Total 1,669 Health / Beauty / Fitness job vacancies in US - Ohio - New Albany

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

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

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

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

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

1. Performs nutritional assessment in newly admitted HBPC patients to identify patients at nutritional risk, to obtain pertinent information on eating patterns, economic situation, cultural background, compliance/comprehension of previous diets and other factors influencing nutrient intake and food tolerances/preferences and preparation. Evaluates nutritional assessments, reviews and interprets pertinent diagnostic and treatment data, and develops, implements, and monitors the nutrition care plan through the physician. The dietician initiates laboratory tests to more accurately assess nutritional status. Monitor laboratory values closely and recommends appropriate changes in diet prescriptions to the physician.

2. Develops and implements an individualized plan for medical nutrition therapy in accordance with the patient's medical program goals and objectives. Accurately obtains and interprets medical information pertinent to the patient's nutritional care to determine risk, assess nutritional status and develop individual specialized care plans to simultaneously address several disease processes.

3. Calculates nutritional requirements (calories, protein, carbohydrates, lipids, vitamins, electrolytes, fluid) and necessary diet restrictions or food/drug interactions. Diet prescribed is tailored to each individual client according to physical and metabolic needs. Designs the nutritional treatment plan with consideration for psychosocial, behavioral, ethnic and cultural factors to obtain desirable outcomes and promote long term adherence to a medical nutritional care plan.

4. Formulates therapeutic plans for specialized nutrition support, including enteral nutrition. Identifies patients in need of nutrition support and recommends the appropriate mode of nutrition support, including suitable route, formula and rate of administration. Provides initial and on-going nutritional assessments of receiving central nutrition. Utilizes assessment and evaluation techniques that consider age-specific needs as well as cultural, religious, and ethnic concerns.

5. Orders labs, diets and consults per Scope of Practice/Clinical privileges.

6. Evaluates and monitors the effectiveness and outcome of medical nutrition therapy interventions. Evaluates the patient's response to care based on identified, measurable outcomes and reviews the plan as appropriate.

7. Assesses the adequacy of the caregiver's capacity to prepare recommended meals.

8. Documents nutrition care plan in the patient's medical record, including nutrition assessment data, medical nutrition therapy initiated and recommendation's, results of nutrition counseling and discharge planning from HBPC. Documentation supports and interdisciplinary approach and continuity of care.

9. Advises HBPC patients and caregivers of community nutritional services available.

Work Schedule: 8:00 am - 4:30pm Monday - Friday
Telework: Regular Teleworks 6 + Days per pay period
Virtual: This is not a virtual position.
Functional Statement #: 000000

Major duties include but is not limited to:

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

The Program Support Assistant duties include, but are not limited to:

• Independently manage the daily workload of the Beneficiary Travel Program.
• Provides travel reimbursement and/or transportation at Government expense to beneficiaries and their attendants traveling to and from VA facilities and other places for the purpose of examination, treatment or care.
• Correctly determining eligibility for the program, and processing requests.
• Responsible for determining veteran eligibility status for Beneficiary Travel reimbursement and completing mileage reimbursement claim payments.
• Ensures all beneficiary travel reimbursement claims are entered into the Beneficiary Travel Self Service System (BTSSS).
• Enters travel claims received from veterans and review the accuracy of requests and eligibility determination.
• Responsible for organizing and scanning documents associated with travel reimbursement claims.
• Reviews medical records and submits all documents for payment utilizing appropriate control points for reference.
• Responsible for explaining the regulatory guidelines to beneficiaries submitting any travel reimbursement claims to the VAMC for consideration of payment.
• Communicates with Beneficiary Travel Supervisor/Mobility Manager(s) regarding technical issues related to claims processing.
• Prepares correspondence to Veterans concerning eligibility and counsels' veterans who do not meet criteria for travel reimbursement or any of the Veterans Transportation Program's (VTP) services.
• Performs work involving the collection, compilation, and/or tracking of data and statistical information in support of beneficiary travel reimbursement for approved veterans for the entire medical center operation and other initiatives.
• Act as a liaison for staff members who are seeking guidance on a wide variety of travel-related concerns.
• Establishes and maintains general office files.
• Maintains databases to track records pertaining to any and all of the Veteran Transportation Program services in accordance with VTP policies and guidelines.
• Serves as backup to the Veterans Transportation Service (VTS) coordinator in accordance with the VTS program.
• Coordinates transportation arrangements as requested, verifies purpose of travel, makes determinations on special requests and modes of transportation and contacts clinical staff for additional information, if necessary.
• Works closely with administrative and clinical personnel across the medical center as professionals and team members.
• Responds to client requests and seeks resolution of complaints and will forward unresolved complaints to supervisor, when appropriate.

Major duties includes but is not limited to:

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

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

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

Duties include but are not limited to the following:

• Supervision of Optometrist, Ophthalmologist, Health Technicians, and other staff as required.
• Responsible for Optometry service evaluation of proficiency and competency reviews using techniques of direct observation and chart reviews.
• Participation in peer review and quality improvement activities is required to ensure quality of patient care consistent with VA regulations and Joint Commission standards.
• Member of several standing committees including, but not limited to the Medical Records Committee, Operating Room Committee, Facility Surgical Workgroup and Surgical Service Morbidity and Mortality Committee.
• Provide comprehensive eye care services as well as follow-up care of existing conditions and management of emergency conditions.
• Examination of the human eye to diagnose and treat abnormal conditions of the human eye or adnexa.
• Prescribing of lenses, devices containing lenses, prisms, contact lenses, orthotics, vision training, pharmaceutical agents, and prosthetic devices to correct, relieve or treat defects or abnormal conditions or the human eye or its adnexa.
• Education of patients, residents, students, and medical staff regarding ocular anomalies, ocular disease, and sight conservation.
• Participate in the clinical supervision of optometry residents and student externs if available.
• Functions as a coordinator between the other attending physicians/ team members.
• Establish and maintain relations with other key services to include Surgery and Medicine Services, Primary Care, Prosthetics, Nursing, Social Work, and Radiology.
• Responsible for coordination between the Asst. Chief of Staff and rotating Residents and relevant staff.
• Develop and provide medical education/counseling of patients and their families with a focus on delivery of evidence based, outcomes focused, veteran centric care.
• Promote contemporary patient care programs for eye clinic and surgery patients and periodically review and update them based upon current and/or new, broadly accepted concepts.
• Ensure consult triage and clinic access meets standards established by the Group Practice Manager, National Surgery Office, and VHA.
• Accountable for performance, behavior and training of all members in the Section, including on-time completion of annual performance evaluations

Duties

Social Worker (Program Coordinator) Rehabilitation Treatment Program: The Social Worker Coordinator Lead Transition Coordinator (LTC) is a Mental Health Residential Rehabilitation Treatment Program (MH RRTP) Lead whose primary responsibilities are to provide clinical evidence-based services and interventions; program development; caregiver, Veteran, and staff education; community outreach; resource development; continuous quality improvement activities; and evaluation/consultation. In addition, the incumbent must be a skilled communicator capable of developing effective partnerships with local, state, and federal agencies as well as nongovernmental organizations. The incumbent is administratively responsible for the clinical and daily operations of the MH RRTP, including the screening and admissions process and clinical functions, including discharge planning, care coordination, and daily programming. The LTC coordinates admissions for Veterans requesting admission into the MH RRTP and collaborates with the MH RRTP Screening Board regarding pending consults. The LTC utilizes the screening to identify emotional, social, and environmental strengths and problems related to diagnosis, illness, treatment, and/or life situation to assist with determination of which MH RRTP program best meets Veterans' needs. The incumbent performs specialized MH RRTP screenings that are based on American Society of Addiction Medicine (ASAM) criteria. Veterans present with a wide variety of healthcare and psychosocial needs including substance use, medical issues mental health issues, homelessness,
and legal involvement.

Senior Social Worker PTSD Clinical Team (PCT): Independently performs case finding functions and outreach, identifying and screening patients for psychosocial needs. Provides evidence-based treatments for PTSD and co-occurring conditions to include Substance Use Disorders. Independently conducts psychosocial assessments including standardized evaluation for PTSD. Develops treatment plans in collaboration with the veteran/family and with the interdisciplinary treatment team. Engages in measurement-based care to facilitate optimal treatment outcomes. Possesses the skills to offer psychosocial interventions and to measure outcomes of interventions. Provides appropriate services via telehealth. Provide clinical services including, but not limited to, assessment, individual and group therapy, psychoeducation, and case management services to veterans in the Posttraumatic Stress Disorder (PTSD) and Military Sexual Trauma Programs at the Dayton VAMC. Coordinates community-based services, including information and referral for additional services from other VA programs, other government programs, and community agency programs. Has knowledge of Veterans community programs and resources and interact not only with the Veteran but also with family and significant others, when indicated, interdisciplinary team members, other VA staff, and community organizations and social service agencies. Independently identifies high-risk patients and provides case management services. Provides crisis intervention services, seeking to address the cause as well as the presenting complaint, coordinates family conferences and serves as liaison to family members. Establishes and maintains effective therapeutic relationships with veterans and their families. Independently works with patients and families who are experiencing a variety of psychiatric, medical and social problems utilizing individual, group and family counseling and therapy skills. Independently provides consultation services to other staff regarding the psychosocial needs of veterans and the impact of psychosocial problems on health care and adherence to treatment plan. Communicates effectively, both orally and in writing, with people from varied backgrounds.

Work Schedule: Monday-Friday, 8:00am -4:30pm; Sunday-Thursday, 9:00 am- 6:30 pm Tour preference will be discussed during the interview process
Pay: Competitive salary and regular salary increases.
Telework: Ad-Hoc

The Inventory Management Specialist duties include, but are not limited to:

• Ensures equipment accountability and appropriately managed, assigned and monitored.
• Schedules and conducts physical inventories.
• Maintains accountable property and receipt documents.
• Develops and supports the creation of acquisition strategies and standardization initiatives to acquire and purchase durable medical equipment.
• Analyzes data impacting procurement decisions.
• Conducts market research on product pricing and performance.
• Researches and conducts analysis of potential cost savings, efficiencies and process improvements using quantitative analysis and historical usage patterns.
• Utilizes performance measures to conduct forecasting and quantitative analysis.
• Identifies and rectifies asset management issues.
• Conducts short, mid and long-term advanced planning for non-expendable assets.
• Utilizes inventory principles, standard, and non-standard methodologies, and concepts to determine need to intervene in the supply system.
• Analyzes and advises on equipment purchase recommendations.
• Initiates and reviews reports for lost, damaged, or stolen property.
• Researches alternative sources for equipment procurement.
• Disposes of surplus or excess property.
• Coordinates final disposition of non-expendable assets.
• Participates in facility strategic planning.
• Advises and informs stakeholders concerning the management, control and accountability of equipment in use.
• Trains and assists on equipment acquisition, disposal, scanning and tracking of equipment.
• Assists customers in the creation of performance work statements for equipment procurements.
• Maintains equipment inventory lists.
• Ensures accuracy of all personal property records and property documents.
• Manages and controls all inventory transactions for non-expendable medical equipment requests and transactions.
• Maintains inventory management and control of non-expendable assets.
• Utilizes automated property management systems to manage facility property accountability program, create equipment records, research discrepancies, conduct inventories, bar code equipment and manage turned in excess property.
• Researches and develops solutions to complex problems.
• Traces sequences of inventory management transactions to resolve questions.
• Recommends actions to eliminate problems involved in delivering services to inventory customers or in implementing policies.
• Manages the property management program and determines the means and methods to resolve issues and improve operations.
• Formulates improved inventory management procedures and practices.

• Reviews patient accounts to determine the status of the account, making standard adjustments that require special analysis and prepare and process a variety of documents necessary for the maintenance and follow-up of all outstanding patient accounts.
• Performs work consisting of examination for accuracy, adequacy of documentation or citation, compliance with regulations, and justification of claims and other requests for payment for such purposes as medical care and treatment.
• Review delinquent patient account records, following up with responsible parties via telephone and correspondence according to organization policy and procedures.
• Maintains files system of patient accounts for follow-up with responsible parties. Examine accounts to resolve difficult reconciliation's requiring an analysis of adjustments and corrective entries in the patient account system.
• Prepares monthly, quarterly and annual reports utilizing the Accounts Receivable program. Reporting any discrepancies to the supervisor, providing all supporting documents and recommending resolution.

This Registered Respiratory Therapist (RRT) position is responsible for providing the full range of clinical procedures related to respiratory care and is above the full performance level of the occupation.

RRTs at this level must possess the following:

Knowledge of anatomy and physiology including an in-depth understanding of the functioning of the circulatory and pulmonary systems and the major organs associated with these systems is required. In addition, knowledge of a variety of related acute and chronic disorders and diseases, their effect on the lungs and heart, and the method of treatment.

Knowledge of the pharmacology of common respiratory drugs, common dosages, typical and atypical patient responses and side effects is required.

Knowledge of respiratory therapy and all necessary equipment including but not limited to concentrators, mechanical ventilators, CPAP and Bi-level therapy equipment, pulse oximeters, end-tidal CO2 monitors, suction equipment, oxygen delivery systems, conserving devices, airway clearance devices, portable spirometry testing equipment. The incumbent should be prepared to acquire new knowledge and skills, as necessary relevant to the coordination of care for inpatients and outpatients. The incumbent is expected to perform patient, family, and caregiver education as needed. He/she will educate and train new staff, students, and members of the healthcare team. He/she must have expertise in the operation of all respiratory care equipment and be able to select and manipulate the respiratory equipment and therapy to meet patient needs. He/she must be able to instruct physicians and other healthcare professionals in the proper utilization of respiratory care equipment and therapy. When assessing a patient, providing care, or providing educational instruction, the employee will consider the age of the patient and any learning barriers as well as personal learning preferences as each relates to the ability to understand directions, provide objective self-assessment or any other personal information appropriate to the medical treatment plan.

Skill in performing equipment troubleshooting, minor repairs, mask fittings, and equipment cleaning, calibration, and maintenance is required. The incumbent shall be able to monitor vital signs, perform and interpret arterial blood gases, and perform clinical assessments, recommend treatment options, and assess patient response appropriate for a registered respiratory therapist. The therapist is skilled in arterial puncture by utilizing arterial puncture technique with collections via careful anaerobic technique, proper storage of blood until analyzed and utilizing all necessary safeguards to prevent complications from this technique. The therapist performs this duty routinely and without supervision.

The Therapist checks, orders, and maintains an adequate number of supplies needed for the inpatient and outpatient clinic areas. The supplies are to be stocked, assembled and placed in the appropriate areas to maintain a safe, clean work environment.

The incumbent demonstrates the knowledge and ability to successfully perform the following duties within the scope of Respiratory Care. A Respiratory Therapist may perform other duties, both major and minor, that are not mentioned. Essential functions may change from time to time to reflect the current trends within the field of respiratory therapy, and to meet the cardio-pulmonary needs of the patients served. Essential functions are required to be performed by the incumbent at least 25% of the time for above full performance ratings. The Therapist will be provided the opportunity to cross train to other areas within the service line and participate in special projects or committees. He/she will perform other duties as delegated by management.

Work Schedule: Full Time, Monday - Friday 8am - 4:30pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 608-F07837
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact Jaime.Perez3@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Available

This Registered Respiratory Therapist (RRT) position is responsible for providing the full range of clinical procedures related to respiratory care and is above the full performance level of the occupation.

RRTs at this level must possess the following:

Knowledge of anatomy and physiology including an in-depth understanding of the functioning of the circulatory and pulmonary systems and the major organs associated with these systems is required. In addition, knowledge of a variety of related acute and chronic disorders and diseases, their effect on the lungs and heart, and the method of treatment.

Knowledge of the pharmacology of common respiratory drugs, common dosages, typical and atypical patient responses and side effects is required.

Knowledge of respiratory therapy and all necessary equipment including but not limited to concentrators, mechanical ventilators, CPAP and Bi-level therapy equipment, pulse oximeters, end-tidal CO2 monitors, suction equipment, oxygen delivery systems, conserving devices, airway clearance devices, portable spirometry testing equipment. The incumbent should be prepared to acquire new knowledge and skills, as necessary relevant to the coordination of care for inpatients and outpatients. The incumbent is expected to perform patient, family, and caregiver education as needed. He/she will educate and train new staff, students, and members of the healthcare team. He/she must have expertise in the operation of all respiratory care equipment and be able to select and manipulate the respiratory equipment and therapy to meet patient needs. He/she must be able to instruct physicians and other healthcare professionals in the proper utilization of respiratory care equipment and therapy. When assessing a patient, providing care, or providing educational instruction, the employee will consider the age of the patient and any learning barriers as well as personal learning preferences as each relates to the ability to understand directions, provide objective self-assessment or any other personal information appropriate to the medical treatment plan.

Skill in performing equipment troubleshooting, minor repairs, mask fittings, and equipment cleaning, calibration, and maintenance is required. The incumbent shall be able to monitor vital signs, perform and interpret arterial blood gases, and perform clinical assessments, recommend treatment options, and assess patient response appropriate for a registered respiratory therapist. The therapist is skilled in arterial puncture by utilizing arterial puncture technique with collections via careful anaerobic technique, proper storage of blood until analyzed and utilizing all necessary safeguards to prevent complications from this technique. The therapist performs this duty routinely and without supervision.

The Therapist checks, orders, and maintains an adequate number of supplies needed for the inpatient and outpatient clinic areas. The supplies are to be stocked, assembled and placed in the appropriate areas to maintain a safe, clean work environment.

The incumbent demonstrates the knowledge and ability to successfully perform the following duties within the scope of Respiratory Care. A Respiratory Therapist may perform other duties, both major and minor, that are not mentioned. Essential functions may change from time to time to reflect the current trends within the field of respiratory therapy, and to meet the cardio-pulmonary needs of the patients served. Essential functions are required to be performed by the incumbent at least 25% of the time for above full performance ratings. The Therapist will be provided the opportunity to cross train to other areas within the service line and participate in special projects or committees. He/she will perform other duties as delegated by management.

Work Schedule: Full Time, Monday - Friday, 8am - 4:30pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 608-F07837
Relocation/Recruitment Incentives: Not Available
EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact Jaime.Perez3@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized

VA offers a comprehensive total rewards package. VHA Physician Total Rewards

Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
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
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting

Duties are but not limited to the following:

Clinical Duties:

1. Oversight: Clinically supervises the training of Nephrology fellows, residents, and medical students to provide quality patient-centered patient care in inpatient and outpatient settings. Ensures resident documentation, with required documented of supervision of all care by the attending physician, is completed in a timely manner per facility bylaws.
2. Examinations: Evaluates patients by examining thoroughly. Appropriate clinical, laboratory, and other pertinent data is obtained to determine care the patient is provided. Assess needs for renal replacement therapies.
3. Diagnosis: Ability to interpret and evaluate clinical data for the purpose of determining diagnosis and clinical status. Able to manage patients with kidney diseases, including but not limited to Chronic Kidney Disease, electrolyte disorders, glomerulonephritis (both primary and secondary), resistant hypertension, recurrent nephrolithiasis, and renal transplantation.
4. Therapeutic ability: Prescribes appropriate and timely treatment; applies indicated therapeutic procedures; recognizes and assess changes in behavior, symptoms, signs, and other pertinent facts about the patient and modifies the plan of treatment when indicated. Be proficient in various dialysis modalities, including Continuous Renal Replacement Therapies.
5. Effectiveness in Emergencies: The incumbent is readily available in emergencies; and quick in recognizing emergency situations and taking timely necessary action. Able to recognize severe electrolyte abnormalities, toxicities and urgent/emergent need for renal replacement therapy.
6. Patient Management: Develops and maintains rapport and gains the confidence of patients and relatives through competence and interpersonal skills to the end that patients and others are informed participants in the treatment effort. Provide face to face ambulatory care, telemedicine management, and compete electronic consultations for patients with kidney disease.
7. Consultations: Recognizes the need for consultation and utilizing facility or clinic specialty skills in diagnosis and treatment. Response to consultations in a timely manner, documents consultations according to procedure and is actively engaged with the primary team or clinician in collaborating on the patient's care and management.
8. Record keeping: History/physical and other examinations and group learning experiences where on services as the learning facilitator in the role of mentor or teacher for residents, trainees, or employees. Completes all medical record documentation in CPRS in a timely manner. History, physical, and treatment plan are accurate and clearly stated. All ambulatory notes and orders are to be completed and signed on same day. All encounters completed with proper level of service and/or procedure and related diagnosis
9. Participates in education and/or training of the residents, fellows and medical students in ambulatory setting or with inpatient teaching rounds.