Total 300 health beauty fitness job vacancies in kingsville texas

Major Duties (To include but not limited to):

• Leads the provision of nursing care to patients with complex care needs utilizing the nursing process in alignment with the ANA Standards of Nursing Practice.
• Improves Veteran/patient driven care by resolving experience issues such as coordination of care, timeliness or process issues, common themes of dissatisfaction, or environment of care concerns for the immediate practice setting.
• Serves as an advocate for patients, families, and caregivers, improving outcomes for the immediate practice setting.
• Leadsthe implementation of high reliability principles and I CARE valuesto increase consistency of care delivered and improve patient outcomes.
• Demonstrates the ability to improve the effectiveness of communications and interactions with others, to inspire their cooperation and confidence to ensure safe and effective outcomes in the current practice setting.
• Considers alternative courses of action. Respectsthe opinions, abilities, and contributions of others. Encourages individual growth and development.
• Expands knowledge base and practice evaluation through mentoring, precepting, and/or teaching to improve outcomes in the immediate practice setting.
• Takesresponsibility for personal and professional career goals. Supportsthe professional growth of others.
• Applies evidence-based practice/research resulting in improved outcomesin the immediate practice setting.
• Leads patient care improvement through monitoring, analyzing, and evaluating care outcomes in the immediate practice setting.

• Provide exceptional customer support services for the entire organization.
• Perform system troubleshooting to senior staff.
• Recommend new problem resolution methodology.
• Diagnose problems encountered in systems operations.
• Ensure that proposals for contractor services are within budgetary requirements.
• Review work completed by contractor team to ensure accordance with the terms of the contract.

The RN Care Coordinator provides care coordination for veterans who are assigned to a Geriatric Patient Aligned Care Team (PACT). Coordination of care and services for veterans that includes but is not limited to veterans with chronic disease, veterans with limited functional status, complex medical, psycho-social and/or mental health needs, severely-injured service members and veterans, and veterans with intensive continuing care needs that will require coordination of and referrals to various levels of care. The incumbent begins the coordination process at the time the patient is identified and works collaboratively with staff within the Patient Aligned Care Team as well as staff throughout the Veterans Health Administration (VHA) facility that may also be involved in his/her care, staff from other VHA facilities, Military Treatment Facilities, and referring facilities/community agencies. The RN Care Coordinator completes an assessment of functional status, acuity level, prognosis, and assesses the need for treatment services and resources. The RN Care Coordinator initiates contact with the veteran and/or caregiver to assist and ensure best clinical outcomes, quality of life, and a seamless transition between facilities and levels of care. The RN Care Coordinator monitors veteran's status and health services use while the veteran is receiving care from the PACT. The incumbent communicates and collaborates with the Interdisciplinary Team to develop and coordinate the treatment plan for veterans in the inpatient or outpatient setting.. The incumbent, in collaboration with the Interdisciplinary Team, is responsible for coordinating performance improvement initiatives and for collecting relevant data required for Commission on Accreditation of Rehabilitation Facilities (CARF) certification and Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) standards. The RN Care Coordinator provides appropriate care for the veterans, taking into consideration diagnosis and physical, psychosocial, spiritual, cultural, environmental and social support needs.

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

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,0800-1630
Telework: Available Ad Hoc only
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

• Independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice
• Manages the care of patients, while organizing and prioritizing patient care needs, and ensuring assigned tasks are completed
• Functions as an emerging leader in providing direction to staff to identify, implement and evaluate patient care needs
• Collaborates with the interdisciplinary team to ensure the plan of care is achieved
• Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients
• Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient, Role models and displays ethical behavior
• Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurses
• Models High reliability principles and I CARE values to improve patient outcomes
• Demonstrates knowledge over a wide range of job responsibilities, effectively communicating with individuals and groups to build a strong sense of teamwork and purpose
• Actively contributes to the collaboration process and clearly communicates ideas to promote team success. Makes meaningful and challenging contributions for the betterment of the work group
• Demonstrates compassion for self and others. Makes sound decisions under pressure. Effectively handles multiple demands, anticipates and resolves conflicts
• Is consistent and dependable in carrying out responsibilities and exercises sound judgement
• Promotes collaborative behavior and team efforts. Is confident of abilities, effectively initiates solutions and, is alert to new opportunities, techniques, and approaches
• Shares knowledge and learning opportunities that enhance current nursing practice for self and others
• Shares knowledge gained from self-directed professional development activities
• Provides constructive feedback to others
• Educates colleagues and/or students and serves as a preceptor or mentor
• Models the application of evidence-based practice/research with peers to improve patient care
• Models effective resource utilization through the delegation of cost-effective care delivery
• Recruits' peers to participate in unit level performance improvement activities
• Integrates individual preferences and goals into evidence-based decision-making

Duties include, but are not limited to:

• Responsible for reviewing the overall quality and completeness of clinical documentation.
• Applying comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
• Reviewing clinical documentation and providing education to clinical staff on both inpatient and outpatient episodes of care including admissions and discharges, observation, emergency department/urgent care, and clinic visits.
• Preparing and conducting provider education on documentation processes in the health record to include the impact of documentation on coding, workload, quality measures, reimbursement, and funding.
• Providing education to providers on the need for accurate and complete documentation in the health record, appropriate code selection of Evaluation and Management (E/M), Current Procedural Terminology (CPT) and ICD-10 diagnosis codes, and ensuring documentation supports the codes selected to the highest degree of specificity.
• Adhering to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding.
• Reviewing VERA input on missed opportunities in provider documentation identified by the VERA coordinator and coordinate provider documentation education with the VERA coordinator.
• Ensuring documentation supports codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
• Monitoring ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC.
• Timely compliance with coding changes is crucial to the accuracy of the facility database as well as all cost recovery programs.
• Assisting facility staff with documentation requirements to completely and accurately reflect the patient care provided; providing technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature and proper sequencing.
• Ensuring provider documentation is complete and supporting the diagnoses and procedures coded.
• Directly consulting with the professional staff for clarification of conflicting or ambiguous clinical data.
• Reporting incorrect documentation or codes in the electronic patient health record.
• Using a variety of computer applications in day-to-day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• Developing and conducting seminars, workshops, short courses, informational briefings and conferences concerned with health record documentation, educational and functional training requirements to ensure program objectives are met for clinical and Health Information Management (HIM) staff.
• Analyzing situations or processes and recommending improvements or changes in documentation as deemed necessary.
• Assisting in writing coding protocol/policies which will reflect the required changes to enhance revenue through improved documentation.

Duties include, but are not limited to:

• Reviewing for accuracy and processing Beneficiary Travel claims for the purpose of reimbursing Veterans for travel to and from VA medical appointments
• Reviewing eligibility of each Veteran before finalizing Beneficiary Travel reimbursements
• Researching payments for reimbursement when requested by Veterans, Supervisor or the Mobility Manager and coordinating with the Fiscal office when required
• Preparing data processing reports and auditing Beneficiary Travel vouchers daily batch for errors
• Transferring Beneficiary Travel voucher daily batch to Fiscal office
• Compiling and submitting daily clerk report summarizing all vouchers processed, phone calls, and customer service interactions
• Arranging all modes of transportation via air ambulance, commercial air, taxi, ambulance, bus, and/or contracted transport services
• Preparing appropriate documentation and/or scheduling for traveler according to government rates or substantial rates
• Making special arrangements per physician documentation according to traveler's medical condition and/or preference with a high priority emphasis on organ transplant patients, spinal cord injury, traumatic brain injury patients
• Documenting and preparing statistical ambulance reports to supervisor upon request for fiscal year budget
• Corresponding with ambulance service provider regarding technical problems
• Maintaining and controlling filing system in accordance with VA regulations
• When required, preparing reports for cab service to determine annual, local mobility usage
• Assuring that all appropriate VA forms are used correctly, and regulations followed.
• Determining method of payment for authorized and unauthorized ambulance claims submitted for consideration
• Receiving invoices for payment of transportation services
• Investigating authorizations, orders, and/or utilizing the Computerized Patient Record System to review medical records, forwarding for clinician review and supervisory approval and submitting all documents for payment utilizing appropriate control point for reference
• Responsible for forwarding all invoices certified for payment to Financial Management Service for processing
• Acting as liaison between vendors and FMS for invoices pending payment
• Responsible for other related duties, as assigned by HAS leadership

You will manage the care of Veterans with post-operative, post-procedural and chronic pain. You will be responsible for maintaining physical and emotional comfort of patients. Assess patients and make decisions based on critical thinking skills. Set up and maintain a sterile field for procedures and will stabilize vital signs and maintain the patient's hemodynamic status as required. You will assess orientation status of patients and compare it to baseline, assess motor and sensory function as needed, and reassess for contraindications of administered pain medications. Document responses to interventions, findings, and report changes in patient status, and will communicate handoff information regarding patient status to: receiving unit prior to transfer, physician for emergency needs, significant others identified by the patient. You will be responsible for closing encounters daily. Document and utilize secure messaging and message manager to engage with Veterans and coordinate care. Make pre-procedural calls and provide Veterans with education on planned procedures and review patient records and coordinate care as appropriate. Follow Joint Commission VA and Facility and nursing standards of care. Deliver nursing care pre-procedure, intra-procedure and post-procedure. Strong interpersonal, communication, organizational and problem-solving skills are required.

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

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: Full-time; Monday-Friday; 7:30am-4:00pm
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Bargaining Unit: This is a bargaining unit position.

Major Duties as Assigned, but not limited to:

• Incumbent will be the first line of contact with the Veteran and must be knowledgeable on a wide variety of subjects regarding the VA.
• Responsible for running the Encounter Action Required Report (EARR) and providing findings to providers to facilitate accurate workload credit and revenue collection.
• Promotes Veteran registration for and utilization of MyHealtheVet (MHV), an online personal health record for Veterans.
• Performs in-person authentication (IPA) for Veterans requesting initial access to individually identifiable health information within the MHV web-based application.
• Responsible for receiving and routing all Veterans who report to the facilities for scheduled and unscheduled examinations and appointments.
• Ensures that the patients are electronically checked in for their appointments.
• Responsible for processing first party requests and ensuring forms are complete and accurate.
• Responsible for ensuring non-VA records are forwarded to the appropriate provider for review and forward to the appropriate agency prior to inclusion into the patient's medical record.
• Captures insurance and demographic information on all Veterans, explaining VA's role in insurance reimbursement.
• Responsible for running the following reports/queries on a daily basis (not all-inclusive): Open Text Orders, Patient Care Encounter (PCE), Recall Reminder Delinquent Report, Recall Reminder Non-Compliant Report, and Consult Tracking Report.
• Receives telephone calls and visitors to the VA, (i.e., patients, families, and friends of patients) regarding such things as the availability of, and procedures for obtaining medical assistance, directions and information for contacting various departments, services and requests for changes in scheduled appointments.
• Schedules outpatient clinic appointments according to VHA Directive 2010-027 using Veterans Heath Information Systems and Technology Architecture (VistA) scheduling options or VistA Scheduling Enhancement (VSE).
• Must work in a multi-screen computer environment being able to use VistA and CPRS (Computerized Patient Record System) screens bilaterally.
• May be required to cross cover for other areas of the service due to patient care needs, workload demands or staff shortages.

VA Careers - Prosthetics: https://youtube.com/embed/3NUvF5jjErQ

Duties may include but are not limited to:

• Serves as a Prosthetic Representative completing a variety of prosthetic and sensory aids assignments, projects, activities independently to meet PSASs long-and-short term program goals. Performs technical, administrative, and analytical prosthetic related assignments for the PSAS.
• Works directly with Veterans and clinical teams to assist with applications and answer questions related to benefit programs that cannot be handled by lower level employees. They provide recommendations to the treatment team regarding the development of prescriptions and provide technical assistance and guidance on planning and coordination efforts, to address complex patient medical and rehabilitative needs for equipment, services, and benefits. At this level employees may serve as the lead for the prosthetic program providing oversight of specific services within PSAS.
• Serves as a VHA and PSAS representative on local and national committees, workgroups, and teams to address a variety of PSAS's issues, initiatives, and projects. Keeps the PSAS senior staff aware of outcomes and recommendations to enhance the program.
• Seeks best practices from other VHA facilities to enhance PSAS's prosthetic and sensory aids program to meet veterans' needs. Conducts visits to VISNs and VHA locations to collect, review, and analyze their best practice information and report findings to the supervisor to consider.
• Ability to communicate tactfully and effectively both orally and in writing.
• Drafts, develops, and implements new local organizational policies, directives, and procedures that are consistent with national policies, procedures, and programs. Provides documents to the supervisor for final approval after the incumbent submits final, review, comments, and recommendations.
• Maintains awareness of VA's, VHA's, and PSAS's requirements by governing bodies, i.e. The Joint Commission (JC), Commission on Accreditation of Rehabilitation Facilities (CARF) and American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC).
• Keeps abreast of current issues in the health care industry and technological advancements and provides subject-matter expertise to VHA and PSAS's senior officials as needed.
• Completes Prosthetic Representative, technical, programmatic, and administrative duties independently. Provides training, advice, and guidance related to administrative functions, including statistics, data analysis, budgeting, contracting, procurement, inventory management, human resources, logistics/space, equipment, and supplies. Oversees the operation of the Prosthetic, Orthotic, optical laboratories, including restorations activities.
• Completes contracting and procurement assignments independently to prepare and authorize purchase orders for a wide variety of prosthetic and orthotic devices. Provides status reports regularly to the supervisor to keep the supervisor well informed for accountability purposes.
• Monitors and ensures requests for items or services are completed and received under established timeframes; and confers with contractors, vendors, and other health care workers as needed regarding procurement status and other needs and concerns.
• Provides oversight and management of contracts. Monitors contracts for compliance with the statement of work; and receives, analyzes, and completes requests for prosthetic equipment and services. Keeps the supervisor well informed of procurement or contract issues as they arise.
• Monitors and analyzes PSAS compliance reports, Delayed Order Report, aged credit card transactions, compliance metrics and scorecards. Develops tools that monitor VHA's quality assurance program. Works in collaboration with supervisor and senior staff to plan, develop, and prepare budget estimates; to develop cost-containment measures for prosthetic equipment and services; to authorize benefit payment and reimbursement.
• Procures materials, supplies, and equipment; familiar with inventory stock and works collaboratively with Supply Chain to provide oversight of prosthetic service inventories; and refers veterans to proper clinical area for evaluation with guidance from supervisor and senior staff.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

The Medical Support Assistant (MSA) position serves as a Consult Coordinator for Community Care. The MSA works collaboratively with other members of expanded health care teams (i.e., Patient Aligned Care Team (PACT), specialty care) including Community Care providers, pharmacists, social workers, dieticians, behavioral health staff, etc. to provide a robust interdisciplinary approach to care. Important interfaces and collaborations also occur with larger health care system providers including VA and non-VA specialists, hospitals, diagnostic and treating facilities, and community-based programs. The primary duties of the Medical Support Assistant (Advanced) may include but are not limited to:

• Maintains appointment schedules for Community Care.
• Communicates with Community Care providers to ensure they accept VA patients and payments.
• Prepares any required pre-appointment documents.
• Schedules the appropriate level of care and documents the schedule in the appropriate consult.
• Obtains medical documentation from community providers, scans to appropriate consult within the Computerized Patient Record System (CPRS) and alerts VA providers for continuity of care.
• Coordinates internal and external care between customers and providers.
• Processes consults following Office of Community Care procedures and guidelines and enters appropriate authorizations, if required, utilizing the correct Fund Control Point (FCP)/Obligation number and correct cost estimations.
• Supports patient safety standards using the correct Veterans Affairs identification of all patients through the use of two forms of identification, name and Social Security Number. The patient may also present the Veterans Healthcare Identification Card (VHIC) for identification.
• Validates and updates patient demographic information, either in person during check-in or over the phone, to decrease the incidence of returned mail due to incorrect addresses and inability to contact patient by phone due to incorrect number.
• Explains the VA's mandate to collect insurance information to Veterans, their families, and other eligible patients.
• Collects, scans, and updates health insurance information, serving a major role in the revenue process. The AMSA contributes to the revenue collection process by identifying patients with third-party insurance.
• Promotes Veteran registration for and utilization of My HealtheVet (MHV).
• Schedules Veteran appointments with community providers using VistA or other software scheduling options.
• Uses established business rules to schedule appointment for Veterans which includes clinic visits, consultations, and entries into the Recall Reminder system and Electronic Wait List (EWL).
• Complies with the mandatory training requirements for the outpatient scheduling processes.
• Ensures all appointments are scheduled timely and the provider and patient's desired dates are met.

All duties performed will be completed under close supervision with appropriate training and competencies for assigned task

Duties include but not limited to:

• Utilizes glucose monitoring machine to receive glucose readings for veterans.
• Provides direct care for complex veterans.
• Makes observations of subtle changes in resident's condition, i.e. behavior shifts, mood, skin coloring, appetite, etc.
• Documents care given, observations and responses on appropriate tools or forms.
• Performs oral and nasopharyngeal suctioning.
• Administers complete tracheostomy care, including suctioning.
• Monitors and documents patient intake and output.
• Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: enemas, catheterization, colostomy care, skin care simple dressing, application of braces and prosthetic devices.
• Works on small group activities with veterans/residents according to patients/veterans' treatment plan.
• Recognizes the resident's autonomy and promotes independence by means of respect, limit setting and individualized treatment. 11.Actively participates in treatment planning meetings. 12.Utilizes equipment to promote the veteran self-care, such as lift equipment, hydro sound tubs, and veteran/resident wandering system.

Duties may include but are not limited to:

• Extensive knowledge of SWS and its programs as they relate to administrative functions.
• Detailed knowledge of the organizational structure of the VA at local and higher levels, in-depth working knowledge of VA policies and regulations especially those pertaining to SWS and its Programs.
• Knowledge and ability to apply patient privacy regulations and release of information procedures.
• Knowledge of medical terminology and usages, (in general, medicine, surgical, geriatrics, hospital terms, medical abstracts, abbreviations, nursing, social work, pharmacology, aging, and home health), spelling, grammar, and composition, and ability to determine and follow required formats for VA memos and reports.
• Ability to plan effectively, set priorities, coordinate activities, have a high degree of skill in oral and written communications with a variety of people of different backgrounds and comprehension, and present a positive image of the VA to the community. This may include clerical, technical, administrative, and professional people at all levels in the medical center and community agencies.
• Ability to adapt to changing situations, to modify plans and demonstrate flexibility in changing circumstances, while displaying a high degree of interpersonal skill.
• Knowledge of the duties, priorities, commitments, policies, and program goals of SWS staff, and ability to support these with a spirit of teamwork in performing non-routine assignments. Knowledge sufficient to recognize which information is or is not relevant to the problem at hand. Ability to perform, plan and organize work in situations where numerous demands are made.
• Knowledge required to coordinate the work of the office with other stakeholders, and for recognizing the need for such coordination in various circumstances.
• Thorough knowledge of statistical and analytical processes and deductive reasoning to conduct problem and trend identification and resolution.
• Skill in use of Microsoft Work, Outlook, and Excel programs, scheduling, and other VISTA packages as indicated by duties of the position. Ability to retrieve information from CPRS to assist field staff with information needs by phone.
• Skill in operation and routine maintenance of facsimile and copier machines, as well as personal computers and printers.
• Ability to identify safety issues related to patient/staff safety and acts appropriately to report unsafe conditions.
• Skill in applying basic data gathering methods, such as standard interviewing or surveying techniques, to collect various types of factual information.
• Excellent telephone and personal interaction skills to ensure tact and diplomacy in dealing with veterans, families, high level officials, staff and other administrative and clinical departments, representatives from private and community corporations, members of service organizations and other stakeholders.
• Plans and carries out the successive steps and handles problems and deviations in the work assignment in accordance with instructions, policies, previous training or accepted practices in the occupation.
• The work includes various duties involving different and unrelated processes and methods.

*** Non-Bargaining Position ***

Advise Health Care System senior management on EEO issues/problems, EEO laws, regulations, and policies. Analyze and address workplace conflicts, EEO complaints, and barriers to equal employment opportunity. Meet with managers and/or supervisors in an effort to resolve the problem at this level. Recommends Alternative Dispute Resolution (ADR) and coordinates complaints resolved in ADR with the Health Care System's legal advisor. Obtains signatures of all parties involved in ADR prior to forwarding to the Director for concurrence.

Incumbent will assist individuals and groups in resolving employment disputes. Incumbent provides informal assistance to managers, employees, and groups in resolving sensitive and often moderately complex work-related issues and disputes. Incumbent works with individual parties to understand the basic nature of the dispute, the issues involved, and the positions of the various parties to facilitate resolution.

Identify programs goals that may conflict with existing policies or practices, disciplinary and adverse actions, reassignments, job training, sexual harassment, and reprisal, based on factors of race, religion, color, national origin, sex, age, and disability. Conduct periodic evaluations of the workforce. Gather program data that reflect the effectiveness and efficiency. Meet with managers to discuss workforce profile(s) that may indicate improvements in EEO area(s). General knowledge of human resources management practices including recruitment and selection methods, the use of employment agencies, promotion practices, disciplinary procedures, and the functions of labor agreements.

Work Schedule: Monday - Friday 8:00 a.m. - 4:30 p.m.
Telework: Ad-hoc Available
Virtual: This is not a virtual/remote position.
Position Description/PD#: Equal Employment Manager / PD740-0123-0
Relocation/Recruitment Incentives: May be authorized for a highly qualified candidate.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Recruitment Incentive (Sign-on Bonus): May be authorized for highly qualified applicants.
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 include:
The position will provide anesthesia coverage for all specialties of surgery, beside specializing in cardiac
surgeries in a care team approach. Must have experience with anesthetic management for cardiac,
Thoracic, and major vascular procedures and providing anesthesia for insertion of ventricular assist
devices and ECMO.
This position will also be experienced in performing neuraxial (epidural and spinal) anesthesia. Additional
responsibilities include the provision of anesthetic care including transesophageal echocardiography for
Non-Cardiac Anesthesia Procedures.
As Director of Cardiac Anesthesia, the incumbent will be responsible for writing and updating standard
Operating Procedures for the Cardiac anesthesia section. Also, responsible for coordinating with the
residency site director and education committee the development of resident education curriculum.
Educational responsibilities: Coordinating with the residency site director and education committee the
development of resident education curriculum and actively participate in the evaluation of residents
rotating through the VA anesthesiology department.
1. Supervisory Controls
The Director of Cardiac Anesthesia reports directly to the Chief of Anesthesiology or designee at
MEDVAMC.
2. Knowledge, Skills, and Abilities (KSAs)
a. Comprehensive medical management of patients to be rendered unconscious or insensitive to pain
and stress during surgical, dental, and certain medical procedures including preoperative,
intraoperative, and postoperative examination, consultation, management, monitoring, evaluation and
treatment.
b. Knowledge and expertise in the following anesthesia core requirements: assessing, consulting, and
preparing patients for anesthesia; rendering patients insensible to pain during surgical, therapeutic, and
diagnostic procedures; monitoring and restoring homeostasis in perioperative and critically ill patients;
diagnosing and treating painful syndromes; managing cardiac and pulmonary resuscitation.
c. Ability to communicate effectively orally and in writing with a diverse group of professional staff
and management officials.
4. Clinical Responsibilities (80% of time)
a. Administration of general anesthesia (inhalation and intravenous) including invasive monitoring.
b. Administration of regional anesthesia including spinal, epidural, and peripheral nerve blocks.
c. Placement of venous catheters
d. Placement of arterial catheters and interpretation of arterial pressures and waveforms.
e. Placement of pulmonary artery catheters and interpretation of pressures/wave forms
f. Airway management including cricothyroidotomy
g. Management of ventilator dependent patients and one lung ventilation
h. Expertise in the following anesthesia core requirements: assessing, consulting, and preparing patients
for anesthesia; rendering patients insensible to pain during surgical, therapeutic, and diagnostic
procedures; monitoring and restoring homeostasis in perioperative and critically ill patients; diagnosing
and treating painful syndromes; managing cardiac and pulmonary resuscitation. Communicate
effectively orally and in writing with a diverse group of professional staff and management officials.
i. Supervision of CRNA staff, physician residents, SRNAs and medical students in the comprehensive
medical management of patients.
5. Academic/Teaching/Training: (10% of time)
a. Teaching medical students, residents and SRNAs as
required.
b. Taking part in departmental Journal Club and M & M activities.
c. Initiate QA projects focused on cardiovascular disease.
d. Teaching and training of other medical and paramedical personnel including but not limited to
Respiratory Therapist, Critical Care Physicians, Advanced Practice Nurses, etc.

Work Schedule: Monday-Friday, (Post Call, Late Shift, weekend, 24 hour call).

The Non-Invasive Cardiology Clinics, Registered Nurse duties and responsibilities include, but are not limited to the following:

• Documents the nursing process; Documentation is consistent, accurate, concise, and revises plan of care according to evaluations of patient responses.
• Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary.
• Plans and delivers technically competent care to patients.
• Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes.
• Uses the Computerized Patient Record System (CPRS) and the Bar-Coded Medication Administration (BCMA) software per policy.
• Demonstrates grade-appropriate and consistent critical thinking skills.
• Maintains professional boundaries with patients, families, and employees. Behavior is transparent and above reproach.
• Effectively directs the flow of patient care and nursing resources.
• Is self-directed in professional and staff development activities.
• Incumbent sets up, uses, reprocesses, and maintains all unit/department-specific equipment that is designed by the manufacturer to be reused for multiple patients. All steps and activities for set ups, reprocessing, and maintenance will be completed in accordance with steps outlined in the equipment Standard Operating Procedure (SOP).
• Remains calm in stressful situations and takes appropriate action.
• Promotes personal and professional integrity in the workplace.
• Uses the proper chain of command for communication.
• Attends and participates in staff meetings and clinic in-services.
• Assists team members in learning basic procedures.
• Can manage the problems safely and effectively, recognizing his/her scope of practice.
• The applicant is expected to float to different cardiology clinics [Fellow's clinic, Cardiac Rehab, Heart Failure Clinic and General Cardiology clinic] as directed and assigned by the manager.
• Other duties as assigned.