Total 1,693 Others level Maintenance / Repair job vacancies in Monument Health Dialysis Center - Rapid City

• Obtain information from patient and/or family to identify major complaints, symptoms, or reason for seeking health care.
• Obtain vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length); performs a behavioral health screening.
• Document patients' chief complaints and medication reconciliation, screening tools, and behavioral health intake surveys in the health record.
• Coordinate care and documents accordingly in the health record.
• Perform individualized nursing care to patients of all ages based upon the physicians' medical care plan, the nursing assessment, and the physical, mental and emotional needs of the patient.
• Assist the physician with various examinations and diagnostic procedures.
• Set up and maintain a sterile field; understands the proper positioning of patients required for various procedures.
• Administer oxygen, IV fluid and prescribed oral, rectal, subcutaneous and intramuscular medications.
• Perform inhalation treatments, fingerstick glucose, urine dipsticks, visual acuity, phlebotomy, dressing changes, and surgical instrument cleaning and packaging after use.
• Educate patients and family members regarding self-care procedures and documents teaching.
• Perform routine procedures, such as EKGs, eye, throat, nasal and/or wound cultures, dressing changes, ear irrigation, and application of bandages.
• Screen immunization records IAW AR 40-562 and unit Standard Operating Procedures to select required immunizations, correct dosages, and routes of administration.
• Administer oral, intradermal, subcutaneous, intramuscular immunizations to all age groups IAW established protocols.
• Perform both administrative and logistical tasks as a member of the healthcare team for the clinic.

• Coordinate patient care with physicians and other departments, consulting with referring physicians.
• Assist in providing ongoing post-procedure care and advice.
• Educate patient and family on pre-procedure requirements, intra-procedure plans and post-procedure care.
• Record various data on patient charts.
• Administer oxygen, IV fluids, IV medications, and blood transfusions.
• Monitor patient for adverse reactions such as respiratory or cardiac arrest, seizure, nausea, fever and excessive bleeding.
• Coordinate health care needs with other health care providers, making appropriate referrals.
• Direct patient care provided by professional and paraprofessional personnel assigned to the work unit.

• Perform specialized and technically demanding tests.
• Review daily quality control and quality assurance data, recognize and solve quality assurance problems.
• Evaluate the validity of quality assurance data by generating and reviewing statistical data.
• Maintain required documentation to ensure compliance with various regulatory agencies.
• Apply scientifically based analytical evaluations, including precision, standard deviation, coefficient of variation, correlation coefficients, and frequency distributions, to ensure technical and statistical accuracy of tests and procedures.
• Oversee, develop, and maintain a comprehensive internal quality control/performance improvement program for all procedures, reagents and equipment.

• Develop specialized treatment planning programs for comprehensive radiation therapy management of malignant tumors.
• Plan patient treatment using three-dimensional (3D) computer algorithms necessary to deliver a defined radiation dose to any given volume.
• Download computer tomograms from CT simulator voxel.
• Schedule the fabrication of custom shielding and immobilization devices used in patient treatment.
• Instruct the therapy staff in the implementation of treatment plan accessories.
• Responsible for the evaluation of all treatment plans for accuracy and completeness.
• Assist radiation oncologist in brachytherapy, high dose radiation (hdr), intensity modulated radiation therapy (imrt) procedures.

• You will serve as the primary technical expert in resolving complex technical issues relating to SolidWorks three-dimensional (3D) modeling and technical data packages and drawings.
• You will develop and execute SolidWorks simulations in finite element analysis and computational fluid dynamics.
• You will lead the application of digital drafting and 3D modeling technical engineering practices across the design, development, deployment, and maintenance of expeditionary systems.
• You will apply methods and techniques of three-dimensional (3D) modeling engineering practices and generate technical data packages with minimal rework or the Landing Craft Air Cushion (LCAC) program.
• You will identify and recommend corrective actions for weaknesses and gaps in the digital drafting and 3D modeling technical engineering processes and practices.
• You will select the appropriate process from many alternatives to prepare or edit drawings and models per drawing notices or engineering change proposals, and then generate drawings and 3D models from specifications.
• You will make graphics, sketches, or complex assemblies/models.
• You will be responsible for training, mentoring, and collaborating with Sponsors, Flag Officers, senior personnel, engineers, technicians, military, contractors, vendors, and other support personnel with regards to digital drafting and 3D modeling.
• You will interface with Sponsors, Flag Officers, senior personnel, engineers, technicians, military, contractors, vendors, and other support personnel.
• You will document work actions in writing, provide updates on project status, and document procedures with minimal rework or oversight.

• Reviews the tracking and control of travel and training funds of the serviced organization.
• Incumbent must perform in-depth analysis and handle complicated travel issues involving substantial corrective actions and/or complicated adjustments.
• Analyzes, verifies accuracy, and initiates corrective action for workload execution.
• Relates needs and accomplishments of the organization to anticipated and/or actual dollar figures in the budget.
• Checks the accuracy, validity, and technical treatment of fiscal data in forms, schedules, and reports, or the legality and propriety of using funds for specific purposes.
• Provides leadership to staff members in specific tasks and job techniques, and helps research complicated, non-standard, travel issues.
• Serves as primary POC for complex Permanent Change of Station (PCS) travel orders.
• Incumbent will serve as the primary Approving Official for Government Purchase Card registration payments required in conjunction with travel orders.
• Incumbent will serve as the Primary Approving Official (AO) for the Government Purchase Card used to procure registration and training fees associated with TAD orders.
• Incumbent will serve as a backup Agency Program Coordinator for the Individually Billed Account (IBA) government travel card.
• Incumbent will serve as an approving official in the Defense Travel System (DTS), responsible for approving the payment of vouchers and travel authorizations.

The duties in this position are primarily advisory and technical in nature.

• Responsible for evaluating the adequacy of each completed authorization form
• Screen each request for information to determine urgency and assure that most urgent requests are completed fist using established priority systems
• Greet veterans/visitors, assists them in determining the exact nature of the request and whether the information requested can be released
• Apply public laws, rules, regulations and exclusions governing confidentiality of the health record
• Process all incoming requests to the facility for ROI along with information required by the VA Regional Office through the Automated Medical Information Exchange (AMIE) or the electronic health record (EHR)
• Evaluate the validity of each request & determine which information is to be released in compliance with existing laws
• Receive and/or gives out forms and assists visitors and/or callers with the completion of forms or documents
• Provide advisory and technical assistance to patients, administrative staff, and professional staff regarding release of information
• Search records or files to compose responses, including electronic searches to retrieve and summarize hard-to-locate data
• Compose responses to routine requests for release of patient information
• Select and compile information from health records and prepares correspondence, typically using standard form or standard formats for letters
• Ensure the information released is limited to what is specifically authorized and to the person or agency designated to receive it
• Compose detailed explanations in response to correspondence received
• Resolve conflicting or inconsistent information found on initial requests
• Reply to vague, incomplete, or ambiguous inquires by independently recognizing issues, topics, or problems
• Process Social Security requests for health information using ROI software
• Complete and process routine release of information to other VA and Federal Agencies and when requested, to patients and their families, insurance representatives, physicians, hospitals, and city and state health agencies according to VA directives
• Receive, index, and assign appropriate document type to health and administrative information, as assigned, for incorporation into the correct patient's record in the computerized patient records system (CPRS)
• Receive incoming documentation from professional, technical, and administrative personnel in all levels of operating elements
• Ensure all necessary health/administrative information is integrated into CPRS through Imaging software
• Perform other duties as required or assigned and must be flexible to undertake a variety of miscellaneous duties as assigned by the Supervisor

The duties in this position are primarily advisory and technical in nature.

• Responsible for evaluating the adequacy of each completed authorization form
• Screen each request for information to determine urgency and assure that most urgent requests are completed fist using established priority systems
• Greet veterans/visitors, assists them in determining the exact nature of the request and whether the information requested can be released
• Apply public laws, rules, regulations and exclusions governing confidentiality of the health record
• Process all incoming requests to the facility for ROI along with information required by the VA Regional Office through the Automated Medical Information Exchange (AMIE) or the electronic health record (EHR)
• Evaluate the validity of each request & determine which information is to be released in compliance with existing laws
• Receive and/or gives out forms and assists visitors and/or callers with the completion of forms or documents
• Provide advisory and technical assistance to patients, administrative staff, and professional staff regarding release of information
• Search records or files to compose responses, including electronic searches to retrieve and summarize hard-to-locate data
• Compose responses to routine requests for release of patient information
• Select and compile information from health records and prepares correspondence, typically using standard form or standard formats for letters
• Ensure the information released is limited to what is specifically authorized and to the person or agency designated to receive it
• Compose detailed explanations in response to correspondence received
• Resolve conflicting or inconsistent information found on initial requests
• Reply to vague, incomplete, or ambiguous inquires by independently recognizing issues, topics, or problems
• Process Social Security requests for health information using ROI software
• Complete and process routine release of information to other VA and Federal Agencies and when requested, to patients and their families, insurance representatives, physicians, hospitals, and city and state health agencies according to VA directives
• Receive, index, and assign appropriate document type to health and administrative information, as assigned, for incorporation into the correct patient's record in the computerized patient records system (CPRS)
• Receive incoming documentation from professional, technical, and administrative personnel in all levels of operating elements
• Ensure all necessary health/administrative information is integrated into CPRS through Imaging software
• Perform other duties as required or assigned and must be flexible to undertake a variety of miscellaneous duties as assigned by the Supervisor

• Assists in the management and daily operations of the Joint Operations Center.
• Takes calls from Federal, state and the public on exchange of information and records all pertinent data.
• Relays information through various communications equipment to appropriate personnel.
• Notifies other agencies concerning the call as necessary.
• Records action taken, equipment assigned and other pertinent information in various databases.
• Monitors radio communications of law enforcement officers, fire department, and emergency operations.
• Examines, analyzes and interprets data from a variety of resources.
• Maintains log records of activities occurring during the shift as a source of information for production reports, and operation efficiency status.
• Establishes, maintains and keeps updated the resources and operational functions/readiness of all JOC equipment once per shift.
• In a minimum of time and without error, employee must be able to copy, validate, process, and relay the message to appropriate personnel.
• During joint forces exercises or actual emergencies, serves as a member of the JOC emergency response team to provide support to either the Federal, state or public operations.
• Ensures all classified documents are properly prepared, reproduced, distributed and stored.
• Controls COMSEC information, material, and devices and is responsible for receipt, inventory, storage, issue, protection and destruction.
• Maintains overall security of the Joint Operations Center and performs entry control and escort procedures during assigned shift.
• Conducts studies to determine requirements for communication devices, office automation hardware and software.
• Types a variety of narrative and tabular correspondence from rough drafts and corrected copies.
• Uses a variety of automated systems in the office environment to store/retrieve/manipulate data with word processing, database management, spreadsheet and graphics software packages. Performs other duties as assigned.
• Performs other duties as assigned.

WHAT IS THE TAXPAYER SERVICESDIVISION?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions

Vacancies will be filled in the following specialty areas:
Taxpayer Services Return Integrity and Compliance Services

The following are the duties of this position at the full working level.

• Distributes, balances, monitors and reports on workload in accordance with established workflow or job specialization. Assures equitable distribution among employees and timely accomplishment of assigned work load.
• Amends or rejects work not meeting established standards and refers to supervisor any problems on meeting performance standards.
• Maintains current knowledge of procedures, policies and directives; answers questions; and provides both classroom and OJT instruction to employees.