care across all disciplines and specialties through community care.
• Recommends changes to existing clinic procedures based on current administrative guidelines.
• Expertise in utilizing numerous advanced patient systems involved in an interdisciplinary coordinated care delivery model.
• Ensure appointments are scheduled accurately, efficiently and within the clinical needs requested by the provider.
• Maintain effective and efficient communication with the veteran, veteran representatives, interdisciplinary care teams, VA medical centers, and other agencies
• Administratively triaging phone calls related to community care requests
• Following up with community vendors to ensure appointment completion and obtaining of medical records.
• Processing incoming veteran messages through message manager and care requests through my healthy vet, and coordinates with care team as appropriate
• Participates in team huddles and team meetings to manage, plan problem solve, and follow up with patient care by sharing information and collaborating with interdisciplinary team
• Other duties as assigned

The Advanced MSA works collaboratively in an interdisciplinary coordinated care delivery model (i.e., patient aligned care team, emergency department which includes Rotating Shift and Possible Weekends, care in the community (CITC) or other specialty care setting where the patient aligned care team model is used such as oncology, HIV, SCI, Military Sexual Trauma, etc.).

Major Duties: Duties include, but are not limited to: Recommends changes to existing clinic procedures based on current administrative guidelines. Expertise in utilizing numerous advanced patient systems in support of multiple clinics involved in an interdisciplinary coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively support the needs of the clinics, and makes adjustments as necessary. MSAs at this level develop and/or maintain effective and efficient communication with the patient, interdisciplinary coordinated care delivery model teams , VA medical centers, and other agencies (e.g., assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities; prepare correspondence to notify patients of normal lab results; manage a system for follow-up care such as consults, tests, etc.). Other assignments at this level include, but are not limited to: processes incoming patient secure messaging through MyHealthy Vet and coordinates with care team as appropriate; participates in] team huddles and team meetings to manage, plan, problem solve, and follow-up with patient care by sharing information and collaborating with the interdisciplinary team; setting priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs; identifies incomplete encounters and communicates findings to providers; as needed; assists the team to reinforce the plan of care and self-help solutions; enters appropriate information into the electronic record; monitors pre-appointment information and/or requirements to assure readiness for patient visit/procedure; manages patient systems to verify and validate accuracy and resolve issues; evaluates patient information and clinic schedule lists to determine whether the patient requires an immediate appointment; informs team members about shared patients (i.e., those who receive their care at multiple VA centers] or those who receive care in the community). For all assignments above the full performance level, the higher-level duties must consist of significant scope, administrative independence, complexity (difficulty), and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time.

FUNCTIONS:

The Advanced MSA works collaboratively in an interdisciplinary coordinated care delivery model and performs receptionist duties, customer service and other duties assigned for the proper and timely treatment of patients and maintains appointment schedules for one or more outpatient clinics. The incumbent must assist with clinic access contingency plans by adjusting appointment times, location, or dates as well as shift patients to other healthcare providers as conflict with staffing and/or coverage occurs. The Advanced MSA may be required to serve on more than one PACT or in more than one Specialty Clinic area, or rotate in any MSA area. Supports patient safety standards using the correct Veterans Affairs identification of all patients through the use of two forms of identification, name and full Social Security Number. The patient may also present the Veterans Health Identification Card (VHIC) for identification. The incumbent must use each interaction with the patient to validate and update patient demographic information, either in person during check-in or over the phone, to decrease the incidence of returned mail due to incorrect addresses and inability to contact patient by phone due to incorrect number.

Explains the VA's mandate to collect insurance information to veterans, their families, and other eligible patients. The incumbent collects, scans, and updates health insurance information serving a major role in the revenue process. The incumbent(s) contributes to the revenue collection process by identifying patients with third· party insurance. Promotes veteran registration for and utilization of MyHealtheVet (MHV). The Advanced MSA may also be required to train other MSA levels on scheduling, Insurance Capture Buffer (ICB), scanning, patient movements, data management, call responsiveness, decedent affairs and health benefits processes.

Work Schedule: Monday - Friday, 8:00am to 4:30pm, OR at the discretion of the selecting official
Note: some positions will have possible rotating shifts
Financial Disclosure Report: Not required
This is NOT a virtual position.

Duties include but are not limited to the following:

• An Ophthalmologist is a medical doctor who possesses the advanced training and experience, as well as the license, in diagnosing and treating disorders of the eye. Ophthalmologists are physicians who diagnose and treat diseases of the eye, including glaucoma and cataracts; vision problems such as nearsightedness; and eye injuries.
• Due to their extensive training, ophthalmologists can often link eye problems to other disorders such as; brain tumors, diabetes, or multiple sclerosis.
• Surgeons are physicians who operate to repair injuries, correct deformities, prevent diseases, and generally improve the health of patients. They examine patients to determine if surgery is necessary, evaluate the risks involved, and select the appropriate surgical procedure.
• The Ophthalmology Section of Surgery Service functions under the overall management of the Section Chief of Ophthalmology.
• The physician functions within an interdisciplinary staff consisting of physicians, physician extenders, technicians, administrative and clerical staff. He/she is responsible and accountable for ensuring the provision of comprehensive surgical/clinical services and complies with established policies within the Department of Surgery/ Ophthalmology section.

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


The incumbent serves as a Medical Administrative Specialist- Health Administrative Specialist on Duty (HOD) located in the Office of the Chief, Health Administration Service (HAS), or Business Office (BO), or Medical Administration Service (MAS), or similarly named and organized service; the position has both the authority and responsibility to represent both the Medical Center Director and the Chief, HAS on all administrative matters occurring when assigned to other than a normal tour of duty.

Duties include, but may not be limited to the following:
- Delegated full authority and responsibility to exercise the Medical Center Director's prerogative in medical administrative matters and issues that may arise.
- Represents management in (non-policy making) administrative matters.
- Represents management in matters pertaining to the lawful retention of veterans in the VAMC.
- Maintains continuity of functions and provides full medical administrative support during other than normal tours of duty to clinical and administrative medical center staff.
- Responsible for achieving management objectives and supporting the decision of management in carrying out duties.
- Provides technical guidance necessary to meet procedural, legal, and administrative requirements relating to the care and treatment of patients to achieve optimum use of available resources.
- Processes administrative issues surrounding beneficiary death, seriously ill cases, elopements, suicides, assaults, deaths on arrival (DOAs), homicides, code blue, cost recovery matters, and facility or community disasters, etc.
- Assists in responding to emergencies, determines priorities and nature of action to be taken.
- Assists with computer issues during non-business hours.
- Maintains good public and media relations as instructed and trained by the Public Affairs Officer until the designated employee arrives.
- Conducts analytical studies on operational processes, issue topics, or related special projects as assigned.
- Reviews data and information for trends, problem areas, and makes recommendations to management to resolve issues.
- Performs other duties as assigned.

Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Work Schedule: Full- Time - WHEN Hours (Weekends, Holidays, Evenings and Nights)
Telework: Not Available
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required