Total 411 Health / Beauty / Fitness job vacancies in Naval Medical Center, San Diego, California

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

• Perform installation, maintenance, and/or repair of utility system (i.e., generators, switch gear, controls, circuit breakers) within a facility.
• Maintains controls for equipment in industrial , institutional, office, and residential building.
• Performs work under own responsibility in installing, maintaining, troubleshooting, and repairing electrical wiring systems and associated Fixtures, controls, and equipment in industrial, institutional, office and residential buildings.

Major duties and responsibilities include, but not limited to:

• The Pipefitter receives work assignments from the supervisor through work orders, oral instructions, building plans, blueprints and sketches. The pipefitter works on steam piping, valves, steam straps, steam powered equipment, pressure regulators and many other items connected with steam. The incumbent works on disposal and utility systems, such as waste, placement, slant, slope and fall of systems. The pipefitter installs and performs maintenance on all plumbing fixtures and equipment and works with all types of piping and valves (copper, galvanized, black, cast iron, PVC, ABS, glass and fuse seal). The incumbent does rough-in, set and finish, and soft and silver solders and many other items connected with plumbing. The
• Incumbent also does mechanical work such as assembling and repairing wheel chairs, beds, stands, lockers, dietetic, lab, surgical and housekeeping equipment. The incumbent does welding repair by use of electric arc, oxyacetylene, and tig and many other items connected with mechanics.
• Duties of this position require a good knowledge of the proper use and care of power operated equipment such as pipe threading machines, drill presses, core drills, roto hammers, power saws, grinders, welders and hand tools. Strong credit card skills required for processing invoices.
• Assignments include periodic NFPA and JCAHO mandated preventive maintenance inspection of all systems and their components affiliated with the pipefitting trade on a basis set up by the supervisor or management.
• On installation of new work, or correction of a deficiency in the pipefitting utility system, the incumbent may be assigned to plan and lay out the proposed work which will include estimating materials required such as types and amounts; labor required and provides the supervisor with an estimated shut-down time.
• May perform minor HVAC work which includes repairing, adjusting room thermostats, replacing air filters, replacing V belts and cleaning refrigeration condensers.
• May perform minor electrical work which consists of replacing defective fluorescent ballasts, fixtures, lights, switches and outlets.
• Uses PC to enter work orders, enter preventative maintenance work orders, and to order parts

• The duties described are for the full-performance level. The duties may include, but are not limited to:
• Serves as a key point of contact for the public and external stakeholders who are seeking information about PPQ programs, services, and activities
• Uses critical thinking and problem-solving skills to thoroughly research answers or solutions to often incoming stakeholder questions, problems, or situations
• May utilize a variety of resources, including the Internet, Department, Agency, or State policies or requirements, and Agency experts to determine appropriate responses to stakeholders
• Provide accurate information to stakeholders and when appropriate connect stakeholders with Agency experts
• Communicates with program staff and recommends the need for web updates on hot topics or emerging issues.
• Maintains a record of incoming calls via an electronic system as identified and directed by leadership.
• Effectively use available technology to assist callers who do not speak English or who are hearing impaired.
• Answers the main PPQ Customer Call Center phone lines.

• The duties may include, but are not limited to:
• Works directly with visiting foreign officials to address work plan compliance and new market access issues.
• Helps provide recommendations on phytosanitary issues, reviewing program activities to ensure alignment with strategic priorities, appropriate resource utilization, and identify deficiencies.
• Provides local and multi-state expertise during international trade negotiating, and interprets negotiated work plans and implements work plans at both a local and multi-state level.
• Serves as a PPQ technical specialist, interpreting foreign quarantine regulations, negotiating to resolve international phytosanitary procedural disagreements, and managing export work plans.
• Coordinates with PPQ Field Operations and S and T and states regarding pest lists, and assists in the development of pest lists of domestic commodities identified for possible export.
• Proficient with export database tools (i.e. - PCIT, Phytosanitary Export Database (PExD), etc.), and notifies PIM, ES of conflicts or confusing language in the database.
• Serves as a point of contact and technical resource for phytosanitary programs in an assigned area, and proficient in agriculture production and commodity management practices in specialized areas.
• Investigates issuances of FPCs for detained shipments for verifying documents, adherence to certification policy and procedures, and conformance with foreign countries' plant import requirements.
• Conducts field audits involving review of facilities to ensure compliance with Federal regulations, policies, and procedures and with PPQ's obligations to bilateral agreements, protocols, and MOUs.

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

Duties include, but are not limited to, the following:

• Carries out all duties related to obtaining and maintaining competitive employment for veterans diagnosed with Substance Use Disorders (SUD);
• Counsels and guides the client through difficult transitions or rough spots in adjustment to the job, at the job site and other locales;
• Provides ongoing negotiations with employers to ensure the client's maintenance of competitive employment;
• Documents all therapeutic interventions, goals, objectives and outcomes through the writing of a comprehensive individualized employment plan;
• Attends and participates in treatment team meetings;
• Provides solutions and recommendations for implementations of the Supported Employment Program and reports on program development;
• Maintains awareness of the program's development and fosters community contacts;
• Performs other duties as assigned

Major Duties include:

• reviewing, interpreting, and verifying medication orders for appropriateness;
• processing and filling medication orders;
• interacting with and making recommendations to other clinical staff regarding medication therapy ordered;
• reviewing the patient's medications, allergies, labs, and other pertinent information from the medical record;
• identify and solve medication-related problems;
• documenting recommendations and interventions;
• providing refill extensions and partial medication supplies;
• taking health and medication histories;
• performing medication reconciliation;
• providing drug information;
• assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication usage evaluations;
• documenting and assessing adverse drug events (ADEs);
• assisting in medical emergencies;
• providing oversight of technical staff in all aspects of medication distribution;
• controlled substance accountability.

The incumbent will have knowledge of the processes for Reusable Medical Equipment (RME) as required by this position. The incumbent will be required to maintain current knowledge of the Standard Operating Procedures (SOPs) which document the processes and procedures for cleaning, disinfection, sterilization and preparation of RME appropriate to this position. The incumbent will be able to demonstrate their ability to utilize an acceptable proficiency in the use of RME appropriate to this position.
The employee is under the supervision of the Chief/Assistant Chief/Shift Supervisor, Sterile Processing Service (SPS).

• The supervisor and/or Service Chief will assign work with standing instructions on objectives, priorities, and deadlines, and provides guidance for unusually involved situations.
• The employee will work as team member with other Medical Supply Technicians of various experience to carry out the daily work utilizing the written standard operating procedures and/or manufactures written instructions in accordance with instructions, policies, previous training, or accepted/standard practices.
• The supervisor evaluates completed work for overall technical soundness and conformance to agency policies through competency assessment utilizing simulation, direct observation and verbal responses from the incumbent.

Duties include but are not limited to the following:

• Create a variety of specialized reports to assist with QMS operational activities including budget cost containment, resource and expenditure management, strategic planning, and work simplification.
• Complete the Annual Call for budget, oversight of various fund control points, managing and tracking various fund control points and reconciling purchases on a recurring basis throughout the fiscal year.
• Work with the Financial Resources Management Service to review for accuracy and validity of the QMS budget and fund control management.
• Coordinate data collection and analysis; utilize Process Improvement principles to determine organizational performance especially as it relates to facilitate the ongoing monitoring and/or sustainment of improved performance measures.
• Participate in planning for major projects involving Process Improvement and collaborates in the development and documentation of long and short-range planning goals and objectives.
• Plan, develop, direct and coordinate the organization of data/processes to ensure thorough and timely review of MCMs, VHA Directives and VHA Handbooks to ensure VASDHS compliance with all requirements.
• Prepare/present both written and oral reports with consideration of the wide range of factors and requirements affecting the facility.
• Provide clear and concise analysis of program issues and trends, including justifications, narratives and visuals (charts and/or graphs).
• Maintain all TJC, CARF and other accreditation materials, all office files including sensitive records and all computer files including templates.
• Develop analytic tools as necessary to assess current performance and determine areas targeted for improved process improvement activities.
• Lead a team in proactively identifying any failure points or barriers and guides the team to identify and implement solutions.
• Initiate interdisciplinary teams as indicated for problem solving and serve as a positive catalyst in group settings.
• Review, analyze and evaluate accomplishment of overall systems by reviewing reports, available data, studies, projects, information provided by support personnel, contractors, and/or other external agencies.
• Develop and maintain databases and statistics related to the VADHS Performance Improvement Program, Continuous Readiness Program for regulatory compliance/accreditation and the External Peer Review Program (EPRP).
• Provide direct program and management assistance to all programs under QMS including but not limited to the Protected Peer Review Program, Patient Safety Program, Risk Management Program, External Peer Review Program, Administrative Investigation Boards/Fact Findings, and the Continuous Readiness and Regulatory Compliance Program for the medical center and the Community Based Outpatient Clinics.
• Work with senior leadership as a change agent in assuring, directing, and performing the steps necessary to create business cases based on objective data within the frame of Process Improvement and Lean Six Sigma.

The Advanced Medical Support Assistant (AMSA) interact with both internal and external customers providing exceptional customer service and ensuring overall customer satisfaction. Candidates will be reviewed for minimum qualifications as outlined in the qualifications section of this announcement and referred to the Greater Los Angeles VA Health Care System AMSA Interview panel. Ideal candidates resumes must be skilled in customer service, identify customer concerns, customer satisfaction and resolution, ability to operate computer programs, and scheduling of appointments. In addition, you will be contacted by various entities within Human Resources to begin all pre-employment processes and must satisfy all condition of employment before a firm offer of employment is made.

Major duties include, but are not limited to:

• Scheduling, canceling, re-scheduling patient appointments and/or consults.
• Entering no-show information.
• Monitoring appointment requests from multiple electronic sources.
• Participating in team huddles and team meetings to manage and plan patient care.
• Setting priorities and deadlines.
• Adjusting the flow and sequencing of the work to meet team and patient needs.
• Monitoring pre-appointment requirements to assure readiness for patient visit/procedure (e.g. X-Ray, Lab Work).
• Managing electronic wait list to verify and validate accuracy and resolve issues.
• Participating and providing input in problem solving on operational issues or procedures in team meetings.
• Performing administrative follow up actions.
• Evaluating patient information and clinic schedule lists to determine whether patient is vested.
• Educating providers about shared patients (those who receive their care at multiple VAs or those who have care in the community and bringing to the attention of the provider.

• Provide comprehensive occupational therapy services to maximize Solder performance and improve unit readiness.
• Develop programs to optimize performance behaviors or mitigate injury risk.
• Perform formal and informal evaluations in the various areas, such as physical, psychological, cognitive, activities of daily living (ADLs), functional and adaptive skills, and, work and occupational role performance.
• Plan, coordinate, and implement goal-oriented group and/or behavioral-focused individual treatment programs.
• Apply the use of therapeutic modalities and new integrative techniques and technologies.
• Participate on an interdisciplinary team to coordinate the rehabilitation or wellness activities for individual Soldiers or groups of Soldiers with the brigade.
• Educate on the injury/disease process and its effect on function, joint protection, energy conservation, ergonomic needs, work simplification, and cognitive compensatory techniques.

• Provide full range of professional injury screening and prevention, evaluation, diagnosis, and treatment to maximize Soldier performance and improve unit readiness.
• Perform physical therapy professional duties requiring an advanced practical knowledge of physical therapy skills, evidence-based practice, data collection and reporting as part of the H2F team.
• Plan and organize professional injury screening and prevention.
• Research, analyze, and report on injury control and program effectiveness.
• Advise Commanders and Directors on the development and implementation of strength and endurance programming and execution.
• Participate on the Holistic Health and Fitness (H2F) team to coordinate the rehabilitation or wellness activities of individual or groups of Solders.

The PACT LVN assumes the following roles and responsibilities:

• Provides direct patient care to Primary Care patients in accordance with Primary Care Standards and recommended practices/guidelines.
• Gather additional data (face to face or via phone) related to patient needs for treatment determination of PACT.
• Participates in ongoing quality improvement workplace activities, including conducting unit audits, as appropriate to the individual's position, education and practice environment.
• Participates in PACT performance measure activities such as, but not limited to, non-complex 2-day post discharge calls, clinical reminder compliance, aspects of chronic disease management.
• Participates in daily and/or weekly PACT huddles.
• Assists with coordinating care of patients, including patients consulted through Clinical Video Tele-Health visits.
• Assure patients have pre-appointment requirements completed prior to PCP appointments.
• Alerts providers (physicians/nurse practitioners) of abnormal signs and symptoms and/or abnormal test results to expedite care.
• Assist with patient education related to managing risk factors, medications, procedures, and other medical regimens related to their disease process, within scope of practice.
• Performs other duties as assigned.

• Minimum 1-2 year current Primary Care (PACT) experience;
• Clinical experience in caring for patients in Ambulatory Care;
• Ability to work collaboratively with interdisciplinary team;
• Ability to document using electronic medical record
• Ability to work in a team setting

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

The DCQM provides executive leadership and direct supervision over the following areas: Accreditation, Risk Management, External Peer Review, and Patient Safety. Works towards achievement of high quality, safety, and cost effective evidence based outcomes on a continual journey of a high reliability organization. Collaborates with both administrative and clinical services to monitor quality and safety within the service and medical center. Ensures processes are in place for continued accreditation readiness and participates in rounds to survey clinical departments. Functions as facilitator in implementing action plans and process improvement strategies at services and medical center for follow up to include regular progress reports. Reviews quality data for trends and early intervention. Applies clinical performance improvement methods, collects outcome data related to policy, procedure, and regulatory compliance and in collaboration with management, initiates performance improvement monitoring projects. Utilizes data and comparative analytical processes in recommending design and implementation of innovative programs to improve service excellence, customer satisfaction, and compliance to patient care and regulatory standards. Major duties and responsibilities include, but are not limited to:

1. Provides executive input in the strategic planning, budget, mission, operational planning, and policy development for local and network efforts.
2. Utilizes current trends and relevant theories in an analytical framework to design/modify, implement, and measure integrated programs and activities to achieve clinical and administrative goals of the medical center and/or network. Evaluates outcomes against strategic priorities.
3. Demonstrates substantial and continuous responsibility for directing and managing an integrated program.
4. Consultant to medical center staff and greater community in areas of expertise.
5. Demonstrates expert practice that goes beyond the unit to encompass a program, an entire service, or across service lines and improves clinical outcomes.
6. Develops and implements strategies to address care quality problems for patients.
7. Develops/reviews Nursing Service/Medical Center Policies, procedures and standards as appropriate.
8. Demonstrates grade-appropriate, consistent critical thinking skills.

• Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of patients.
• Ensure compliance with regulatory and 3rd party insurance requirements and utilizing appropriate coding books.
• Check medical record for completeness, accuracy, and compliance with regulatory requirements.
• Analyze and interpret documentation and record, ensuring accuracy, internal consistency and correlation of record data.
• Perform utilization review of records to assure diagnosis is appropriately identified.
• Identify and document any incident which may denote a potential compensatory event or questionable breach of quality of care delivered.

Major duties include, but are not limited to:

• Support developing a local level strategy for data governance, which includes leading from the executive office and creating a unique program that includes diverse processes and specific policies which are independent of other facilities.
• Create unique written policies that define the enterprise privacy principles, guidance and practices that influence the data governance model for the organization.
• Approve all facility policies and reviews business practices to ensure appropriate use and protection of information specific to each functional area.
• Responsible for operational life cycle of the privacy/FOIA program by developing a communication strategy that fosters awareness for both internal and external partners to improve compliance, provide training and engage the public.
• Routinely make independent key decisions that can have serious implications for the agency in the absence of situational guidance.
• Perform complex analysis of key policy inquiries that can encompass all information collected, used, or disclosed in the facility.
• Comprehending of all applicable laws, regulations, and guidelines, independently analyzes all the interrelated issues that affect the privacy/FIOA program.
• Assess gaps in policy, measure the knowledge of individual staff and facilitate improvements against the ever-changing policies, regulations and statutes that impact the privacy and FOIA programs.
• Teach and train employees on general data protection procedures and detailed service specific practices for daily operations.
• Develop and integrate policy-based processes, roles and controls that influence how data is created, collected, used, stored, and destroyed throughout the organization.
• Independently investigate non-compliance of privacy related issues at all levels of the organization and outside of the organization when VHA information is involved.
• Adjudicate complex privacy and FOIA decisions that affect employees, Veterans, patients, and commercial businesses in the absence of supervision.