Total 1,619 Health / Beauty / Fitness job vacancies in Montrose, New York

Major Duties:

• Maintains the operation and preventive maintenance of all electrical substations;
• Inspects and performs preventive maintenance duties in the 23,000, 4160, 480/277, and 208/120 volt transformation and distribution stations on an on-going basis;
• Installs, modifies, repairs and connects various equipment to electrical power services ranging in size from 110-volt-single phase to 480-volt three-phase, and repairing the 4160 volt starters on chillers;
• Installs, modifies, repairs, maintains, troubleshoots, tests, and loads new and existing electrical lines, circuits, systems, and associated fixtures, controls, and equipment related to secondary power distribution lines and circuits used to supply a wide range of voltage, amperage, phase, and frequency requirements, to distribution panels, switchgear, power and control circuits; industrial multiphase systems; thermocouple sensors; electrical intrusion alarm and fire alarm system; emergency warning systems; lighting protection systems; high intensity lighting systems with associated controls; target mechanisms; AC and DC rectification systems; galvanic and impressed current cathodic projection systems which prevent corrosion on underground or submerged equipment and pipes; amplifier circuits; and related electrical equipment;
• Installs and repairs various lighting systems and specialized power systems.
• Installs telephone and computer lines, alarm systems, CCTV systems, intercom systems, wiring for patient monitoring systems, and door hold-open and security devices;
• Repairs non-medical electrical equipment such as kitchen and laundry appliances, electric tools, fans, pumps, floor maintenance equipment, electrical warehouse trucks, and other similar equipment.
• Repairs, modifies and adjusts motors and motor control circuits on a large variety of building service equipment located throughout the Medical Center;
• Provides daily inspections of the condition and electrical loading of the switchgears and transformers located in the Medical Center sub-stations.
• Performs other duties as assigned.

Included but are not limited to:

• Provides patient management, care coordination, and discharge/disposition planning for inpatient and outpatient settings using all elements of the nursing process.
• The CM RN assists Veterans, family members, and caregivers with receiving the most appropriate options and services to meet their complex health care needs. This includes, but is not limited to, acute, chronic, multiple, complex, catastrophic, or life-threatening illnesses; combat stress, residuals of traumatic brain injury; community adjustment; addictions and other health problems.
• Coordinates care and collaborates with multiple members of the interdisciplinary team across all levels and sites of care.
• The CM RN addresses psychosocial, as well as nursing and medical needs of patients and their families/caregivers, through participation in interdisciplinary patient care management practice.
• The CM RN also evaluates care and outcomes to ensure timely and appropriate provision of services. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines.
• Demonstrates performance and leadership that is broad enough to improve the care for a group of patients.
• Provides peers with formal or informal constructive feedback for improvement.
• Supports colleagues and other nurses through CM knowledge sharing to provide safe, quality nursing care.
• Fosters a safe and supportive environment conducive to the professional development of health care professionals.
• Evaluates and documents CM outcomes of evidence-based decisions and practice changes for individuals, groups, and populations at the program or service level.
• Follows procedures per established policies and guidelines.

• This is a Bargaining Unit Position
• This position is in the Excepted Service
• This position is covered by a special rate.
• Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.

Data Collection and Tracking
Performs work involving the collection, compilation, and/or tracking of data and statistical information in support of all the Extended Care programs which includes; Hospice and Palliative Care, Community Care, HBPC, to include Rural Health and Medical Foster Home, Social Work support as well as supporting the operations and staff in the Community Living Center (CLC).

The incumbent maintains databases and spreadsheets, tracks consults and their outcomes. Assists in the planning, review and reporting of data/statistical results of program/project studies. Establishes protocols for and reporting of data/statistical results of program/project studies. Establishes protocols for incoming data, organizes computerized data sets, and retrieves computerized data.

Performs a basic analysis of data and generates a variety of reports. Evaluates documents and data collection forms. Coordinates incoming data from a variety of sources. Review documents, reports, and/or applications for omissions and inconsistencies, and ensures data entry is complete and accurate.

Supports quality improvement activities through data collection and completes administrative requirements, reports, and event planning. Incumbent also performs data collection and reporting functions for other programs in the Extended Care Service line.

EmployeeEducationCoordination
Incumbent monitors staff completion of all mandatory education requirements. Incumbent works with Extended Care staff to remind them of education opportunities and find appropriate training. Monitors and enters staff training into the TMS system. Enters training requests into the SF-$182 share folder for the service and serves as the liaison with Human Resource and Education Service to facilitate employee applications for funding. Troubleshoots electronic training problems and trains staff on use of the online education modules.

Human Resources: Recruitment, Orientation, Boarding and Licensing
Incumbent is responsible for collecting resumes and scheduling interviews for openings in Extended Care. Once applicants are offered positions, incumbent works with Human Resources to schedule start dates and serves as a liaison between the new hire and Human Resources, ensuring that the hiring process proceeds smoothly and all requirements are met prior to start date. Incumbent completes SF-52 for new hires as well as for any changes to existing staff.

Medical Coverage Coordination
Incumbent serves as the coordinator for the off-tour coverage of the VA NJ HealthCare System Lyons Campus. VA NJ policy MS-04 requires a medical physician to be on station 24 hours a day, 7 days a week. Incumbent coordinates the hiring, scheduling, and time and attendance for the Medical Officers Of the Day (MODs). Incumbent serves as a liaison with the Medical Administrative Assistants (MAAs), Medical Administrative Service, to coordinate on-call schedules.

ADPAC
Incumbent deals with all computer and technology related issues for Extended Care. This includes troubleshooting technical problems with hardware and software, serving as Extended Care representative to Information Management Service on various committees and workgroups, and participating in the rollout of any new information management initiatives.

Correspondence and Minutes
Incumbent completes clerical and correspondence duties as assigned. Incumbent is specifically responsible for twice-weekly Nursing Home Screening Committee minutes which must be completed and circulated immediately following Screening Committee meetings. Incumbent also works on letters responding to patients, families, and outside stakeholders such as Congress and Veterans Service Organizations.

Program Resources. Services and Support
Performs work related to the acquisition and/or development of program information and resource materials/personnel to support the policy development and/or technical activities of Extended Care. Incumbent is responsible for assisting the AO in creation and/or implementation and enforcement of new Standard Operating Procedures/Protocols, as well as 'for adherence to these SOPs. Incumbent works with all Extended Care staff towards compliance with SOPs, and is responsible for educating MODs on these procedures and protocols.

Customer Service
Answers telephone calls throughout the day and to cover all phone calls when the secretary is out. Deal with internal and external customers to include patient and family concerns. Contact with patients and/or family is largely done through phone contact, writing letters and/or in person.

Work Schedule: Monday to Friday 8am to 4:30pm
Virtual: This is not a virtual position.
Position Description/PD#: Program Assistant/PD38081A
Relocation/Recruitment Incentives: Not Authorized
Critical Skills Incentive (CSI): Not Authorized
Permanent Change of Station (PCS): Not Authorized

The incumbent processes all incoming requests to the facility for Release of Information (ROI) along with information required by the VA Regional Office through the Automated Medical Information Exchange (AMIE).

• Processes medical legal releases of information to attorneys and courts pertaining to Tort Feasor (Third Party Liability), Workman's Compensation, Labor and Industries and subpoenas.
• Screens and follows through on all incoming telephone calls from attorneys and insurance representatives regarding legal cases and requests under the Privacy Act, referring only problem cases to the Supervisor.
• Reviews and analyzes written and telephone requests to ascertain type of case to be developed.
• Develops and prepares cases for release to Regional Counsel and other appropriate parties.
• Contacts attorneys when necessary to obtain additional information to develop the case.
• Maintains files for all Privacy Act requests and subpoena cases for all cases being developed, processed or complete.
• Compiles tort cases for the Regional Office. This requires extensive investigations to track down x-rays and health records to compile a complete health record. Contacts all VA's to have them make a CD of all of the photocopied/printed/written to electronic media information, including digital x-rays.
• All paper health records are arranged in date order, numbered and several exact copies made for the Regional Office.
• All computer health records are downloaded to a CD including documents in VistA Imaging. For cases going to trial, this may include additional updates and coordination with the US Attorney's Office.
• Interviews veterans and insurance agents requesting information for Third Party Liability, Workman's Compensation, and Privacy Act cases for referral to Medical Cost Recovery and/or the Regional Counsel's Office.
• Evaluates validity of each request. Determines which information is to be released in compliance with existing laws (Privacy Act of 1974, Freedom of Information Act, and Health Insurance Portability and Accountability Act).
• Ensures that proper authorization exists before release is made. Processes the request to the requesting agency or individual.
• Inputs all requests into the ROI computer package for logging and tracking of these requests.
• Receives and directs callers and visitors. Receives and/or gives out forms and assists visitors and/or callers with the completion of forms or documents.
• Responds to questions from patients concerning services. Provides advisory and technical assistance to patients, administrative staff and professional staff regarding release of information.
• Inquiries vary widely and information given requires explanation of office functions, describing specific requirements, providing basic instructions, or a similar degree of detail.
• Searches records or files to compose responses, including electronic searches, to retrieve and summarize hard-to-locate data.
• Locates materials that would verify information given. Reviews paper and computerized health records (i.e., scanned notes, reports, special tests, etc.) to identify material to be photocopied/printed/written to electronic media and released.
• Employee composes responses to routine requests for release of patient information.
• Selects and compiles information from health records and prepares correspondence, typically using standard form or standard formats for letters.
• Ensures the information released is limited to what is specifically authorized and to the person or agency designated to receive it.

• Coordinates/directs the operation of the Food Service/Production areas using standards, procedures, diet manuals, modified menus and production sheets to guide the work.
• Establishes deadlines, priorities, and work sequences based on general work schedules, methods, and policies set by higher level supervisors.
• Coordinates work with supporting or related work functions controlled by other supervisors.
• Uses resources to operate within a planned financial budget.
• Shares in the managerial responsibility for the proper supervision of labor, allocation of subsistence and supplies, and all other resources required to accomplish quality Veteran centered meal services.
• Participates in meetings and discussions regarding initial planning of current and future work schedules, budget requests, staffing needs, estimates, and recommendations as to scheduling projected work.
• Prepares performance requirements and work schedules in accordance with established policies and procedures.
• Provides technical direction and training when scheduling work operations with complex work steps and processes.
• Investigates work-related issues such as excessive costs or low productivity, and determines causes.
• Performs as first-level supervisor over Cooks WG-7404-04, WG-7404-06, and WG-7404-08.
• Performs other related duties as assigned.

The MSA was established to ensure assistance to Veterans providing a smooth process for the management of Veteran's outpatient appointments as well as support work of the Patient Aligned Care Team (PACT). The MSA coordinates with the Clinical Team to review the clinic utilization by using various reports (i.e. Clinic Utilization Statistical Summary), ensure that the clinic setup is closely monitored to effectively support the needs of the clinic, and make any necessary adjustments. The MSA develops/maintains effective and efficient communication with the patient, interdisciplinary team, VA Medical Centers, and other agencies (e.g. assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities by fax; facilitate/process secure messaging with the patient and team; develop and manage a tracking system for follow up care as such consults, tests, etc.)

Major duties include, but are not limited to:

• Instructing employees in the numerous clerical procedures of the different services or any tour of duty.
• is responsible for maintaining patient confidentiality with respect to the Privacy Act.
• Responsible for maintaining a clean, safe, and orderly work area.
• Serving as a key contact for veterans and visitors, providing information and assistance, and acting on administrative matters in the veterans' interest. Gives messages lo patients, doctors, nurses, other multi-disciplinary team members and responds to routine inquiries (i.e., where a patient has been transferred, appointments, etc.). Refers questions concerning patient's condition to the nurse.
• Incumbent may be designated as a member of committees. Participates in quantitative and qualitative reviews of medical records to assure conformance with VA and Joint Commission on Accreditation of Healthcare Organization standards and orients professional staff in requirements for compliance. Such reviews will include verification and completion of physician's orders, patient allergies, and demographics information obtained by routine chart audits.
• Accurately and legibly transcribes physician's orders as per established policies and procedures assuring that the appropriate patient identification is present. Evaluations and treatment with other supporting disciplines within the Medical Center are coordinated for timely completion and to avoid schedule conflicts. In the case of medication/treatment orders, assures that the times the medications/treatments are to be administered are correct and sends a copy to the pharmacists. Prepares request forms for such things as - rays and consultations as prescribed on the doctor's order sheet. Employee will check off, date, time and initial orders verifying completion.
• Orders expendable supplies monthly and stocks main station areas with proper forms when assigned to wards.
• Reviews charts, assembles, and maintains the medical record forms in proper order for use by the physicians and nursing personnel in accordance with Medical Center policy and procedure.
• Keeps current on clerical duties related to final discharge care of patient (i.e., eligibility, travel, appointments, prescriptions, prosthetics, and nursing referrals). Schedules follow-up appointments in the computer system. Responsible for breaking down charts, according to an established protocol for all discharges, assuring that all forms have the appropriate patient demographics. Responsible for recharging carts when appropriate.
• The incumbent will utilize equipment such as computer terminals, printers, typewriters, imprinters, and localized fax machines.
• Routes prescriptions to pharmacy; independently or as a team member, performs the clerical duties of the ward unit relevant to ongoing patient medications and treatments.
• The incumbent will have a thorough knowledge of medication terminology/abbreviations and procedures for recording physicians' orders, especially for identifying generic and brand names of chemical compounds and to accurately transcribe drug names, dosages, and time of administration.
• The incumbent will routinely demonstrate stability and effectively exercise independent judgment. The MSA will foster and consistently maintain good public relations with patients and visitors as well as maintain an effective working relationship with clinicians and other Medical Center staff.
• The MSA will perform other related administrative and clerical duties as assigned.

The MSA was established to ensure assistance to Veterans providing a smooth process for the management of Veteran's outpatient appointments as well as support work of the Patient Aligned Care Team (PACT). The MSA coordinates with the Clinical Team to review the clinic utilization by using various reports (i.e. Clinic Utilization Statistical Summary), ensure that the clinic setup is closely monitored to effectively support the needs of the clinic, and make any necessary adjustments. The MSA develops/maintains effective and efficient communication with the patient, interdisciplinary team, VA Medical Centers, and other agencies (e.g. assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities by fax; facilitate/process secure messaging with the patient and team; develop and manage a tracking system for follow up care as such consults, tests, etc.)

Major duties include, but are not limited to:

• Instructing employees in the numerous clerical procedures of the different services or any tour of duty.
• is responsible for maintaining patient confidentiality with respect to the Privacy Act.
• Responsible for maintaining a clean, safe, and orderly work area.
• Serving as a key contact for veterans and visitors, providing information and assistance, and acting on administrative matters in the veterans' interest. Gives messages lo patients, doctors, nurses, other multi-disciplinary team members and responds to routine inquiries (i.e., where a patient has been transferred, appointments, etc.). Refers questions concerning patient's condition to the nurse.
• Incumbent may be designated as a member of committees. Participates in quantitative and qualitative reviews of medical records to assure conformance with VA and Joint Commission on Accreditation of Healthcare Organization standards and orients professional staff in requirements for compliance. Such reviews will include verification and completion of physician's orders, patient allergies, and demographics information obtained by routine chart audits.
• Accurately and legibly transcribes physician's orders as per established policies and procedures assuring that the appropriate patient identification is present. Evaluations and treatment with other supporting disciplines within the Medical Center are coordinated for timely completion and to avoid schedule conflicts. In the case of medication/treatment orders, assures that the times the medications/treatments are to be administered are correct and sends a copy to the pharmacists. Prepares request forms for such things as - rays and consultations as prescribed on the doctor's order sheet. Employee will check off, date, time and initial orders verifying completion.
• Orders expendable supplies monthly and stocks main station areas with proper forms when assigned to wards.
• Reviews charts, assembles, and maintains the medical record forms in proper order for use by the physicians and nursing personnel in accordance with Medical Center policy and procedure.
• Keeps current on clerical duties related to final discharge care of patient (i.e., eligibility, travel, appointments, prescriptions, prosthetics, and nursing referrals). Schedules follow-up appointments in the computer system. Responsible for breaking down charts, according to an established protocol for all discharges, assuring that all forms have the appropriate patient demographics. Responsible for recharging carts when appropriate.
• The incumbent will utilize equipment such as computer terminals, printers, typewriters, imprinters, and localized fax machines.
• Routes prescriptions to pharmacy; independently or as a team member, performs the clerical duties of the ward unit relevant to ongoing patient medications and treatments.
• The incumbent will have a thorough knowledge of medication terminology/abbreviations and procedures for recording physicians' orders, especially for identifying generic and brand names of chemical compounds and to accurately transcribe drug names, dosages, and time of administration.
• The incumbent will routinely demonstrate stability and effectively exercise independent judgment. The MSA will foster and consistently maintain good public relations with patients and visitors as well as maintain an effective working relationship with clinicians and other Medical Center staff.
• The MSA will perform other related administrative and clerical duties as assigned.

The work includes functions such as serving as an initial point of contact for the units, clinics, patient, call centers, interdisciplinary teams, to include, but not limited to, scheduling patient appointments, tracking, reviewing, and responding to electronic orders, consults, and other elements in the electronic medical record and medical systems. This series includes work that requires a practical knowledge of computerized data entry, information processing systems and software related to patient care, the healthcare system's organization and services, basic rules and regulations governing visitors and patient treatment, knowledge of standard procedures, utilizing medical records, and medical terminology. The Advanced MSA provides specialized and expert administrative patient support while working collaboratively in or in support of an interdisciplinary coordinated care delivery model.
Other duties as assigned

Work Schedule: 7:30am - 4pm Monday - Friday

Telework: Not Available

Virtual: This is not a virtual position.

Functional Statement #: 37141-F

Physical Demands: The work is administrative which requires standing, walking, sitting, stooping, bending, lifting light objects, answering telephone and data entry in VISTA/CPRS

Nestled in the heart of Southwest, Albuquerque is a vibrant city celebrated for its unique blend of natural beauty, cultural heritage, and modern amenities. With 310 days of sunshine each year, residents and visitors alike enjoy abundant opportunities for outdoor recreation and exploration.

The NMVAHS is proud to serve veterans, providing advanced medical care and fostering a supportive environment for its healthcare professionals.

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

Education Debt Reduction Program (Student Loan Repayment): Education Debt Reduction Program (EDRP) Authorized: This position is eligible for 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 your start date. 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: Former EDRP participants ineligible to apply for incentive. Contact VHA.ELRSProgramSupport@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

Major duties of this position include but are not limited to:

Assist and/or stand in for the section chief with the following duties:

• Running daily section huddles, attending daily section chief huddle, and reporting section status.
• Attending the weekly section chief meeting, conducting the weekly section business/educational meeting, and being the conduit to and from the hospitalist team and the medicine department leadership.
• Creating and adjusting the schedule (four academic services, 2 non-teach team, triage attending, and a backup provider 52 weeks per year, and adjust to emergencies as needed) including managing leave and CLC cross coverage schedule.
• Responding to and managing issues as they arise including but not limited to staffing needs, census problems, various systems issues including using paper orders when CPRS is down, and being available for guidance to the staff when complex concerns occur.
• Stand in for the section chief with regular UNM division meetings and requirements such as annual faculty self-assessments and promotion nominations.
• Responding to PUMA inquiries, coding inquiries, JSPRs, and PATS-R cases as they arise.
• Assist during meetings and on projects to keep continuity and hospitalist presence on dozens of matters.
• Stand in for the section chief with UNM internal medicine residency matters including monitoring for adherence to ACGME rules and regulations.
• Creating and maintaining a collaborative, supportive, and positive work environment.
• Organizing Spring and Fall section/division retreats.
• Assist in development of more mentorship roles within the section to encourage more consistent and supportive professional and development of the team.
• Develop projects and passions of their own that lead to improvements in workplace functions such as educational developments, administrative improvements, patient care improvement projects.

Work Schedule: Monday-Friday 8:30am-4:30pm

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

• Pulls stock inventory and material for delivery; replenishes stock inventory; interacts with clinical and administrative customers and maintains records on stock levels;
• Communicates to the Lead or Supervisor any concerns related to supplies, equipment and procedures.
• Provides information to customers regarding medical supplies;
• Monitors expiration dates, rotates stock to limit outdates and removes items from use as required by outdates;
• Monitors and controls critical supplies;
• Performs daily inventory using bar coding equipment on a predetermined schedule that will allow for timely replenishment;
• Resolves differences between records and physical count of stock;
• Distributes items according to established or ad hoc requirements in computerized inventory management systems;
• Delivers supplies in a timely manner and ensures supplies and material delivered are in sterile and operational condition;
• Completes specialty cart preparation;
• Cleans assigned secondary areas in accordance with aseptic principles; and
• Receives supplies and material into the medical center's catchment area.

The Surgical Technician performs the following major duties:

Functions as a Primary Scrub Person

1. Functions as a primary scrub person responsible for handling instruments, supplies, and equipment during all surgical procedures such as: open heart, thoracic, major vascular, neurosurgery, microsurgery, total joint replacement, renal transplant, and robotic surgery.
2. Sets up sterile field with all required items for each procedure such as air-powered equipment, fiber optic equipment, laparoscopic equipment, microscopes, lasers, arthroscopy equipment, urologic equipment, recording devices, and other operation room supplies and equipment.
3. Plans and discusses each procedure with surgical professionals and assures that all supplies and equipment are available prior to the surgical procedure.
4. Prepares, organizes, and maintains highly complex sterile surgical setups.
5. Observes and responds to each stage of the surgical procedure and anticipates the needs of the surgeon by maintaining a high level of concentration for extended periods of time.
6. Utilizes universal precautions and follows all Infection Control Policies and procedures when handling specimens, supplies, and equipment.
7. Assists the team members with care of patient, i.e., positioning, prepping, and obtaining supplies.
8. Handles all specimens appropriately.
9. In conjunction with the circulating Registered Nurse (RN), performs sponge and instruments counts to verify accuracy.
10. Responsible for the accountability for all surgical instruments and equipment during and after the surgical procedure (i.e. pre-cleaning and spraying of instruments).
11. In conjunction with the surgical team participate in "Time Out and Fire Risk Assessment".
12. Assists the surgeon by performing such procedures as preparing skin grafts, suctioning, holding retractors, applying skin staples, and cuffing sutures. Prepares prosthesis and surgical devices during procedures.
13. Assists in training residents, medical students, nursing students, operating room technology students, and new Operating Room (OR) staff in the operation of equipment, sterile technique, handling of instruments, and OR procedures to include the scrub role in surgical procedures.
14. Functions as second circulator for complex surgical procedures.

1. Performs non-technical maintenance of equipment to prevent malfunctions.
2. Maintains OR area.
3. Assesses equipment needs and maintains adequate stock of supplies and materials.
4. Recognizes potentially hazardous situations (e.g. frayed cords, water on floor) and takes corrective action.

1. Provides guidance and support to Nursing Assistants and other Surgical Technicians.
2. Supervises volunteers, aides, non-surgical team members, students, and other personnel.
3. Provides guidance and support to professional and technical students of an approved surgical technology program.

1. Assists surgical team members in quality improvement activities.
2. Updates personal knowledge regarding current trends in surgical technology through continuing education courses.
3. Performs other duties as assigned, normally of a related nature.

The Surgical Technician performs the following major duties:

Functions as a Primary Scrub Person

1. Functions as a primary scrub person responsible for handling instruments, supplies, and equipment during all surgical procedures such as: open heart, thoracic, major vascular, neurosurgery, microsurgery, total joint replacement, renal transplant, and robotic surgery.
2. Sets up sterile field with all required items for each procedure such as air-powered equipment, fiber optic equipment, laparoscopic equipment, microscopes, lasers, arthroscopy equipment, urologic equipment, recording devices, and other operation room supplies and equipment.
3. Plans and discusses each procedure with surgical professionals and assures that all supplies and equipment are available prior to the surgical procedure.
4. Prepares, organizes, and maintains highly complex sterile surgical setups.
5. Observes and responds to each stage of the surgical procedure and anticipates the needs of the surgeon by maintaining a high level of concentration for extended periods of time.
6. Utilizes universal precautions and follows all Infection Control Policies and procedures when handling specimens, supplies, and equipment.
7. Assists the team members with care of patient, i.e., positioning, prepping, and obtaining supplies.
8. Handles all specimens appropriately.
9. In conjunction with the circulating Registered Nurse (RN), performs sponge and instruments counts to verify accuracy.
10. Responsible for the accountability for all surgical instruments and equipment during and after the surgical procedure (i.e. pre-cleaning and spraying of instruments).
11. In conjunction with the surgical team participate in "Time Out and Fire Risk Assessment".
12. Assists the surgeon by performing such procedures as preparing skin grafts, suctioning, holding retractors, applying skin staples, and cuffing sutures. Prepares prosthesis and surgical devices during procedures.
13. Assists in training residents, medical students, nursing students, operating room technology students, and new Operating Room (OR) staff in the operation of equipment, sterile technique, handling of instruments, and OR procedures to include the scrub role in surgical procedures.
14. Functions as second circulator for complex surgical procedures.

1. Performs non-technical maintenance of equipment to prevent malfunctions.
2. Maintains OR area.
3. Assesses equipment needs and maintains adequate stock of supplies and materials.
4. Recognizes potentially hazardous situations (e.g. frayed cords, water on floor) and takes corrective action.

1. Provides guidance and support to Nursing Assistants and other Surgical Technicians.
2. Supervises volunteers, aides, non-surgical team members, students, and other personnel.
3. Provides guidance and support to professional and technical students of an approved surgical technology program.

1. Assists surgical team members in quality improvement activities.
2. Updates personal knowledge regarding current trends in surgical technology through continuing education courses.
3. Performs other duties as assigned, normally of a related nature.

The Registered Nurse - Patient Aligned Care Team (PACT) Demonstrates:

• Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care.
• Provides gender-specific direct Veteran care and care coordination, as it pertains, to Veterans and their care within the Primary Care Department.
• Manages assigned panel(s), utilizes registries, and ensures appropriate evaluation and access is provided to patient panels.
• Provides health promotion, health education and coaching on wellness, disease prevention, and chronic care management.
• Focus is on individual growth and development in outpatient PACT nursing practice with increased levels of self-direction.
• Ability to formulate a plan of care based on nursing assessments.
• Seeks guidance on how to improve care provided to patients and families.
• Delegates elements of care to the appropriate individual based upon assessed needs, condition, and safety of the patient.
• Brings primary care principles and theory with limited application of critical thinking skills.
• All consistent with the nurse's obligation to provide optimal care to multiple areas of outpatient PACT and Specialty Care nursing.
• Works with close supervision, is responsible and accountable for individual nursing practice and seeks direction from others as needed.
• Manages workload as assigned, organizes, and completes own assignments in an efficient and appropriate manner.
• Participates in the development, implementation, and evaluation of interdisciplinary care.
• Establishes a therapeutic relationship, allowing the patient to attain, maintain or regain optimal function through assessment and treatment.
• Engages patients, families, and other caregivers to incorporate knowledge, values, and beliefs into care planning without judgement or discrimination.
• Knowledgeable of ethical issues related to professional nursing practice and follows established policies of the practice setting, VA, and ANA Code of Ethics for Nurses.
• Aware of high reliability principles to deliver consistent care and improve patient outcomes.
• Demonstrates positive, effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers.
• Participates in unit-based activities to improve and deliver cost effective patient care.
• Demonstrates knowledge of specific unit level performance improvement activities.
• Meets the needs of the Veteran and as appropriate the Veteran's family, caregiver and/or significant other, the Veteran's representative, visitors to VA facilities, all VA staff and other customers while supporting VA missions.
• Consistently communicates and treats the Veteran and as appropriate the Veteran's family, caregiver and/or
  significant other, the Veteran representatives, visitors to VA facilities, all VA staff, and other customers in a courteous, tactful, and respectful manner.
• Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA statutes and policy, and VHA policy.
• Protects the data from unauthorized release or from loss, alteration, or unauthorized deletion.

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 VA Finger Lakes Healthcare System is seeking an experienced non-invasive Cardiologist (M.D. or D.O). Duties include participating in daily ambulatory/outpatient Cardiology clinic services within the entire Finger Lakes Healthcare System. Locations will include Canandaigua, Rochester, and Bath. Will interpret EKG's daily for the Cardiology clinic's as well as primary care, geriatric, and behavioral health clinics. The successful candidate will interpret transthoracic echocardiograms, ambulatory monitors and participate in services to include but not limited to Exercise ECG's and Exercise stress echocardiograms.

Work Schedule: Full time, Monday - Friday

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

Duties include but are not limited to:

Managing inpatient consults (create, and then have another person authorize for care in the community hospital or rehab), review CC_ ED/urgent care consults; call facilities to determine if patient was admitted and create an inpatient consult to authorize if in fact they are inpatients at that point; review NOH for admissions; authorize ED-

Urgent care consults for Mission Act eligible veterans for these visits. Create consults for specialty care and PCP care for all veterans eligible under Mission Act for Care in Community based on mileage, distance and wait time eligible patients.

The NP will also use the nursing process and evidence-based practice to work collaboratively with teams.

Taking this position, you may be required to move to a different facility other than main VA campus. Free parking may or may not be provided for that location.

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, 8:00 am - 4:30 pm or 7:30 am to 4:00 pm
Telework: Ad-hoc
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required