Total 11 Health / Beauty / Fitness job vacancies in Castle Rock Elementary

The Advanced Practice Nurse (APN) Certified Nurse Practitioner (NP) practices in Social Work & Care Transitions-Contract Nursing Home Program (CNHP) to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs {VA) mission. The NP provides advanced clinical practice, consultation, and management. The NP practices to the full extent of their education, training, and certification.

Major duties and responsibilities include but are not limited to:

• Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.
• Develops and implements an individualized plan to achieve optimal population health and disease management.
• Demonstrates leadership and works collaboratively with the interdisciplinary team.
• Orders and interprets labs, tests, and diagnostic studies.
• Prescribes pharmacologic and non-pharmacologic interventions.
• Initiates referrals and consults to specialty services.
• Provides education to patients and their families.
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.
• Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence.

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

Recruitment/Relocation Incentive: May be eligible for highly qualified applicants.
Education Debt Reduction Program (Student Loan Repayment): This position is eligible for theEducation Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more.
EDRP Authorized: Contact Lashala Goodman- lashala.goodman@va.gov, the EDRP Coordinator for questions/assistance.

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

The Central Arkansas Veterans Health Care System is seeking a Full Time Nephrologist Physician for the position of VA Facility Dialysis Program Medical Director. The duties will be split between clinical care and administrative responsibilities and will be responsible for both inpatient and outpatient patient care. The incumbent will be responsible for oversight of a 22-chair dialysis unit at the Little Rock campus and a 4-chair hemodialysis unit at the North Little Rock campus.

Duties include but are not limited to the following:

• Responsible for oversight of all renal replacement therapies including inpatient and outpatient hemodialysis, as well as home kidney replacement modalities, including home hemodialysis and peritoneal dialysis.
• Responsible for compliance with all reporting metrics for compliance and safety.
• Management of cost accounting, community care budget oversight, and purchasing for the dialysis program.
• Conduct monthly interdisciplinary team meetings with social work, renal dietician, pharmacy, and dialysis nurse managers to ensure each patient has an individualized interdisciplinary plan of care.
• Works with an interdisciplinary dialysis team to form a Quality Assessment and Performance Improvement (QAPI) program to identify and implement improvement projects to improve methodology, safety, and care of patients.
• Ensuring proper coding of all documentation for both end stage kidney disease and acute kidney injury patients requiring kidney replacement therapy.
• Outpatient clinical care duties include an independent attending clinic in addition to overseeing of nephrology fellowship trainees during clinic. Inpatient clinical care duties will consist of staffing inpatient consults, overseeing of trainees, and overseeing inpatient dialysis.
• Works closely with other departments as follows:
  • 1) Pharmacy: Identify potential innovative therapies to bring to the institution's formulary as well as participate in utilization and cost saving measures for current available therapies.
  • 2) Emergency department: must work closely with the emergency department to develop protocols to provide timely and efficient care to nephrology patients.
  • 3) Must work closely with surgery and surgical subspecialties to ensure timely access to care, including the establishment of permanent access for kidney replacement therapy.
• Responsible for inpatient consult, outpatient clinic, and outpatient dialysis note templates are adequate to address current standard of care quality metrics in the afore mentioned clinical areas.
• Participate in teaching and education of trainees including medical students, residents, and nephrology fellows.
• Responsible for composing business plans to present to pharmacy and therapeutics committees for application of new and innovative therapies and technology in nephrology.
• Serves as the Chair of the VA Medical Facility Dialysis Committee
• Ensures the safe operation, timely coordination and delivery of quality dialysis care to patients in the VA Dialysis Program at the VA medical facility.
• Ensures VA Home Dialysis Programs and VA medical facility Inpatient and Outpatient Dialysis Programs adhere to requirements

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

Nursing Assistant - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Nursing-Assistant-Career-Flyer.pdf

The duties of the Nursing Assistant include, but are not limited to:

• Assists patients/residents with activities of daily living, i.e., bathing, shaving, feeding, oral hygiene, ambulation, dressing, etc. Assists lower graded Nursing Assistants in the completion of these duties as well.
• Assists Registered Nurses, therapists and others in the rehabilitation and or providing care for patients/residents. Assures the residents are prepared to engage in therapy as much as possible.
• Ability to use clean and aseptic technique to perform various non-medicine treatments, i.e., wound cleansing, applying dressings, performing catheter care, applying external catheters, performing perianal care and monitoring for early signs of breakdown - notifies Registered Nurses, etc.
• Cares for patient/resident and prevents complications of limited mobility or immobilization by turning, maintaining proper body alignment, range of motion exercises, assists with deep breathing and cough.
• Encourages and provides adequate nutrition and hydration within ordered diet. Assists with observation and monitoring of enteral feeding and/or gastro tube and notifies Registered Nurses of concerns or issues. Accurately monitors intake and output and daily weights as ordered.
• Monitors intravenous fluids by informing the nurse of the need to add fluids, any alarm and any patient/resident concerns. Monitors for pain, leakage, swelling or redness at site and notifies nurse immediately.
• Is a leader in activities that promote safety for the veteran and others in the work area, including, but not limited to, performing monitoring of the patient safety monitoring system after completion of orientation and completion of competency demonstration. Assists with safety monitors such as hand hygiene, safety support or others.
• Precepts and trains new and lower graded staff in functions of Nursing Assistants.
• Provides patient care in a timely manner, recognizing and responding to physical, psychological, spiritual, and emotional needs of patients.
• Establishes a positive rapport with family/caregiver, internal and community-based services and disciplines involved in providing care to the patient.
• Makes caring for the veteran his/her priority while in the work setting and demonstrates customer service principles in all aspects of work.
• Assists the RN in the full range of nursing care to patients/residents with physical and or behavioral problems in a hospital, long term care or outpatient setting under the direction of a Registered Nurse and or Licensed Vocational Nurse.
• Participates in the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction.
• Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. Administers care per established policies and guidelines.
• Influences care outcomes by collaborating with members of the interdisciplinary team.
• Participates in unit/program level quality improvement processes and initiatives as well as customer service programs.

• The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach to receiving, triaging, and directing timely, coordinated care.
• Incumbent demonstrates proficient practice and decision-making, deliberate planning, and critical thinking skills.
• The Incumbent possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care regulations, and Veterans Health Administration (VHA) standards and guidelines.
• The Incumbent uses nursing knowledge and systems theory to assess, organize, facilitate, and guide Veterans through their full range of care options including internal/direct care in Veterans Affairs (VA) and care in the community.
• The Incumbent serves as a liaison to both internal and community providers and is responsible for managing the care of the Veteran throughout the consult process.
• The Incumbent supports the medical center's mission to improve timely access to care, ensure Veterans who want to receive care in the community are referred and scheduled into the community, and support the delivery of high quality, timely care to the Veteran receiving community services.
• The Incumbent will work collaboratively within the Office of Integrated Veteran Care (IVC) to triage Request for Services (RFS) to coordinate care processes defined by the IVC Field Guidebook to include developing a care coordination plan, reviewing medical documentation from community providers, communication of care coordination needs, and supporting the Veteran through the completion of the episode of care.
• The Incumbent will influence care outcomes by collaborating with members of the interdisciplinary team both within the Veterans Affairs (VA) and in the community.
• The Incumbent will comply with VA-mandated processes and use of health information solutions that serve to assess, document, exchange, and track care coordination information.
• The Incumbent ill utilize delegation of authority, if applicable, to function at their highest level of role performance and align high-quality care with key performance indicators to ensure practice standards meet patient care needs. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals.
• Contributes professional nursing perspective in discussions with the interdisciplinary team.
• Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe, quality nursing care.

Duties:

• Responsible to start, operate, adjust, stop, maintain, and perform various operational repairs on multiple fuel boilers, medical waste disposal systems, valves (gate, globe, and needle), water pumps, bearings, fuel pumps, motors, Variable Frequency Drives(VFD), air compressors, regulators, temperature gauges, pressure gauges, steam traps, sight glasses, motorized draft fans, steam traps, dampers, deaerator tank, condensate tank, controls (digital, analog, and pneumatic), water conditioning equipment, chemical conditioning equipment, sensors and pollution control equipment.
• Uses electronic, hydraulic and pneumatic controls, and zone charts in conjunction with meters, gauges, and computer-generated data to determine adjustments or corrections necessary for proper boiler operations or changing load requirements.
• Regularly observe and note readings on gauges, meters, detectors, recorders, boiler water level indicators, and computer generated and analog displays to detect danger signals in operations.
• Tests and analyzes the feedwater, boiler water, and condensate using standard chemical tests.
• Receives calls, determines responsibility, and dispatches appropriate personnel for service calls for after normal working hours.
• Keep the MSDS paperwork updated with the newest version.
• Monitors the operation of chillers, air handlers, pumps, cooling towers, computer rooms, refrigeration equipment, and alarms to assure proper pressures and temperatures are maintained in the facility.
• Maintains the cleanliness and sanitation of the boiler plant, tool room, office, and medical waste room.
• Monitors environmental conditions in the HCS using the EMS via use of Insight (host) and network to view, interpret, and acknowledge alarm messages.
• Coordinates with the VA police and local fire departments to ensure timely response to fires and other emergencies.

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 in Patient Care Services at the Central Arkansas Veterans Healthcare system in North Little Rock, Arkansas is assigned to Health and Wellness System of the Department of Veterans Affairs Medical Center and may assist other inpatient/outpatient areas as needed.

The primary duties of the Medical Support Assistant (Advanced) may include but are not limited to:

• Directing and accomplishing a wide span of team Administration procedures
• Ensuring medical records are reviewed and coded prior to transfer out to another VA facility
• Entering appropriate codes from completed Encounter forms
• Extracting Encounter Forms/Prescription Profiles for clinic visits
• Identifying various chemical compounds, symbols, and abbreviations comprising medication orders
• Informing Health and Wellness Service of patient movements, i.e., discharge, consult, etc.
• Initiating referrals as needed and related forms, when ordered by physician
• Issuing meal tickets
• Maintaining census information of patients on applicable forms and/or through the computer terminal
• Making routine administrative decisions regarding administrative functions of the Health and Wellness system and Department of Veterans Affairs policies
• Managing consults for new patients
• Performing checking in/out clinic of visits
• Providing administrative guidance and support to a constantly changing professional staff
• Receiving and handling most customer callers, both personal and telephonic
• Recognizing and referring urgent messages to the clinical staff for immediate action
• Recording telephone messages such as detailed reports, x-rays, test results
• Routing information to appropriate departments for action
• Scheduling and notifying Health and Wellness personnel of patient appointments with various clinics and Services throughout the medical center
• Serving as the point of contact for Health and Wellness services
• Serving as the team clinic/scheduling liaison with other elements of the medical center, and with the public
• Sorting and distributing mail
• Transcribing and directing a wide variety of physician orders for inpatient and outpatients to include requests for diagnostic tests, medications, treatment activities, etc.
• Transferring patients in the computer between departments
• Using the Electronic Record System
• Verifying physicians' orders and forwarding requests in a timely manner to ensure proper care is provided
• Orienting new physicians, residents, interns, nurses and nursing students to Health & Wellness Services

The Central Arkansas Veterans Healthcare System (CAVHS) consists of two inpatient campuses located at Little Rock and North Little Rock and eight Community Based Outpatient Clinics (CBOCS). Little Rock is the capital city of Arkansas, located in the central part of the state.

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

The incumbent reports to Chief, Medicine Service and the duties include, but are not limited to the following:

• Oversight of day-to day clinical operations in the Gastroenterology Section, including procedural areas.
• Identifying and addressing barriers to high quality care delivery and patient safety. Communicating through the chain of command in a timely manner for issues that cannot be solved at the section level or have an impact beyond the section.
• Program design, development, growth, and implementation.
• Prepare, justify, and administer the Section business plan including assessment of staffing, equipment, and space needs; facilitate the recruitment, selection, appraisal, and recognition of employees; address performance problems to include monitoring probationary/trial period new hires.
• Assure compliance with VHA standards as well as other accrediting bodies for the areas over which the incumbent will lead.
• Evaluate and implement new technologies as related to Gastroenterology and oversee quality improvement initiatives for the Section.
• Monitor staff and ensure all paperwork, education, and that training for providers is being met and oversee future recruitment.
• Supervision of clinicians in the section including yearly performance evaluations, participating in developing and refining performance goals, evaluating and addressing conduct and performance challenges.
• Regularly monitor data regarding access to gastroenterology care and gastroenterology care in the community costs. Review clinic utilization data, bookability, and other trackable measures. Develop and implement plans to assure optimization of resources for veteran access to care. Identify strategies to leverage technology to improve access to care.
• Provide comprehensive patient care in the form of invasive, non-invasive, consultative, and inpatient and outpatient Gastroenterologist patient care.
• Provide services such as outpatient examinations, consultation services related to GI, management of patients with Hepatitis C with the current treatment regimen, and admission status to the facility.
• Diagnose, treat, and manage patients with gastrointestinal diseases according to standard, usual, and acceptable methods, and technique.
• Oversee the administration of conscious sedation, perform GI procedures such as EGD (gastroscopy), EGD with Peg, colonoscopies, paracentesis, liver biopsy, and other procedures as appropriate and in-line with your technical skills.
• Provide patient care that is compassionate, appropriate, and effective for the promotion of health, prevention of illness, and treatment of disease.
• Participate in rotating on-call schedule with other clinicians in the section.
• Demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, and understanding and sensitivity to diversity, and a responsible attitude toward their patients, their profession.
• Demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team.
• Recommend improvement of work methods, organizational features, and the restructuring of positions to support the Gastroenterology services and quality patient care.
• Assist the Medicine Service Chief in the areas of: Resource Utilization; Accomplishment of local, VISN and national goals; Safety.
• Participate in strategic planning for the Medicine Service.
• Work collaboratively with the academic affiliate.
• Other duties as assigned by Chief of Medicine and/or Associate Chief of Staff for Specialty Care and/or Chief of Staff.

The incumbent is regarded as the technical authority within the VA HVHCS on assigned core sanitation, consolidated laundry, textile management, grounds keeping, landscaping, and waste management programs. The incumbent is the direct supervisor to a GS-12 Hospital Housekeeping Officer, and one program support staff at GS-7 grade. Work is reviewed based upon results obtained in supporting the VA HVHCS' mission and meeting specific program goals and objectives.

• Must possess the analytical appropriate standards and makes decisions on corrective action where indicated. Also required is knowledge of pertinent regulations and policies as they apply to the duties of the position and to the functions of the housekeeping program areas. Management decision making at this level presupposes an understanding of a wide range of variables leading not only to a decision but to effective implementation. Included are The Joint Commission (TJC) Hospitals and Occupational Safety and Health Administration (OSHA) rulings, and expert and up-to- date knowledge of all state and federal control regulations concerning product acceptance, application and dangers.
• Must have an up-to-date knowledge of products, equipment, and development within the Environmental Management field, especially with concerns to infection control.
• Serves as an ad hoc member and resource person for a myriad of special projects and remodeling efforts. He/she must have a working knowledge of all aspects of hospital administration, including the many areas in which the operation of two campuses and seven outpatient clinics healthcare system affects the interrelationships with the serviced community. The work involves the analysis of complex, interrelated, and multi-faceted issues. Options, recommendations, and conclusions consider and give weight to uncertainties about scheduling and other variables which affect long range program performance.
• Give considerable attention to human resource management, by continually analyzing the effective utilization of personnel costs to Environmental Management programs. Allocates available manpower resources to meet changing workload demands and clinical service requirements.
• Responsible for the efficient, effective, and economical assignment of staffing to provide adequate administrative support during regular and irregular tours of duty as staff works all shifts (24 hours day/7days a week). Also, responsible for all equipment used by the staff of the service in the day-to-day operations.
• Oversees services provided through contractors. Services covered by contract may include but not limited to integrated pest management, laundry/linen services, document shredding, waste management, landscaping, grounds management, and window washing services.
• Identifies developmental and training needs of employees, providing for and arranging needed development and training.
• Approves leave and initiates incentive awards.
• Monitors and analyzes both production efficiency and organizational structure in order to implement and or recommend process and organizational changes.
• Delegated responsibility and authority to plan, schedule, and carry out major projects concerned with the analysis and evaluation of programs and organizational effectiveness.
• The EMS Chief has full and final responsibility and authority for interviewing and selecting applicants for appointment and promotion, evaluating their performance, maintaining discipline, orientation, and training in compliance with VA regulations pertaining to employment, EEO and union/management relations.
• Participates in the annual budget estimate for the operation of these activities.
• Serves as the Textile Compliance Officer (TCO) and is required to complete and maintain CLLM training in accordance with VHA Directive 1850.03.
• Serves as Pest Control Officer and must maintain any required training/certifications.
• Regarded as the technical authority on core sanitation, laundry, waste management, grounds/maintenance, and interior design programs.
• It is essential that the individual in this position have the skills and be capable of building interdisciplinary teams by empowering teams with authority, responsibility, and accountability to achieve maximum success.

The Supervisory Medical Support Assistant works collaboratively in an interdisciplinary coordinated care delivery model. The incumbent fully participates in the daily team led huddles and weekly team meetings where patient care planning and management occur. Independently manages position responsibilities with little supervision as well as set priorities and deadlines adjusting the flow and sequencing of the work to meet team and patient needs. Plans and directs programs at satellite outpatient clinics.


Duties include but are not limited to:

• Assigning and evaluating the work of subordinate staff;
• Resolving complex problems to ensure patient services are met;
• Evaluating new products, equipment, and systems in order to make recommendations for improved operations;
• Identifying educational or training needs;
• Making final decisions on selections;
• Evaluating performance, and taking disciplinary action when necessary.
• The employee has full administrative and professional responsibility for planning and directing the MSA's activities.
• Responsible for extracting and analyzing data in order to provide reports in support of performance measures to senior management.

Duties include, but may not be limited to the following:

• Responsible for the technical work required for HPE programs including affiliation agreements, trainee qualifications and credentials letter (TQCVL), program letters of agreement (PLAs), direct HPT/affiliate staff customer service, and the on- and off­ boarding processes of HPTs.
• Review and validate HPT applications, qualifications, and appointment against OAA criteria before starting clinical rotations and performing patient care.
• Inform management with authoritative analyses, policy guidance and opinions regarding HPT appointment and on- and off-boarding processes as it relates to HPE programs.
• Enhance the efficiency of processes and HPT training experience as it effects the reputation of VA and its ability to maintain and expand the clinical workforce of VA and the nation through recruitment and retention of highly qualified HPTs.
• Responsible for enacting process changes with OAA, affiliate staff, facility leadership, clinical and administrative service lines by implementing SOPs, developing and administering training programs, and advising on HPE regulations.
• Provide complex coordination across clinical and administrative service lines at both facility and Veterans Services Integrated Network (VISN) levels.
• Synthesize and maintain data from diverse data systems and sources to cross check, validate and present relevant information and reports.
• Performs other related duties as assigned.

This job announcement will remain open for 10 business days. The initial application review cut-off for this job announcement is 50 applications. The first 50 applications received will be considered first. Applications received after the initial cut-off number (50 applications) may not receive consideration unless otherwise requested by management.

• Draft, edit, and/or make recommendations to office policies related to administrative functions (timekeeping, business rules for the OIC shared calendar, overtime, tour-of-duty) which are subject to review and approval of the supervisor.
• Serve as the primary timekeeper for the OIC program office. Timekeeper maintains time and attendance records and controls in accordance with Timekeeping Manual for OIC employees in an accurate and complete manner
• Ensure compliance with record keeping requirements for VHA OIC records.
• Analyzes daily Time and Leave System variances/rejects.
• Prepares exception reports for the service each pay period and works with OIC staff to ensure these are cleared.
• Demonstrates regard for privacy and confidentiality in all matters in accordance with all applicable policies and regulations.
• Maintains contacts with fiscal staff, OIC staff, and other individuals within and outside the program office in a concerned, compassionate, respectful and helpful manner.
• Disseminates information to the office personnel concerning policies, plans, procedures, methods and actions of an administrative nature.
• Provide technical advice to staff relative to record management requirements.
• Other duties as assigned.