Total 142 Health / Beauty / Fitness job vacancies in Winterhaven, California

This position is located at the Fort Yuma Service Unit, Winterhaven, California. The primary purpose of the position is to develop, implement and maintain a Compliance and Integrity program to prevent and detect violations and other misconduct, and to promote ethical conduct and a commitment to compliance with the law. The position provides support to health care management officials and/or coordinating health care operations. The incumbent reports to Deputy Quality Management Director.

• Coordinates and monitors activities of the Fort Yuma Service Unit's global healthcare compliance and integrity program. Provides guidance on incorporating compliance-related activities into the operations of the Service Unit.
• Assists with reviewing, updating, and formulating Service Unit policies and procedures regarding compliance-relate activities to ensure consistency among the various divisions. Is responsible for promoting extensive working relationships within and across the service unit lines and for planning, coordinating and implementing compliance functions.
• Assists with plans related to Quality Assurance (QA) and Risk Management (RM) programs. Performance of duties involves establishing criteria, assessing program effectiveness, investigating or analyzing a variety of conditions, problems, or questions, which affect a wide range of activities and stimulating responsive action toward the achievement of quality care.
• Conducts investigations of alleged violations of Healthcare law, standards of conduct, or any other system policies and procedures. Assists department supervisors to investigate problems, determine action, and prepare analysis and performance improvement plans.
• Collaborates with the compliance committee (or equivalent) to effectively incorporate the compliance program in the service unit committee organizational reporting structure. This requirement will also consist of appropriate information and reporting system so that the Service Unit Executive Committee may exercise timely and informed judgments concerning the Service Unit's compliance with the law.

LPN/LVN responsibilities include:

• Primary responsibilities of the incumbent include: maintain certification as a telehealth preceptor in order to deliver advanced telehealth training and evaluation of the competencies of clinical and/or less experienced telehealth staff members, supports clinical telehealth encounters for both the patient and the provider locations by serving as the tele-presenter within scope of practice, functioning as an imager and data manager for telehealth store and forward applications, managing real time clinical telehealth events, providing established patient education and providing technical and administrative support of telehealth operations.
• Provides a full range of duties and is responsible for day-to-day operation of telehealth services at the assigned location and between the assigned location and remote sites of care as needed.
• Provide a wide range of clinical and technical services to the patient that demonstrates complex technical judgment under remote supervision of a Registered Nurse, Nurse Practitioner, Physician, Physician Assistant, or other LIP or specialty telehealth provider.
• Provide established competency-based training, guidance and information on the use of advanced telehealth technologies to patients, staff, and providers, and standardized competency-based training for telehealth technology, facilitating interactive simulations for clinical staff participating in telehealth programs.
• Utilizes technically complex digital medical image/data capture peripherals, including IP/streaming stethoscopes, otoscopes, high definition total exam cameras, teleretinal imaging stations, and digital camera photography.
• With the VA Video Connect (VVC) Program, the Advanced LVN / LPN will need to arrange and complete test video calls with Veterans to prepare the Veterans for clinical encounters using telehealth technologies and instruct providers on VVC. This includes being able to troubleshoot audio and video connections with the patient's cell phones (Android and iPhone), tablets (Android and iPad), different models of laptops, and different models of desktop computer equipped with webcams.

Duties may include but are not limited to:

• Administers and manages inventory controls for all medication, chemicals, medical supplies, and other supplies provided by Pharmacy Service to inpatients and outpatients.
• Employees routinely must decide what drugs and quantities to order to 1) assure continuous therapy and 2) stay within assigned budgetary limits.
• Maintains a borrow/loan ledger, which is reconciled monthly, to document borrow/loan actions with other hospitals in the area.
• Performs credit card reconciliations, certifies and files invoices, and completes other procurement forms and documentation as necessary.
• Works with Pharmacy Specialists and other Pharmacy Staff to implement and carry out recall action plans.
• Ensures that all necessary documentation and other follow-up actions are completed as required.
• Serves as a backup Procurement Pharmacy Technician (Procurement/Inventory) and complies with all the acquisition regulations, both Federal, VA, and local.
• Creates purchase orders with Prime Vendor (e.g., through McKesson Connect), Government Purchase Card, and VISTA IFCAP requests for all drugs, medical and surgical supplies, and other specialized medical devices handled by pharmacy that are either stocked or special ordered.
• Maintains accurate records of all purchases with appropriate documentation.

The Chief of Operations Officer (COO) is located in the Operations Division, Fort Yuma Service Unit, Winterhaven CA. This position is tasked with providing leadership and management to ensure that the health center has effective people, operational controls, administrative and reporting procedures in place to effectively grow the organization and to ensure financial strength and operating efficiency. The position reports to the Chief Executive Officer.

• Participate in all Executive level team management functions, such as Governing Board, Tribal Councils, Tribal Health Committees, Tribal Elder Committees, and other assigned speaking engagements.
• Participates in the development and implementation of both long and short term policies and plans for the healthcare delivery system.
• Forecast funds needed for staffing, equipment, materials, supplies; monitor and approve expenditures; recommend adjustments as necessary.
• Assumes a leadership role in facilitating advice/guidance of personnel management policies for management of the health care system.
• Establishes and maintains effective working relations with other governmental agencies, education entities, Indian tribes served community at large, IHS employees and other health agencies.

• Directs all administrative activities of the Service including budget and financial management, human resource management, strategic planning, program management and evaluation.
• Collaborates closely with other nursing services, clinical services, executive leadership, and support services.
• Plans and directs the administrative and technical aspects of personnel management.
• Serves as a Process Improvement expert and resource to the service and Health Care System to improve operations and facility resource stewardship.
• Applies the process of discovery that involves the diagnosis of a problem or issue, identification and gathering of relevant information, formulation and evaluation of alternative solutions or courses of action, and selection or recommendation of the preferred solution or course of action.
• Serves as the Contracting Officer Representative for the Service
• Conducts and directs special studies and analyses of complex problems in relation to staffing requirements, space, equipment utilization, organizational alignment, and other areas of concern both within the service and Health Care System wide.
• Formulates policies and operating procedures, ensuring compliance with VA regulations, statutes and the standards and requirements of various internal and external review bodies.
• Analyzes and evaluates the effectiveness of existing programs in meeting established program goals and objectives.
• Monitors expenditures and proposes reallocation of funds based on shifting program needs.
• Manages service and equipment related contracts.
• Identifies need for and recommends major equipment acquisition and replacement.
• Maintains a constant surveillance of service compliance with standards of the Joint Commission on Accreditation and Healthcare Organizations and other accrediting and regulatory agencies.
• Ensures compliance with all applicable accrediting organizational standards.
• Develops procedures for assessing, evaluating, and monitoring programs or projects for compliance with Federal laws, regulations, and guidance.

• Provides thorough assessment, counseling, and consultation services to residents who present for care with substance use risk factors and/or disorders.
• Interviews individuals and family members to explore and analyze factors influencing personality development and family structure in relation to the development of symptomatic behavior patterns and complicated interpersonal problems.
• Independently devises workable treatment plans (e.g. individual counseling, family counseling, referral for higher level treatment, etc.) and provides direct treatment using a wide variety of techniques for the resolution of personal, social, or environmental difficulties related to substance use disorders.
• Provides individual, family, and group counseling according to treatment plan established by interdisciplinary team.
• Coordinates with community referral resources in the development of specific treatment programs.
• Makes referrals to other social or medical resources, as appropriate.

• Provides thorough assessment, counseling, and consultation services to residents who present for care with substance use risk factors and/or disorders.
• Interviews individuals and family members to explore and analyze factors influencing personality development and family structure in relation to the development of symptomatic behavior patterns and complicated interpersonal problems.
• Independently devises workable treatment plans (e.g. individual counseling, family counseling, referral for higher level treatment, etc.) and provides direct treatment using a wide variety of techniques for the resolution of personal, social, or environmental difficulties related to substance use disorders.
• Provides individual, family, and group counseling according to treatment plan established by interdisciplinary team.
• Coordinates with community referral resources in the development of specific treatment programs.
• Makes referrals to other social or medical resources, as appropriate.

VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws

The incumbent will have direct supervisory responsibilities of 7 Pharmacists and 6 Pharmacy Technicians. Specific responsibilities include, but are not limited to:

• Providing leadership and oversight of daily operations of the dispensing and clinical pharmacy services at the Menlo Park Division by utilizing principles of a High Reliability Organization (including effective lean management tools).
• Managing operational and programmatic issues in a timely manner and assure compliance with all applicable laws, VHA regulations, Joint Commission standards, as well as VAPAHCS and Pharmacy Service policies and procedures. Participating in customer surveys/voice of the customer and implementing action plan to improve services provided.
• Ensuring accountability among staff in meeting performance standards by establishing and monitoring results-oriented performance measures and addressing deficits in a timely manner.
• Providing staff development through coaching, mentoring and supporting opportunities for learning and having direct responsibility for the compliance and success of the Menlo Park Controlled Substance program.
• Fostering strong working relationships within and outside the Menlo Park pharmacy section and developing/maintaining collaborative working relationships with services outside of pharmacy.
• Meeting section and service performance measures/key performance indicators and actively engaging in continuous process improvement of the Menlo Park Pharmacy.
• Investigating medication error events and working with employees to implement system changes to prevent future errors.
• Interviewing, selecting, orienting new staff successfully; and ensuring all staff complete their required annual trainings.
• Actively participating in service, facility, and VISN committee meetings.
• Critical performance elements of the position include: Leading Change, Leading People, Business Acumen, Building Coalitions, Results Driven

**This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until January 6th, 2025. The initial cut-off date for referral of eligible applications will be November 14th,2024, with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.**

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

Recruitment Incentive (Sign-on Bonus): Authorized
Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact V21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance.

Work Schedule: Monday through Friday, 08:00am-04:30pm
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

Provider is an Internal Medicine or Family Medicine trained physician. This physician will provide clinical services at the VACCHCS and provide leadership for their PACT. Provider is expected to document into CPRS in a timely manner, participate in Process Improvement/Quality Assurance projects and participate in usual Medical Staff activity including committee participation. Administrative duties are related to clinical activities pertaining to managing a panel of patients' health care, including preventative, ambulatory acute, and chronic disease management. Provider is expected to maintain Joint Commission readiness. Our Primary Care Physician (PCP) functions as a team provider in shared workflow with a multidisciplinary Patient-Aligned Care Team (PACT - a medical home model), assigned to provide comprehensive, collaborative same day and continuity care to an assigned panel of Veterans as well as to patients outside of the assigned panel when Veteran care indicates a need for such. Medical care is delivered in accordance with current clinical practice guidelines with attention to prevention via utilization of evidence-based clinical decision-making tools. In addition to the provision of high-quality medical care, PACT Physicians demonstrate excellence in customer service via compassionate and informed interpersonal relationships with Veterans, family members and staff.

The major duties and responsibilities include, but are not limited to:

• Provide direct patient care to include, but are not limited to history and physicals, medication management, evaluation of diagnostic tests and treatment planning, clinical reminder completion as applicable.
• Function as a leader in the PACT approach in the delivery of care, which emphasizes a team-based approach to healthcare.
• Utilizing all available tools, such as registries, to enable effective and efficient identification and intervention of individual patients and cohorts.
• Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel.
• Functioning at the full extent of the team member's relevant clinical privileges, credentials, scopes of practice, elements of practice, certification, functional statement, or other VHA or local facility approved documentation of competency.
• Participating in team performance improvement and sustainment activities to optimize team efficiency and care delivery to patients.
• Implementing primary care operations management processes, as appropriate.
• Providing health care commensurate to the PCP's licensure and clinical privileges.
• Providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members.
• Other duties as assigned.

Duties may include, but are not limited to:

• Enters appropriate information into the electronic record.
• Monitors pre-appointment information and/or requirements to assure readiness for patient visit/procedure.
• Evaluates patient information and clinic schedule lists to determine whether the patient requires an immediate appointment.
• Responsible for the clerical duties inherent in the admission, care and discharge of inpatients or the in-processing, care and out-processing, of outpatients and guests.
• Works collaboratively in an interdisciplinary coordinated care delivery model, Patient Aligned Care Team (PACT). Coordinates with the PACT to review clinic utilization using various reports, ensures that the clinic setup is closely monitored to effectively support the needs of the clinic, and makes necessary adjustments.
• Collaborates, communicates, sets priorities, and organizes work with the PACT in order to meet deadlines, ensuring compliance with established processes, policies, and regulations.
• Participates in team huddles and team meetings to manage and plan patient care: sets priorities and deadlines, adjusts the flow and sequence of work to meet team and patient needs: works with the team to reinforce the plan of care and self-help solutions.
• As a member of the PACT, participates in and independently follows up on team huddles by sharing information and collaborating with the medical team to assure continuity of care: informs and educates providers about shared patients (those receiving care at multiple VA locations or in the community); contacts patients to coordinate follow-up care.
• Manages patient systems to verify and validate accuracy and resolve issues.
• Correctly files original medical documentation in the patient record and copies of medical documentation into research files as necessary. On discharge, transfer, or completion of appointment verifies and assures that the record of the patient treatment is administratively complete.
• Customers are treated in a professional manner, with tact, courtesy, and respect. Instills confidence and trust with supervisors, peers, and subordinates by providing timely and quality service. Meets established time frames and deadlines in area of responsibility.
• Performs Quality Assurance monitoring using appropriate tools regarding the completion and contents of the patient record.
• Interacts with a wide variety of staff and demonstrates sensitivity to and an understanding of their needs by taking ownership of the problem and adopting the customer's needs as their own.
• Performs other duties as assigned.

• Manage the Military Treatment Facility Clinical Quality/Performance Improvement programs, ensure compliance to meet organizational needs.
• Conduct studies, to provide guidance to the organizations on Performance Improvement goals and clinical quality outcomes.
• Administer the Healthcare Risk Management daily activities to include risk identification, investigation, and reduction.
• Serve as primary point of contact for the accreditation and compliance programs for scheduling, accreditation surveys, and agency inspections.
• Interpret regulatory guidance to advise health care providers on medical staff bylaws, rules, regulations, and criteria.
• Direct professional credential and privileging program and review records and applications, monitor credentials, update data and analyze background information.

• Provide clinical oversight of the nursing staff on a Primary Care Medical Home (PCMH) Port Team within the clinic.
• Assess and monitor clinical variances from established and accepted parameters or work collaboratively with primary providers to initiate corrective actions as indicated.
• Continuously assess the effectiveness of patient flow.
• Provide input into ordering of supplies and new/replacement equipment.
• Perform supervisory duties to an immediate supervisor.

The Medical Technologist rotates on a regular basis through the areas in which they have been trained and are competent. The incumbent also works weekends, and holidays as priorities demonstrate a need.

The duties and responsibilities of the medical technologist - includes but not limited to the following:

• Evaluates and solves problems related to collection and processing of biological specimens for analysis taking into account physiologic processes and requirements.
• Maintains and documents the optimal functioning of laboratory equipment.
• Uses, calibrates, identifies malfunctions, repairs and performs preventive maintenance of laboratory equipment.
• Diagnoses deviations in test performance due to instrument malfunction.
• Performs and documents quality control and quality assurance activities and corrective actions related to test performance using statistical principles and theories of performance improvement.
• Performs a broad range of laboratory procedures and assists with instruction and training of new employees and students and in the laboratory's in-service/continuing education program.
• Recognizes and communicates predefined critical results affecting patient care.
• Adheres to practices and regulations. governing biosafety and biosecurity in the workplace.
• Answers inquiries regarding test results and interprets results and suggests follow ­up test selection or procedures.
• All other duties as assigned.

The PACU RN is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines.

PACU RN duties include but are not limited to:

• Possessing the knowledge related to the physiology associated with various anesthesia techniques and surgical interventions.
• Assessing and prepare patients for procedures appropriately.
• Performing clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention.
• Appling the appropriate post sedation scoring and assesses the patient's postoperative status to include cardiovascular and respiratory systems and airway management needs, neurological system, hemodynamic stability, pain, and comfort needs and mental status, implementing appropriate interventions to maintain or return all physiological system to baseline or above.
• Knowledge of current American Society of Peri anesthesia Nurses (ASPAN) standards, Veterans Health Administration (VHA) Directives and service level standard operating procedures (SOPs).
• Responsible for ensuring comprehensive documenting of all phases of care and is timely, complete, and accurate in the electronic health record (EHR).

The pharmacist provides comprehensive clinical and distributive pharmacy services to patients at the Palo Alto Acute Care Division, as well as remote order screening/verification and problem solving for the extended care patients at the Menlo Park and Livermore Divisions after those pharmacies close.

Major duties include, but are not limited to:

• Direct Patient Care Activities: prescribing (initiating, adjusting, discontinuing drug therapy) in accordance with the granted scope of practice. The scope of practice includes: anticoagulation, pharmacokinetic dosing of antimicrobials and other medications requiring renal/hepatic dose adjustments, conversions between dosage forms (IV to PO, tablets/capsules to solutions, etc.), and substance use disorder treatment (naloxone, smoking cessation products, etc.).
• Clinical Activities: screening and verifying medication orders; making drug therapy recommendations; monitoring and assessing medication effects; documenting clinical activities; adverse drug reaction reporting, renal and hepatic screening, medication reconciliation, and Code Blue management.
• Education/Training Activities: providing education to physicians and nursing staff; providing education to patients and caregivers about medications and side effect management; providing training to pharmacy trainees (PGY1 pharmacy residents and pharmacy students).
• Distributive Activities: checking inpatient and outpatient medication orders filled by pharmacy technicians; overseeing the technicians to ensure distributive duties are met in a timely manner; following up on missing doses; and assisting nursing, providers and patients as needed.