Total 64 Maintenance / Repair job vacancies in The Pines Nursing Home, Furze Hill Brighton, BN3 1PA

This position functions in the clinical associate role in the primary care clinic, which utilizes a Patient Aligned Care Team (PACT) model. The PACT ICT is responsible for providing direct and/or indirect patient care to an assigned group of patients. She/he will have the knowledge, skill and experience to carry out assignments involving point of care testing, providing treatments and vaccinations, performing diagnostic studies, and patient/family education. The ICT demonstrates active collaboration and communication with Patient Aligned Care Teamlet (Patient, Primary Care Provider, RN Care Manager and Administrative Associate) and Larger Team (family/caregiver, internal and community-based services and disciplines involved in providing care to the patient). This is the full performance level for the ICT position. This is a bargaining unit position.

Major duties include:

• The incumbent assists outpatient licensed staff with the delivery of care to patients with complex, specialized, and potentially life-threatening situations.
• Performs observation-based screening and collecting patient information in collaboration with licensed personnel.
• Completes approved templates and tools, such as the outpatient intake form, normal result notes, and follow up treatment protocols established by the agency.
• Assists in behavioral/psychiatric situations in an outpatient setting. This can include assisting licensed personnel with crisis intervention, management of aggressive or suicidal psychiatric patients, by providing one-to-one observations and applying prevention and management of disruptive behavior techniques (PMDB).
• Performs duties focused on communication techniques required to complete the questioners and templates approved for use in any outpatient clinical setting, including active listening, restating, and mirroring.
• Maintains a safe and therapeutic environment for the patient while promoting a sense of worth and dignity under the supervision of the licensed personnel.
• Assists outpatient licensed staff with the delivery of care to patients with complex, specialized, and potentially life-threatening situations.
• Assists licensed staff with preparing patients for medical evaluation, setting up equipment, passing instruments and providing treatment during in person or virtual visits.
• Operates specialized medical equipment to obtain diagnostic and therapeutic outcomes.
• Collects a wide range of specimens and preparing them for transfer to processing.
• Observes patient status and keeps licensed clinical staff informed of any change in condition.
• Clinical responsibilities include but are not limited to:
  • Vital signs. Examples: vital signs, 12-lead electrocardiogram (EKG).
  • Point-of-care (POC). Examples: Abbott hand-held blood analyzer (I-STAT), glucometer.
  • Equipment and surgical instrumentation set up. Examples: skin biopsies (excisional, shave, punch).
  • Treatments and interventions. Examples: Cryotherapy, incision and drainage, ambulation, and Foley coude' catheter insertion.
  • Wound care. Examples: bandaging, application of dressings and wound measurements.
  • Specimen collection and Preparation. Examples: collecting and labeling venous blood samples and mucous specimens.
  • Assisting with patient exams and screening. Examples: gynecology exams.
  • Mental health care. Examples: Crisis intervention, performs behavioral/mental health screens, conducts interviews, and observes behavioral patients.
  • Preparation of lab specimens and transfer to the lab for processing: Examples: Labeling, placing in the proper bin or tube system.
  • Assisting with patient exams and screening, utilizing technology such as telehealth peripherals. Examples: primary care physical exams (heart, eye, ear, nose, throat (EENT); gait exams, and skin exams.
  • Patient education within scope of care or while providing an intervention. Examples: post procedural care, splint care and wound care.
  • Follow-up care: Examples: Suture removal.
  • Electronic Health Record (EHR): Thoroughly and appropriately documents actions, interventions and procedures in the medical record. Examples: Procedural notes, progress notes, screenings, photo-documentation and secure messaging.

• Prepare design revisions to plans, specifications and cost estimates. Independently evaluates those prepared by others (i.e., A-Rs, project engineers, mechanical/electrical specialists, suppliers solutions).
• Change orders assigned are for a variety of projects requiring considerable adaptation of precedents or designs of features for which precedents are not directly applicable.
• Collect data needed to determine design direction considering such aspects as user satisfaction, functional feasibility, impact on contractors resources and operations, and assuring costs are kept to a minimum while still achieving objectives.
• Act as "project manager" for the change order, responsible for evaluating its design feasibility and cost effectiveness; conducting coordination with project personnel.
• Negotiate differences in scope, direction of change, and costs of labor, materials, equipment, overhead, etc., at issue with the contractor.
• Review contractors proposals and/or user requests for additions, deletions, modifications, or other contract changes.
• Prepare construction cost estimates, computing quantity take-offs and estimates of work involved in the various features of the work being modified.
• Prepare documentation of contract modifications and negotiations, assuring that content, form, and procedures are in accordance with District policy.
• Conduct analyses of construction contract claims involving disputes on contract interpretations, government-caused delays, differing site conditions, constructive suspension, acceleration, and other impact and labor-inefficiency claims.
• At the GS-09 grade level, the duties are developmental in nature leading to the full performance level of GS-0802-11. The duties are described at the GS-11 level

The Clinical Documentation specialist will provide active concurrent/retrospective review, provide feedback, and educate clinical care providers to improve the documentation of all conditions, treatments, and care plans within the health record to accurately reflect the condition of the patient and promote patient care. In addition, documentation should reflect documentation associated with MS-DRG assignment, case mix index, severity of illness, risk of mortality, physician profiling, hospital profiling, and reimbursement rules.

As a Clinical Documentation Specialist, incumbent is responsible for providing ongoing education to our providers and coding team members by conducting initial and extended-stay concurrent review on selected admissions and document findings identifying missed opportunities and clinical documentation improvements which will both enhance the quality of the health record documentation, maximize VERA and 3rd Party Collections. Incumbent identifies co-morbidities and complications and documents appropriately. Incumbent queries the medical staff and other clinical caregivers as necessary via written/verbal communication to obtain accurate and complete documentation. Provides ongoing education to physicians and other clinical care providers, related to documentation, changes in coding, compliance issues, profiling concerns, and reimbursement changes according to VA regulations and policies.
Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic medical record.
Advise and assist the Health Information Management section in the identification of training, in-services or educational needs of personnel. In addition, Clinical Documentation Specialist will present educational resources to the health information management staff and the professional staff as needed or provide goals as requested.
Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
Conducts re-reviews of codes abstracted for patient encounters identified by the VISN VERA Committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
For all assignments above the journey level, the higher-level duties must consist of significant scope, complexity (difficulty), range of variety, and be performed by the incumbent at least 25% of the time.
Performs other related duties as assigned.


Work Schedule: Full time 7:00am to 3:30pm (Can be negotiated at time of interview)
Compressed/Flexible: Not Authorized
Virtual: This is a virtual position.
Functional Statement #: F 1480
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized

The Clinical Documentation specialist will provide active concurrent/retrospective review, provide feedback, and educate clinical care providers to improve the documentation of all conditions, treatments, and care plans within the health record to accurately reflect the condition of the patient and promote patient care. In addition, documentation should reflect documentation associated with MS-DRG assignment, case mix index, severity of illness, risk of mortality, physician profiling, hospital profiling, and reimbursement rules.

As a Clinical Documentation Specialist, incumbent is responsible for providing ongoing education to our providers and coding team members by conducting initial and extended-stay concurrent review on selected admissions and document findings identifying missed opportunities and clinical documentation improvements which will both enhance the quality of the health record documentation, maximize VERA and 3rd Party Collections. Incumbent identifies co-morbidities and complications and documents appropriately. Incumbent queries the medical staff and other clinical caregivers as necessary via written/verbal communication to obtain accurate and complete documentation. Provides ongoing education to physicians and other clinical care providers, related to documentation, changes in coding, compliance issues, profiling concerns, and reimbursement changes according to VA regulations and policies.
Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic medical record.
Advise and assist the Health Information Management section in the identification of training, in-services or educational needs of personnel. In addition, Clinical Documentation Specialist will present educational resources to the health information management staff and the professional staff as needed or provide goals as requested.
Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
Conducts re-reviews of codes abstracted for patient encounters identified by the VISN VERA Committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
For all assignments above the journey level, the higher-level duties must consist of significant scope, complexity (difficulty), range of variety, and be performed by the incumbent at least 25% of the time.
Performs other related duties as assigned.


Work Schedule: Full time 7:00am to 3:30pm (Can be negotiated at time of interview)
Compressed/Flexible: Not Authorized
Virtual: This is a virtual position.
Functional Statement #: F 1480
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized

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

• Serving as facility technical payroll expert to VAMC staff and provide data, reports, guidance, and resolution to payroll issues across the VAMC.
• Independently researching, resolving, and responding to routine and occasional non-routine verbal and written pay and leave inquiries from employees, supervisors, Financial Service Center (FSC), HR, Veterans Integrated Service Network (VISN) and VA Central Office (VACO) staff.
• Determining proper application of pay and leave regulations, laws, rules and agency policies, guidelines, coding, etc. for each separate pay plan involved and appropriate leave system impacted.
• Interpreting and apply regulations and policies regarding appointment entitlements, leave earnings, charges of leave, leave w/o pay, advance sick leave and compensatory time.
• Using knowledge of varying premium pay and benefit entitlements for employee specific pay plans when implementing tours of duty regulations and/or policies to include 24-hour coverage, irregular, compressed and/or flex tours, etc.
• Performing full range of payroll actions under multiple automated systems for employees appointed under different personnel systems with each having unique pay accounts and governing regulations/policies relating to the Federal Wage System, (FWS) General Schedule (GS) title 5 including special salary rates, title 38, title 38 hybrids, law enforcement and firefighter pay, Fair Labor Standards Act (FLSA), title 38 overtime, irregular tours of duty, etc.
• Resolving system discrepancies which may result in initiating the employee debt process or back pay.
• Updating employees' master payroll records to reflect all changes authorized by personnel documents.
• Reviewing and work unique payroll actions, questions, or situations which impact: pay; leave; entitlements; taxes; benefits; other deductions and master pay record information for all employees in the group during the pay cycle.
• Managing annual refresher training for all timekeepers and supervisors.
• Answering routine and occasional non-routine procedural questions relative to time and leave laws, regulations, procedures and resolve problems to ensure accurate and timely pay.
• Assisting in resolving issues with court orders, grievances, and/or public laws.
• Reviewing authorized documents and code appropriate data for input into integrated personnel and fiscal automated systems to properly update employee master records.
• Reviewing all personnel actions in HR Smart related to; hiring appointments; separations; reassignments; promotions; pay adjustments; awards and other authorizing documents that affect pay and benefits of employees.
• Running daily reports to ensure all facility employees' pay is correct.
• Auditing all employee type of pay and leave accounts to identify and correct delinquent and/or erroneous personnel actions or time-keeping errors.
• Performs other related duties as assigned.

The Marion VA Health Care System is committed to Diversity and Inclusion. Together, we strive to create and maintain a working and learning environment that promotes professional growth and teamwork. We offer an inclusive, equitable, and welcoming environment where we celebrate our individual differences and unite as a team toward a common goal of providing outstanding service to our Nation's Veterans.

MRT (Coding) Auditors serve as experts of current coding conventions and regulations related to professional and facility coding. The duties include but are not limited to:

• Performing audits of encounters to identify areas of non-compliance in coding.
• Providing recommendations on appropriate coding and are responsible for maintaining current knowledge of the various regulatory guidelines and requirements.
• Working with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective action.
• Performing prospective coding audits and utilizing results to identify processing inadequacies and re­educate coding staff where necessary.
• Coordinating retrospective reviews to ensure adequate auditing of coding activities.
• Acting independently to plan, organize, direct and control areas with emphasis on data validation, analysis and generation of reports associated with the Medical Center's health information management program. This includes managing the professional health information management functions such as retrieving, reviewing and abstracting health record information.
• Determining quality control measures needed; initiate and implement them by use of monitors and/or continuous review.
• 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.
• Selecting and assigning codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
• Adhering to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding.
• Applying codes based on guidelines specific to certain diagnoses, procedures, and other criteria (inpatient and outpatient settings) 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.

The Marion VA Health Care System is committed to Diversity and Inclusion. Together, we strive to create and maintain a working and learning environment that promotes professional growth and teamwork. We offer an inclusive, equitable, and welcoming environment where we celebrate our individual differences and unite as a team toward a common goal of providing outstanding service to our Nation's Veterans.

MRT (Coding) Auditors serve as experts of current coding conventions and regulations related to professional and facility coding. The duties include but are not limited to:

• Performing audits of encounters to identify areas of non-compliance in coding.
• Providing recommendations on appropriate coding and are responsible for maintaining current knowledge of the various regulatory guidelines and requirements.
• Working with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective action.
• Performing prospective coding audits and utilizing results to identify processing inadequacies and re­educate coding staff where necessary.
• Coordinating retrospective reviews to ensure adequate auditing of coding activities.
• Acting independently to plan, organize, direct and control areas with emphasis on data validation, analysis and generation of reports associated with the Medical Center's health information management program. This includes managing the professional health information management functions such as retrieving, reviewing and abstracting health record information.
• Determining quality control measures needed; initiate and implement them by use of monitors and/or continuous review.
• 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.
• Selecting and assigning codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
• Adhering to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding.
• Applying codes based on guidelines specific to certain diagnoses, procedures, and other criteria (inpatient and outpatient settings) 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.

• Develop budget procedures complying with cost and financial considerations.
• Exercise technical judgment in developing and/or revising medical facility plans and objectives.
• Prepare extensive and convincing statistical justification in support of budget requests.
• Adjust allocations as required to optimize goals within financial and time constraints.
• Identify trends in obligations and expenditures to propose actions for efficient healthcare delivery.
• De-conflict resource limitations to optimize use of available funds.
• Execute funding programs in compliance with financial management principles and concepts to ensure effective use of agency resources.

• You will independently lead or participate as a key analyst in both workplace studies and/or process improvement efforts broad in scope, but most often focused on work performance measurement, methods, and procedures.
• You will conduct audits and evaluations, surveys, stakeholder interviews and focus groups, and collect, analyze, interpret, and correlate large amounts of narrative and statistical data about various process measures.
• You will help employees develop strategies and tactics for data analysis and visualization projects.
• You will draft policy guidance, recommendation and point papers, and brief senior leaders on findings and recommendations for increasing broader organizational effectiveness.
• You will provide a broad scope of support on other projects to include: tracking taskers, developing and tracking execution of financial spend plans, and supporting survey development and analysis.

Major duties include, but are not limited to:

• Assigns codes to documented patient care encounters (inpatient and/or outpatient) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced 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.
• Monitors 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.
• Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. Insures provider documentation is complete and supports the diagnoses and procedures coded.
• Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database in Austin. Independently researches references to resolve any questionable code errors; contacts supervisor as appropriate.
• Monitors the status and progress of work and day-to-day adjustments in accordance with established priorities. Instructs employees in specific tasks and job techniques and makes available written instructions, reference materials and supplies. Gives on the job training to new coders and students to provide the individual with the basic knowledge, skill and ability to perform the full range of routine and non-routine responsibilities required.
• Trains and works closely with professional and administrative staff to assist in the development, maintenance and usage of ICD and CPT codes to ensure accurate data capture.
• Identifies training needs of individuals based on productivity and accuracy reports, rejects from billing, and spot checks. Makes recommendations to supervisor concerning disciplinary actions due to insufficient performance and identifies continuing education needs.
• Takes the initiative in one-on-one provider training to improve health record documentation for the episodes of care provided. Has constant interaction with health care providers evaluating and communicating with the expectation on improving health record documentation which will result in improved patient care and improved revenue generation.
• Educates providers through feedback, email queries, or informal meetings. Participates in the orientation of House Staff from affiliated medical schools and other personnel as needed.

VISN 12 is committed to fostering and sustaining an environment which celebrates diversity, provides equitable opportunities for employment and promotion, and supports inclusiveness in our culture. Together, we strive to create and maintain working and learning environments that promote professional growth and teamwork, and are inclusive, equitable and welcoming. We embrace our differences as individuals and unite as a team toward a common goal: to serve our nation's Veterans.

This position is responsible for maintaining the quality of patient records, assigning of appropriate International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and various other duties as assigned.

Medical Records Technician Coder (CDIS) duties include:

• CDISs serve as the liaison between health information management and clinical staff.
• Responsible for facilitating improved overall quality, education, completeness and accuracy of health record documentation through extensive interaction with clinical and coding.
• Review documentation and facilitate modifications to the health record to ensure accurate severity of illness, risk of mortality, complexity of care, and utilization of resources.
• Develop and/or update medical center policy pertaining to clinical documentation improvement.
• Obtain appropriate corrective action plans from responsible clinical service directors and recommend improvements or changes in documentation practices, when applicable.
• Applies applicable coding conventions and guidelines to identify the principal and secondary diagnoses and significant procedures in order to accurately reflect the patient's hospital course and DRG assignment in the inpatient setting and to accurately reflect medical necessity and level of service or procedure performed in the outpatient setting.
• Develops and implements active training/education programs (i.e., seminars, workshops, short courses, informational briefings, and conferences) for clinical staff to ensure the CDIS program objectives are met.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Pharmacy Technician: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Pharmacy-Technician-Career-Flyer.pdf

Duties include but are not limited to the following:

• Works collaboratively with VISN programs, services, and interdisciplinary coordinated care team members to provide access to care and meet the needs of Veterans, their family members and/or legal representatives via various available contact modalities to include but not limited to telephone calls, secure messaging, chat, text messaging, and video regarding a broad range of topics, including medication refills and renewals, basic billing inquiries, and procedural pharmacy activities.
• Routinely reviews computer medication profiles for therapeutic duplication, prescription non-compliance and allergies/drug interactions. Transfers identified patients to a Pharmacist or Supervisor for further evaluation, if needed.
• Reviews patient's medical record and medication profiles to identify situations for polypharmacy and/or abnormal lab findings. Reports identified patients to a Pharmacist.
• Processes and submits patient requests for new prescription orders and renewals (including controlled substances) into the computer accurately, thoroughly, and in a timely manner. Uses approved VISN VA Health Connect Pharmacy Service protocols, when appropriate, to satisfy patient medication requests.
• Consistently documents patient contact and resolution in VISN VA Health Connect software and/or the Electronic Health Record (EHR) to include, but not limited to, what was requested, what action was taken, and any other information which may be pertinent during future research. Assists in the documentation of medication variances.
• Resolves simple and informal problems and complaints regarding VISN VA Health Connect Pharmacy Services, technology platforms, and systems when production is compromised. Refers more difficult problems to the supervisor.
• Actively and diligently treats all Veterans with respect and utmost dignity. Seeks to solve Veteran's concerns at first contact. When required, refers to other VA resources to assist in the resolution process. Always resolves all Veteran issues in a timely and caring manner with emphasis on providing First Contact Resolution (FCR).
• Trains and orients VISN VA Health Connect Pharmacy Technicians.
• Discusses team assignments, projects, and/or program issues under review, and deadlines and time frames from completion.
• Proactively monitors call volume and VISN VA Health Connect Pharmacy Technician performance through Automatic Call Distribution (ACD) metrics to identify personnel that may require further development and to determine where resources are needed.

• You will provide a full range of classification services.
• You will resolve complex problems with a large number of diverse/hard to fill positions.
• You will prepare and review position descriptions.
• You will coordinate and assist with desk audits.
• You will analyze and provide guidance on special program requirements for some positions, such as Drug Free Workplace Program, Key/Emergency Essential, DAWIA, and other pre-employment contingencies.
• You will prepare responses to data calls.