Total 61 Health / Beauty / Fitness job vacancies in Milwaukee Pmc Hq Wisconsin

Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs.

The Primary Care RNCM works with the Primary Care and Specialty Services to develop and implement comprehensive patient care for adult/geriatric patient population assessing, planning, implementing and evaluating activities and programs. The RN/Care Manager:

• Provides support to providers daily: coordinating dual care with community and other VA facilities: ensuring all needed records, tests and other information is available to provider at time of appointment to allow provider to focus on treatment plan and Veteran questions in an appropriate and timely manner.
• Responsible for PACT coordination, including panel management, triage of patients, patient education, monitoring of patient progress toward predetermined goals and timely follow-up.
• Utilizes and follows Primary Care Nurse Protocols and clinic process SOPs to improve efficiency and care delivery.
• Works closely with other VA Medical Centers and community facilities to remove obstacles that would impede the Veteran from utilizing the service of those medical centers not available to our facility.
• Participates in clinic for setting patient goals of care as part of the interdisciplinary team. Utilizes the nursing process in managing, developing, implementing, and evaluating each patient's individual plan in collaboration with the interdisciplinary care team to attain specific clinical outcomes in outpatient clinic settings.
• Participates in clinic for setting patient goals of care as part of the interdisciplinary team. Participates in activities which meet the performance standards contract for the Medical Center.
• Participates in the development and implementation of recommended policies and procedures as related to Care Management and/or designated clinical area.
• Provides for the educational needs of the healthcare team regarding Care Management and/or topics specific to Primary Care.
• Maintains and upgrades own knowledge base and skills regarding Care Management and/or specific clinical areas and applies this knowledge to nursing practice.
• Participates in clinic research/EBP within designated area and/or related to Care Management.
• Establishes effective networking relationships with peers and professionals within the community as related to Care Management.
• Receives alerts for reassigned new patients to Primary Care, assist with ordering and coordinating appropriate tests, obtaining outside reports and communications with specialty and local medical doctors to expedite patient appointments.
• Uses Clinical Reminders model and VISTA reports to manage, coordinate and optimize the care for Veterans.
• Collaborates with clinic staff to ensure patients are given timely appointments and expedite new patient consults.
• Follow up with patients monitoring and ensuring adherence to treatment plans, intervene in accordance with prescribes clinical guidelines and provide reports on all cases.
• Documents all patient interaction in the electronic medical record timely following the Patient Records Policy and Primary Care PACT Telephone Care Guide.
• Provides clinic care and care management to Veterans in Primary Care clinics.
• Delegates to PACT Team care members and extended primary care members in accordance with Nurse Practice Act.
• Triages and applies a collaborative team approach in identifying, analyzing, and resolving care problems for scheduled and unscheduled encounters (via phone or face to face) within Primary Care, and Specialty.
• Communicates and collaborates with the interdisciplinary team to develop and coordinate the treatment plan for Veterans in the outpatient setting.
• Facilitates and leads HRO clinic huddles with clinic staff.
• Serves as a resource for other team members and participates in planning for program improvements at the local level.
• Participate in nontraditional care methods such as telephone, VA Video Connect (WC), - online communication via secure messaging, Shared medical and Group medical appointments.

Major Duties:

• Interacting with both internal and external customers;
• Professionally serving as area's communication liaison through the operation of a multi-line telephone and paging system;
• Establishing patient records, and/or routing patient records accurately and appropriately to be scanned into the patient's electronic medical records via the file room;
• Interpreting and verifying provider orders and demonstrating complete established administrative action for each order;
• Scheduling appointments in accordance with VHA national scheduling guidelines;
• Monitoring both inpatient and outpatient appointments for areas of responsibility;
• Verifying and updating patient demographics upon discharge;
• Entering work orders, maintaining adequate and appropriate office supplies for their assigned areas;
• Providing front line hardware and software support to the medical staff in their assigned areas, only referring more complex matters to the IRM helpdesk or CPRS helpline

• Timely, accurate and appropriate processing all admissions, transfers, and discharges to the assigned inpatient areas;
• Assist with processing all emergency transfers to other VA facilities or private hospitals;
• Preparing for scheduled admissions to include giving scheduled admission list to each day's admitting team and knowing which team is on call daily;
• Updating BMS multiple times during the shift based on interpretation of physician's orders;
• Timely and accurate completion of the inpatient Kardex;
• verifying physician orders and taking appropriate established procedures for those orders;
• Entering timely, pre-op notes, and pre-cardiac cath notes;
• Courteously answering the patient Jeron phone, routing it appropriately to the nurse or aide, enter the phone assignments for current and/or oncoming shift, inventorying phones each shift, assigning "tele" phones;
• Calling for Code4 or Rapid Responses Teams, following established procedures regarding both;

• Updating insurance information in the Insurance Capture Buffer (ICB) system;
• Obtaining phone numbers for family members waiting upon check in for procedures;
• Entering scheduled admissions into VISTA;
• Ensuring encounter forms are completed in order to obtain appropriate workload credit;
• Obtaining medical information from patients, other VA's, and/or private sector medical centers;
• Coordinating information and actions related to patient care and services;

This position is aligned under the Grounds and Transportation Shop, Facilities Management Division, at the Clement J. Zablocki Medical Center, Milwaukee, WI (695) - a Level la Complexity VHA Facility. The work involves operating large equipment, driving vehicles (less than GVWR of 8000lbs), and performing grounds maintenance.

Engineering Equipment Operator Duties:
Incumbent operates one or more types of heavy equipment to excavate, backfill, grade, or level earth to rough specifications on such projects as breaking new ground for construction sites. The incumbent will be performing in the excavation of soils to support necessary repairs to storm drains, steam pipes, electrical repairs, and water lines. The equipment will also be able to push, pull, pile, or load and unload materials such as sand, gravel, earth, coal, or refuse.

Incumbent operates and utilizes the following equipment and vehicles: John Deere 444J Heavy Duty Wheel Loader (plus attachments), Hyundai HL930AXT (plus attachments), JCB Telehandler, JLG ariel lift, Case 580 Backhoe, John Deere Tractor, Holder Model 259 Sidewalk Tractor, Trackless MT6 Sidewalk Tractor, New Holland Skid Steer (plus attachments), Z-spray Stand on sprayer ZS5260, Bobcat CT335 Tractor (plus attachments), Hustler 4400, 4600 and Z-series Industrial Lawn Cutting Tractors, other like rented equipment, pick-up trucks, vans, SUVs, and sedans.

Gardener Duties:
Incumbent performs a wide variety of duties involved in the development, care, and maintenance of trees, plants, shrubbery, recreational areas, and lawns. Throughout the season, the incumbent will clear brush, tree stumps, rocks and remove trees. Perform trimming, to hedges and shrubbery both for aesthetics, shaping and for good growing characteristics.

Utilizes stand on sprayers for fertilizing, pruning shears, chain saw, stump grinders, riding mowers, tractor, gasoline powered push mowers, gasoline string trimmers and vehicles with less than 8000 GVWR.

Motor Vehicle Operator Duties:
As a member of the Snow Emergency Response Team, incumbent performs snow removal from VAMC streets, sidewalks, and parking lots during by hand shoveling, snowblowers or with trucks, sidewalk plow, wheel loaders equipped with plow, bucket, pusher box and Hustler equipped with snow blower.

Works closely with Compensated Work Therapy (CWT) personnel performing grounds maintenance. Incumbent preforms safety inspections and preforms minor preventative maintenance on all equipment utilized and reports any repairs that incumbent could not accomplish to the Supervisor/Work Leader of the Transportation Team. As assigned, cleans and makes daily checks of fuel, oil, tires, hydraulic fluid, and battery of equipment to be utilized using the Pre-trip and post inspection log.

Operates a pressure washer, used to clean vehicles, various pieces of other heavy equipment, and areas such as sidewalks, brick, and stonework. Pressure washer is mounted on a stationary platform and is operated by a kerosene powered engine. Platform is moved by either pushing or pulling.

Incumbent drives pickup trucks, vans, SUVs, and sedans in accordance with station regulations and Wisconsin laws.

*Work Schedule: Full-time, Monday-Friday, 7:30 AM-4 PM and this position is considered emergency essential and may be required to work outside of his/her normal duty hours for snow emergencies and utility outages, maintenance and projects support, etc.

*The position is AWS eligible for 8-9 hr days, 1-8 hr day and one day off a pay period, the day off being a Tuesday, Wednesday or Thursday.

*Work requires a valid Class D driver's license. This license must be kept current.*Incumbent must obtain (within 90 days of hire) and possess a Wisconsin Department of Agriculture Trade and Consumer Protection Commercial Applicator of Pesticides License. This license must be kept current.

This position is aligned under the Grounds and Transportation Shop, Facilities Management Division, at the Clement J. Zablocki Medical Center, Milwaukee, WI (695) - a Level la Complexity VHA Facility. The work involves operating large equipment, driving vehicles (less than GVWR of 8000lbs), and performing grounds maintenance.

Engineering Equipment Operator Duties:
Incumbent operates one or more types of heavy equipment to excavate, backfill, grade, or level earth to rough specifications on such projects as breaking new ground for construction sites. The incumbent will be performing in the excavation of soils to support necessary repairs to storm drains, steam pipes, electrical repairs, and water lines. The equipment will also be able to push, pull, pile, or load and unload materials such as sand, gravel, earth, coal, or refuse.

Incumbent operates and utilizes the following equipment and vehicles: John Deere 444J Heavy Duty Wheel Loader (plus attachments), Hyundai HL930AXT (plus attachments), JCB Telehandler, JLG ariel lift, Case 580 Backhoe, John Deere Tractor, Holder Model 259 Sidewalk Tractor, Trackless MT6 Sidewalk Tractor, New Holland Skid Steer (plus attachments), Z-spray Stand on sprayer ZS5260, Bobcat CT335 Tractor (plus attachments), Hustler 4400, 4600 and Z-series Industrial Lawn Cutting Tractors, other like rented equipment, pick-up trucks, vans, SUVs, and sedans.

Gardener Duties:
Incumbent performs a wide variety of duties involved in the development, care, and maintenance of trees, plants, shrubbery, recreational areas, and lawns. Throughout the season, the incumbent will clear brush, tree stumps, rocks and remove trees. Perform trimming, to hedges and shrubbery both for aesthetics, shaping and for good growing characteristics.

Utilizes stand on sprayers for fertilizing, pruning shears, chain saw, stump grinders, riding mowers, tractor, gasoline powered push mowers, gasoline string trimmers and vehicles with less than 8000 GVWR.

Motor Vehicle Operator Duties:
As a member of the Snow Emergency Response Team, incumbent performs snow removal from VAMC streets, sidewalks, and parking lots during by hand shoveling, snowblowers or with trucks, sidewalk plow, wheel loaders equipped with plow, bucket, pusher box and Hustler equipped with snow blower.

Works closely with Compensated Work Therapy (CWT) personnel performing grounds maintenance. Incumbent preforms safety inspections and preforms minor preventative maintenance on all equipment utilized and reports any repairs that incumbent could not accomplish to the Supervisor/Work Leader of the Transportation Team. As assigned, cleans and makes daily checks of fuel, oil, tires, hydraulic fluid, and battery of equipment to be utilized using the Pre-trip and post inspection log.

Operates a pressure washer, used to clean vehicles, various pieces of other heavy equipment, and areas such as sidewalks, brick, and stonework. Pressure washer is mounted on a stationary platform and is operated by a kerosene powered engine. Platform is moved by either pushing or pulling.

Incumbent drives pickup trucks, vans, SUVs, and sedans in accordance with station regulations and Wisconsin laws.

*Work Schedule: Full-time, Monday-Friday, 7:30 AM-4 PM and this position is considered emergency essential and may be required to work outside of his/her normal duty hours for snow emergencies and utility outages, maintenance and projects support, etc.

*The position is AWS eligible for 8-9 hr days, 1-8 hr day and one day off a pay period, the day off being a Tuesday, Wednesday or Thursday.

*Work requires a valid Class D driver's license. This license must be kept current.*Incumbent must obtain (within 90 days of hire) and possess a Wisconsin Department of Agriculture Trade and Consumer Protection Commercial Applicator of Pesticides License. This license must be kept current.

This position is overseen by the Employee Education department. The primary purpose of this position is to provide full service support to the Employee Resource Center (ERC) as well as ancillary TMS support as needed by the Employee Education Department.

Major Duties:

• Provide full oversight and management of the Employee Resource Center (ERC) to ensure effective operation of all hosted activities
• Maintain, set up, and tear down classroom furniture, equipment and supplies for all hosted activities.
• Responsible for inventory, maintenance, check-out, and storage of all classroom supplies and laptops.
• Responsible for the upkeep of the classrooms, to include coordinating cleaning and entering work orders for room repairs.
• Manage all classroom reservations and the facility-wide room reservation software.
• Provide technical support for all classroom equipment, including TVs, projectors, DVD players, Smart Boards, videoconferencing equipment etc.
• Troubleshoot equipment issues and make equipment adjustments and repairs.
• Responsible for providing TMS Help Desk support and becoming a TMS administrator.
• Provide support for educational activities that enhance the Employee Education training programs.
• Perform additional duties as assigned to include purchase card holder, NEO assistance, and eTTR assistance.

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

The Nurse IV Chief of SPS plays a leadership role in ongoing systematic evaluation and improvement of quality and effectiveness of SPS program outcomes. The incumbent provides health system-wide leadership for critical and semi-critical RMD, including sterile storage, reprocessing, standard operating procedures (SOP), competency assessment, selection, operation, and maintenance of reprocessing equipment, staff education program for RMDs, and quality management of SPS. The incumbent is responsible for assessing, monitoring, developing, and implementing corrective action plans for instrument processing, decontamination, sterilization, storage, biological monitoring, and high-level disinfection monitoring through an SPS Quality Management System. The incumbent assesses the environment, analyzes trends, transmits data, communicates ideas, develops, and implements policies, initiates programs and systems, and collaborates in the management of resources. The incumbent has knowledge in areas of patient care practices, microbiology, asepsis, disinfection/sterilization process, education, infectious diseases, communication, program administration and epidemiology. The incumbent has responsibility and oversight of evidence ­based practice (EBP) infection control relating to sterile processing standards.

Demonstrates leadership in developing and maintaining productive working relationships with groups in other medical programs and services across the spectrum of care including administrative/support programs and services across the healthcare system. At the national level, the incumbent formulates, builds upon, and sustains key relationships with the members of the Assistant Under Secretary for Health (AUSH) for Patient Care Services, specifically, the Office for Sterile Processing (OSP) and the Office of Nursing Services (ONS), when called upon.

The Chief of SPS relates effectively with customers, families, and the community as well as program and service leaders at the local and network levels. They assist the ADPCS with healthcare operations and the functions and activities expected of them. The incumbent contributes ideas and recommendations for the establishment of standards of care, policies, and objectives for the enhancement of nursing.

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: Monday-Friday, 8:00am-4:30pm.
Telework: Ad-Hoc.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized.
Permanent Change of Station (PCS): Not Authorized.

Major Duties:

• Assists with/performs under the direct supervision of the recreation/occupational/physical therapist therapeutic and diversion activities for patients.
• Obtains blood pressure, pulse, respiration, and blood glucose (finger stick) and records them appropriately in the medical record. Is able to distinguish significant variances in vital signs and finger sticks and reports them to the responsible RN.
• Assist or provide patients with personal hygiene, i.e., bathing, shaving, teeth brushing, nail care, hair combing, etc.
• Provide patients with the appropriate level of assistance with activities of daily living, bathing, dressing, transferring, ambulating, feeding, and toileting.
• Weighs patients and records them appropriately in the medical record. Is knowledgeable about variances in weights and reports significant variances in weights to responsible RN.
• Answers call lights promptly and in person.
• Assists during emergency treatment situations obtaining equipment as necessary and running errands as needed.
• Assists in emergency situations including, but not limited to CPR as needed.
• Assists the nurse/MD/NP during procedures/treatments as needed following appropriate standards and guidelines.
• Completes alt required Nursing Assistant initial and annual competency requirements.
• Assists the team in reinforcing educational needs with patients.
• Consistently follows the Plan of Care for each patient.
• Perform one to one observation as assigned.
• Maintains positive and constructive professional working relationships with patients, families, medical staff, volunteers, and co-workers.
• Transport patients as assigned off the unit for various diagnostic and therapeutic interventions.
• Follow all infection control procedures.
• Other duties as assigned.

• Consistently reports to the team leader/licensed staff observations of the patient's physical condition and behavior.
• Participates with the nursing team to provide input in the formulation and implementation of the care plan.
• Records appropriately in the medical record.
• Consistently addresses the patient. family, and staff with respect and dignity.
• Will report any suspected abuse to the appropriate licensed nurse (charge nurse, supervisor, manager).
• May attend interdisciplinary conferences as needed for the purpose of reporting observations of resident (patient) behavior or care.

• Uses word processing software to execute several office automation functions such as storing and retrieving electronic documents and files; activating printers; .inserting and deleting text formatting letters., reports, and memoranda; and transmitting and receiving e-mail.
• Uses various programs to access information in the Medical Center Computer System to include, but not limited to, the Veterans Health Information and Technology Architecture (VistA) and the Computerized Patient Record System (CPRS).
• Follows established Medical Center, Division and Extended Care Center Program policies and procedures, rules and regulations, related to fire, disaster, security measures, computer security, and universal fluid precautions.
• Completes all required education requirements in a timely manner.

Major Duties Include but not limited to:

• Serves as a Chaplain professional providing comprehensive, religious ministry services to Veteran patients according to their specific needs and desires. Carries out a ministry which is highly integrated into VHA's Chaplain program. Provides thorough guidance and advice to Chaplain Service management staff, other Chaplains, and other stakeholders.
• May serve at a facility in a clinical setting, or a small healthcare system, satellite outpatient clinic, other federal agency, or Community Based Out-patient Clinic (CBOC) where there is limited access to onsite supervision.
• Provides extended and intensive pastoral counseling as an integral part of the treatment program with patients facing complex, ethical, moral, and spiritual issues.
• Ensures program effectiveness and modification of service pattern, which includes research and leadership of clinical teams.
• Practices typically in a specialized clinic/program area, that may include intensive and extended pastoral counseling as an integral part of the treatment program, with patients facing complex moral, ethical, or spiritual problems.
• Serves as a Chaplain representative and a fully recognized member of an interdisciplinary treatment team (IDT). Advises and collaborates with other members of the IDT to provide comprehensive healthcare services to Veterans.
• Works with a full understanding of Chaplains' relationships to the objectives of VHA to successfully integrate the work of the medical facility's staff. Collaborates with and advises the other members of the IDT in the provision of comprehensive healthcare services to Veterans.
• Maintains effective rapport with physicians, medical officers, psychologists, nurses, therapists, social workers, or others involved with the IDT. Ensures equity of access, service, and benefits to Veterans and provides the highest quality of care. Provides leadership, direction, orientation, coaching, in-service training, staff development, and continuing education programs.
• Serves as a primary Chaplain resource, spiritual advisor, and liaison for the spiritual needs of patients, caregivers, and staff. Conducts comprehensive religious services and worship, pastoral ministry, and administration of Chaplain services.
• Leads various complex and sensitive projects, task groups, and assignments to obtain pertinent high-level information needed for Chaplain Service management officials.
• Engages as a spiritual leader, a compassionate listener, and counselor, especially during times of crisis. Provides emotional support and counseling using empathy and strong interpersonal skills to effectively connect with people of all ages.

1. Provides patient care and assistance for complex, specialized patients including such measures as personal hygiene, positioning, elimination, and socialization in the completion of all direct patient care in the clinic setting.
2. Initiates and collects patient data including MC reminders, vital signs, weights, oximetry, accuchecks, SLUMs, and the collection of specimens.
3. Initiates and performs specialized nonstandard and complex procedures including urinary bladder scanning, oxygen therapy, nebulizer treatments, ostomy care, EKG, and spirometry.
4. Initiates procedure preparation, adapting them to the patient's physical and emotional needs before, during and after procedures, observing and managing therapeutic or possible complications resulting from the procedure.
5. Knowledgeably initiates and performs nursing measures to prevent complications by recognizing deviations and/or changes in patient conditions.
6. Knowledgeably recognizes and responds/initiates emergency measures. Responds promptly to emergency situations in the clinic.
7. Prepares, administers and documents medications and immunizations as directed without error. Provides safe administration of medications in accordance with Medical Center's and
8. Nursing Service policy and monitors side effects. Continues to keep updated on new medications. Utilizes the Wisconsin Immunization Registry and JLV to obtain accurate immunization records and record VA administered immunizations for Dual Care Veterans.
9. Prioritizes effectively and manages time productively in the clinical setting.
10. Knowledgeably follows and utilizes the nurse protocols entering consults and orders when applicable.
11. Works effectively with others and communicates in an appropriate, professional, and courteous manner.
12. Demonstrates knowledge and application of interpersonal skills as a responsible member of the nursing and health care team.
13. Explains to the patient and family treatment measures, tests and procedure preparations, and proper administration of medications.
14. Provides patients with encouragement needed to comply with
15. treatment plan and reassurance to assist in coping with illness.
16. Documents in the patient's medical record observations of patient's physical and emotional status as well as responses to procedures performed and treatments rendered. Documents all data collected and nursing care provided. Reports all relevant patient information to clinic RN or provider.
17. Demonstrates knowledge and application of the computer system and applicable technology (such as Electronic Medical Record, Wisconsin Immunization Record {WIR) VISTA).
18. vu. Communicates accurate, concise, and complete information to the providers in an independent and timely manner.
19. Utilizes all communication methods as available with the PACT model on the assigned team (such as Instant Messaging, paging, phone, and VA Video Connect {VVC)).
20. Actively participates in PACT team huddles, meetings and PACT functions when assigned to a PACT team.
21. Responds to patient telephone calls in phone message manager, MyHealtheVet and CPRS alerts in a timely manner to address patient care needs, including same ­day access requests.
22. Exhibits knowledge and judgment in recognizing changes in the patient's condition and initiates corrective interventions.
23. Assists with rehabilitative aspects of patient care. Reinforcement of patient teaching.
24. Actively contributes to the development and updating of patient CPRS records and promotes patient participation utilizing Whole Health principles in his treatment plan.
25. Assists with clinic orientation of new employees, participates on Committee(s), and demonstrates constructive problem-solving skills.
26. Coordinates work assignments of the clinic staff to ensure timely processing appointments, minimal interruptions in patient care and efficient clinic operations.
27. Initiates unit maintenance duties, and keeps a safe, clean area.
28. Practices proper body mechanics, acting to prevent injury to self and others.
29. Operates all specialized equipment in a safe manner, identifies and reports any potential safety hazards. Removes unsafe equipment from use.
30. Initiates protective and safety measures, including recognition of patients exhibiting signs of confusion, sedation, and/or behaviors which are potentially dangerous to self and others.
31. Prepares instruments as needed to maintain readiness for patient care.
32. Orders supplies and maintains par levels for clinic flow efficiency.
33. Additional clinic duties as assigned.

1. Provides patient care and assistance for complex, specialized patients including such measures as personal hygiene, positioning, elimination, and socialization in the completion of all direct patient care in the clinic setting.
2. Initiates and collects patient data including MC reminders, vital signs, weights, oximetry, accuchecks, SLUMs, and the collection of specimens.
3. Initiates and performs specialized nonstandard and complex procedures including urinary bladder scanning, oxygen therapy, nebulizer treatments, ostomy care, EKG, and spirometry.
4. Initiates procedure preparation, adapting them to the patient's physical and emotional needs before, during and after procedures, observing and managing therapeutic or possible complications resulting from the procedure.
5. Knowledgeably initiates and performs nursing measures to prevent complications by recognizing deviations and/or changes in patient conditions.
6. Knowledgeably recognizes and responds/initiates emergency measures. Responds promptly to emergency situations in the clinic.
7. Prepares, administers and documents medications and immunizations as directed without error. Provides safe administration of medications in accordance with Medical Center's and
8. Nursing Service policy and monitors side effects. Continues to keep updated on new medications. Utilizes the Wisconsin Immunization Registry and JLV to obtain accurate immunization records and record VA administered immunizations for Dual Care Veterans.
9. Prioritizes effectively and manages time productively in the clinical setting.
10. Knowledgeably follows and utilizes the nurse protocols entering consults and orders when applicable.
11. Works effectively with others and communicates in an appropriate, professional, and courteous manner.
12. Demonstrates knowledge and application of interpersonal skills as a responsible member of the nursing and health care team.
13. Explains to the patient and family treatment measures, tests and procedure preparations, and proper administration of medications.
14. Provides patients with encouragement needed to comply with
15. treatment plan and reassurance to assist in coping with illness.
16. Documents in the patient's medical record observations of patient's physical and emotional status as well as responses to procedures performed and treatments rendered. Documents all data collected and nursing care provided. Reports all relevant patient information to clinic RN or provider.
17. Demonstrates knowledge and application of the computer system and applicable technology (such as Electronic Medical Record, Wisconsin Immunization Record {WIR) VISTA).
18. vu. Communicates accurate, concise, and complete information to the providers in an independent and timely manner.
19. Utilizes all communication methods as available with the PACT model on the assigned team (such as Instant Messaging, paging, phone, and VA Video Connect {VVC)).
20. Actively participates in PACT team huddles, meetings and PACT functions when assigned to a PACT team.
21. Responds to patient telephone calls in phone message manager, MyHealtheVet and CPRS alerts in a timely manner to address patient care needs, including same ­day access requests.
22. Exhibits knowledge and judgment in recognizing changes in the patient's condition and initiates corrective interventions.
23. Assists with rehabilitative aspects of patient care. Reinforcement of patient teaching.
24. Actively contributes to the development and updating of patient CPRS records and promotes patient participation utilizing Whole Health principles in his treatment plan.
25. Assists with clinic orientation of new employees, participates on Committee(s), and demonstrates constructive problem-solving skills.
26. Coordinates work assignments of the clinic staff to ensure timely processing appointments, minimal interruptions in patient care and efficient clinic operations.
27. Initiates unit maintenance duties, and keeps a safe, clean area.
28. Practices proper body mechanics, acting to prevent injury to self and others.
29. Operates all specialized equipment in a safe manner, identifies and reports any potential safety hazards. Removes unsafe equipment from use.
30. Initiates protective and safety measures, including recognition of patients exhibiting signs of confusion, sedation, and/or behaviors which are potentially dangerous to self and others.
31. Prepares instruments as needed to maintain readiness for patient care.
32. Orders supplies and maintains par levels for clinic flow efficiency.
33. Additional clinic duties as assigned.

This Lead Medical Support Assistant (MSA) position is located at the Milo C. Huempfner NEWAC, Green Bay, Wisconsin.

Major Duties:

• Monitors and makes work assignments.
• Conducts ongoing reviews to ensure quality of work.-Assuring coverage of all areas of responsibility.
• Ensures accurate and timely scheduling of appointments.
• Provides guidance to staff members to include changes in policies and procedures.
• Organizes the work structure of assigned areas.
• Creates and maintains employee work schedules.
• Acts as a liaison between MSA and staff in order to resolve day to day conflicts.
• Schedule appointments and utilize the Electronic Waiting List accurately in a timely manner
• Notifies his/her supervisor when clinic access is less than desirable or if an individual patient cannot be scheduled within mandated clinic timeframes
• Daily review of active/pending consults, Electronic Wait List, Recall list and Audiocare
  communications for accuracy and disposition.
• Provides on-the-job training to new employees and instructs all employees on new and revised procedures.
• Assists in achieving compliance with regulatory agency standards, including state, federal, and Joint Commission Standards.-
• Interprets and communicates requirements of VHA Scheduling Directives and complete and accurate scheduling responsibilities.
• Other duties as assigned

The primary purpose of this position is to provide patient care and support to routine and specialized procedures for a staff of Podiatric surgeons.
Major duties include, but not limited to:

• Performs a variety of specialized clinic procedures such as preliminary examination and evaluation of patients.
• Prepares podiatric work-up (show fitting, monofilament testing, etc.).
• Performs a variety of standardized and routine procedures that are not invasive (debriding corns and calluses, trimming nails and providing blister care).
• Requests, obtains and prepares aerobic cultures and pathology specimens.
• Provides prophylactic instruction on nail and blister care.
• Performs prep and variety of ankle/foot tapings in treatment for injuries.
• Writes history, findings and treatments in outpatient records in the appropriate format.

• Advises approving officials and purchase card holders on purchase card program, procurement procedures and responsibilities.
• Conducts follow up action on undelivered orders and aged purchase card transactions to close our purchase orders.
• Initiates and provides training to acquisition and technical staff on the procurement process.
• Provides clerical support and coordination to approving officials and administrators.
• Plans and coordinates actions to prevent, correct, or resolve delays or misunderstandings in the purchasing process
• Develops reports and spreadsheets, obtains and organizes files, and retrieves reports for briefings and presentation purposes.
• Reviews, assembles, and maintains procurement related files and related systems.
• Identifies needs or problems and determines recommended corrective actions, alternatives or solutions.

This position is located in the Green Bay Community Based Outpatient Clinic (CBOC), in the Northeast Wisconsin Ambulatory Clinic (NEWAC) Division. The Advanced Practice Nurse (APN) II Certified Nurse Practitioner (NP) practices in Cardiology Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The Cardiology NP provides advanced clinical practice, consultation, and management.

The NP practices to the full extent of their education, training, and certification. Core functions are outlined in the clinical privileges that correspond with this position. The NP has prescriptive authority for a panel of patients or program as indicated by their position.

• Provide high-quality care, increasing access & improving outcomes for Veterans.
• Obtain and evaluate medical histories. Perform physical examinations and therapeutic/ diagnostic procedures. Order and interpret laboratory studies, radiographs, EKGs, and other special examinations.
• Make arrangements for further care if appropriate (e.g., by entering consults) and serve as a consultant to other providers.
• Work collaboratively with a multidisciplinary staff in a fast-paced educational, and collegial environment.
• Perform/ assist with procedures including echocardiograms, cardioversion, and exercise stress tests.
• Obtain informed consent from patients for procedures, such as stress testing.
• Monitor anticoagulation therapies and adjust therapies as indicated within desired ranges.
• Initiate and/or expedite requests for consultations, special tests or studies on assigned patients and keep the managing physician apprised of results and progress, to include angiographic studies.
• Develop appropriate medical management plan for cardiology.
• Manage a panel of patients with acute and chronic health conditions, with an emphasis on health promotion using evidence-based practice.
• Order and interpret labs, tests, and diagnostic studies - such as, but not limited to, laboratory, X-rays, imaging studies/EKGs, blood and urine tests, as well as any other special testing and studies, whenever indicated.
• Review pharmacologic and non-pharmacologic interventions.
• Assesses and adjust the plan of care as needed to achieve optimal patient outcomes.
• Provide education to patients and their families.
• Prescribe medications and provide education and counseling to Veterans and their families regarding medical condition, prescribed treatments and drugs, diagnostic options, review of treatment plans, discussions of patient goals, etc.
• Develop meaningful goals to assist patients and their families in attaining the optimum level of physical, physiological, sociological and psychological balance within the limitations imposed by their illnesses.
• Provide telephone consultation - screening consults for appropriate and timely care prior to scheduling; and communicating with multidisciplinary team members, such as pharmacy, dietary, IT, lab, other specialists/providers.
• Initiates referrals and consults to specialty services.
• Establish professional working relationship with clinical service providers within the medical center, Outpatient Clinics (OPCs), and the Community Base Outpatient Clinics (CBOCs), and provide dermatology education as needed.
• Demonstrate leadership and participate in quality assurance programs and chart reviews.
• Complete medical records in accordance with Bylaws and Rules and Regulations of the Medical Staff
• Contribute to the achievement of quality care standards, and actively participate in patient safety initiatives
• Provide patient care in accordance with professional standards, and exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence.

The Licensed Practical Nurse, works under the direction of the Registered Nurse and or physician with minimal supervision and is accountable to the Clinic Nurse Manager. He/she demonstrates self-direction and critical thinking skills in carrying out simple to the most complex practical nursing care assignments for variable patient populations.

Major Duties may include, but not limited to:

• Assist with intake of Veterans in preparation for provider visits.
• Assist providers with exams/procedures.
• Perform treatments and procedures such as electrocardiograms, vital signs, blood glucose readings, bladder scans, ear flushes etc.
• Tracking and administering of required immunizations.
• Administering ordered medications.
• Providing ordered wound care.
• Completion of pertinent clinical reminders.
• Assist in message management with the Nursing team team using the Secured Messaging System.
• Participate in the management of telephone messages related to the teams.
• Participation and coordination of group visits.
• Identification of additional services needed by Veterans and their families.
• Participation in daily huddles and team meetings.
• Provide guidance to Veterans who are new to the clinic services.
• Assist with Veteran and family education.
• Provide unit-based support through equipment and supply monitoring within the work area.
• Work with team members to obtain medical records from non-VA facilities.
• Provide back-up support to lab services at the Community Based Outreach Clinics (CBOCs).
• Provide other support as needed for the team within the scope of practice for an LPN.
• Assist with Monthly Audits (Chart, Duress, Out of date supplies, etc.)