Total 86 Health / Beauty / Fitness job vacancies in Texas

• Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
• Assesses, plans, implements, and evaluates care based on age-specific components
• Responsible for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and support factors that impact customer satisfaction
• Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences
• Administers medications and procedures per established policies and guidelines.
• Collaborates with all members of the interdisciplinary team
• Core elements of performance include knowledge and active participation in unit level quality improvement processes and initiatives as well as customer service programs
• Independently plans and delivers technically competent care to patients with complex needs
• Provides leadership in identifying and addressing ethical issues that impact patients and staff
• Delegates care in a safe, efficient, and cost-effective manner
• Maintains current knowledge of multi-disciplinary resources, programs and services
• Maintains privacy and confidentiality of all patient information, including electronic, print and conversations
• Actively participates in policies, procedures, and standards to promote evidence-based patient-driven care
• Demonstrates professional communication and conduct
• Recognizes and supports Suicide Prevention initiatives
• Compliance with various Isolation Precautions and Infection Control Guidelines
• Skills in time management, priority setting, assessment and urgent intervention are essential for this unit
• Participation in High Reliability Organization (HRO) & professional governance initiatives
• Promotes evidence-based best practices and nurse sensitive indicators (including but not limited to Falls Prevention, Hospital Associated Infection Prevention, Medication error prevention, Safe Patient Handling, and Skin Safety)

• Serve as the Workflow Manager and as the Primary DHN W Enterprise Task Management Software Solution (ETMS2) Manager.
• Responsible for office tasks and staff level guidance to monitor the accuracy, completeness, and timeliness of reports, policy directives, correspondence, internal and external taskers and training.
• Direct and overseee operations of administration and management functions for DHN W to include workflow management, correspondence management, records management, publications management, and policy management.
• Ensure compliance with the Privacy Act and the Health Insurance Portability Act (HIPAA) Privacy Rule, including the legal, regulatory, policy and established processes.
• Develop and implement ETMS2 policies and business practices for the DHN W.
• Plan, develop, and implement policies covering all aspects of the DHN W Directorate’s workflow/correspondence management operations to meet Directorate goals and objectives.
• Review and disseminate administrative directives and policies issued by DHN W, DHA, DoD, and other governmental organizations.
• Participate in identifying and resolving problems arising from internal directives, plans and policies emanating from within the DHN W to ensure conformance with existing policies and directives.
• Serve as the proponent for administrative process development to define and improve continuity of operations.

• Expose intra-oral and extra-oral digital dental radiographs in accordance with accepted radiation safety standards.
• Perform teeth isolation procedures.
• Take impressions and bite registrations.
• Pour impressions to make stone and plaster models, trims models as necessary.
• Relay instructions to patients for post-treatment care.
• Instruct patients in appropriate oral hygiene methods including, but not limited to brushing and flossing techniques, care of prosthodontic appliances, post-surgery wound care, and the common causes of dental disease.
• Assist with general dentistry and specialty related dental procedures.

The Registered Nurse for Acute Care is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction. Considers all characteristics of the individual, including age and life stages, state of health, race and culture, and previous experiences. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs.

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

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: 8 and 12 hour shifts, to include days, nights, weekends and holidays
Compressed/Flexible: Available
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Bargaining Unit: This position is part of the Bargaining unit.

• The duties may include, but are not limited to:
• Responsible for managing Agricultural Quarantine Inspection (AQI) and/or Domestic programs as follows:
• Designing regulatory, survey, control, and/or eradication efforts.
• Representing Plant Protection and Quarantine (PPQ) in cooperative programs.
• Developing survey, treatment, and/or inspection initiative in order to facilitate exports of agricultural products.
• Overseeing the planning and management of inspections, treatments, and survey/eradication programs as well as the enforcement of quarantines.
• Providing guidance to the first-level supervisors who initiate and modify techniques and procedures to meet changing program requirements.
• Developing and maintaining cooperative relations with customers, stakeholders, regulated entities, and other Federal and local governmental agencies.

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

Duties include but not limited to:

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

Duties may include but are not limited to:

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

• Write lesson plans and other elements of curriculum development, information papers and other staff actions, and technical documents.
• Conduct validations, analyzes results, reports on validation, and review course materials and test as required.
• Create training situation and procures required training aid to enhance situation awareness.
• Conduct training for Defense Occupational and Environmental Health Reporting System-Industrial Hygiene (DOEHRS-IH).

This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until February 24, 2025, or until all positions are filled. The first cut-off date is December 6, 2024. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.

Applicants will remain active for 3 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period.

• Designated first-line supervisory authority and is responsible and accountable for the 24/7 operation of their assigned units and provides coverage for other NMs as needed.
• Responsible and accountable for the direction and supervision of specific orientation, training, development of staff, and evaluation of individual staff performance.
• Functions as a role model, educator, practitioner, and supervisor providing leadership to the team.
• Influence care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence based cutting-edge programs/processes.
• Engages in professional organizations to enhance leadership and career growth.
• Adhere to ethical principles in decision-making, fostering accountability at personal, organizational, and staff levels.
• Equip staff with tools for culturally competent care and promotes a culture of accountability for high-quality, cost-effective outcomes.
• Cultivates alliances across the care continuum, building trust through active listening, engagement, and emotional intelligence.
• Contributes to the development of care delivery models and environmental design, ensuring evidence-based, accessible, affordable, and equitable patient care.
• Ensures compliance with accreditation and regulatory standards.
• Aligns nursing/clinical objectives with organizational strategic outcomes, participating in strategy planning and execution.
• They promote an inclusive workplace valuing diversity to achieve the organizations vision and mission.
• Maintains knowledge and ensures compliance with all regulatory and accreditation standards, Directives, policies, and standard operating procedures (SOP).
• Assesses, plans, implements, and evaluates delivery of care based on age specific components.
• Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Influences care outcomes by collaborating with members of the interdisciplinary team and participating in process improvement initiatives.

Major Duties include but are not limited to:

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

• Utilizes glucose monitoring machine to receive glucose readings for veterans
• Provides direct care for complex veterans.
• Makes observations of subtle changes in resident's condition, i.e. behavior shifts, mood, skin coloring, appetite, etc.
• Documents care given, observations and responses on appropriate tools or forms.
• Performs oral and nasopharyngeal suctioning.
• Administers complete tracheostomy care, including suctioning.
• Monitors and documents patient intake and output.
• Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran for such procedures but not limited to: enemas, catheterization, colostomy care, skin care simple dressing, application of braces and prosthetic devices.
• Works on small group activities with veterans/residents according to patients/veterans' treatment plan.
• Recognizes the resident's autonomy and promotes independence by means of respect, limit setting and individualized treatment.
• Actively participates in treatment planning meetings.
• Utilizes equipment to promote the veteran self-care, such as lift equipment, hydro sound tubs, and veteran/resident wandering system.
• Verbally provides patient information to the treatment team for inclusion in the veteran/resident's plan of care, participates in treatment team meetings for resident care planning.
• Enters information about the residents' condition in the chart, utilizing appropriate formats.
• Participates in maintaining a clean, safe environment for the patient/resident.
• Removes defective equipment, reports hazards, observes safety regulations, contributes to infection control, and utilizes proper aseptic technique in performance of duties.

Serves as a training instructor in a vocational or occupational training program in the Education Department of a Federal Bureau of Prisons (BOP) correctional facility and may also serve as a program coordinator for other vocational/occupational training programs.

Selects and/or develops curriculums which focus on the appropriate vocational training area.

This position has direct responsibility for the delivery of classroom training for vocational and apprenticeship courses in the field/trade of Personal Fitness Trainer.

Develops a curriculum design and record-keeping system to organize and track student progress through identified course work.

Ensures the training program(s) are implemented and delivered in compliance with Bureau policies, Department of Labor, and Bureau of Apprenticeship and Training regulations, and the standards established by other certifying agencies and organizations.

Serve as apprenticeship program coordinator with responsibility for coordinating the various occupational training programs and classes, as well as responsibilities which include development, review and evaluation of the vocational trades program.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.

*** Non-Bargaining Position ***

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

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

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

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

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

The Behavioral Health Clinic utilizes a broad range of treatment modalities, and the incumbent will perform a variety of counseling, treatment, assessment, diagnosis and service assignments which requires specialized knowledge in the nature and impact of substance use/co-occurring mental health disorders on the Veteran and family system. The position requires an individual with comprehensive professional competence and judgment. The clinical objectives and activities to be supported by the incumbent include:

• Improved substance use/mental health outpatient treatment.
• Improved mental health assessments, as demonstrated with the use of Measurement Based Care tool, BAM-R/BAM-IOP and case management.
• Improved referrals for patients with mental health/medical needs.
• Improved individualization of SUD and behavioral health treatment.
• Improved SUD and mental health patient continuity of care, follow-up and aftercare.

• The incumbent is responsible for the implementation of short and long-range social work treatment delivery goals.
• The incumbent assists the DOM-SUD Leadership Team in developing and implementing policies and procedures pertinent to clinical treatment aspects of the DOM-SUD Team's operation and treatment services.

• Provides direct evidenced based clinical treatment to veterans admitted to the DOM-SUD Team. This may include educational DOM-SUD offerings, group therapy, individual therapy, diagnosis, assessments, intakes, discharge and aftercare planning.
• Presents clinical matters to the treatment team as part of the interdisciplinary treatment planning process.
• May serve as a professional consultant on SUD issues and DOMSUD level of treatment to other staff at the Medical Center as well as community agencies.
• Responsible for maintaining timely and accurate records in CPRS documentation.

The Primary Care Provider (PCP) Float will provide primary care services in support of primary care operations in the San Antonio service area. As a float provider, this position will provide support to Patient Aligned Care Team (PACT) at an assigned San Antonio Clinic and may be detailed to other VA Clinics in San Antonio as staffing and workload dictate.

THE PCP Float may be asked to provide coverage for a vacant/absent PACT provider to supplement PACT services by delivering same-day care, routine scheduled care, or new patient intake for PACT panel(s).

The Primary Care Physician is responsible for providing Comprehensive Primary Care for Veterans and should, in the context of a longitudinal relationship, fulfill all primary care needs, including acute and chronic illness, gender-specific PC, mental health (Screen for conditions such as depression, substance use/abuse, military sexual trauma and PTSD, and evaluate and treat uncomplicated mental health disorders as well as substance use disorders and refer patients appropriately for further evaluation and treatment of sexual assault and military sexual trauma, mental health disorders and substance use disorders) and preventative care (age-appropriate cancer screening e.g., colon, breast and cervical cancer - as well as weight management counseling, Chlamydia screening (when indicated), smoking cessation and immunizations, etc.) along with coordination of care delivery (when specialty care is needed, the primary care provider will coordinate this care and communicate with the specialty provider regarding the evaluation and treatment plan to ensure continuity of care).

The PACT Model is a patient-driven, team-based approach that delivers efficient, comprehensive, and continuous care through active communication and coordination of health services through an interdisciplinary team that includes the PCP, RN Care Manager, LVN, clerical associate as well as other clinical services necessary to meet the health goals and needs of the Veteran patient including specialists. While the Primary Care provider's relationship with the Veteran patient will remain key, that bond will be augmented and strengthen by involving other health care staff as part of an integrated team. Together the team takes responsibility for the Veteran patient's ongoing care through a cooperative effort among all members.

Alternative or collateral duties may include management of a subsection of primary care patients, the subsection may be defined either by a disease status, or demographic status (e.g., women veterans, OIF/OEF veterans, employees, etc.). Typically these duties are designated at the time of joining but occasionally during the course of employment, participation in special projects pertinent to assigned section may be necessary as the projects become available through strategic or other initiatives.

Physicians may be assigned duty as a supervising or collaborating physician for one or more mid-level providers. Physicians are expected to provide clinical oversight and review the care provided by mid-level practitioners. Most providers will need to act as surrogates for the patients of their colleagues, when one or more of their colleagues are on leave.

Driving Requirement: Selectee will be expected to travel and must posses a valid and unrestricted driver's license.

Work Schedule: Monday to Friday (8:00 a.m. - 4:30p.m)


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

Recruitment Incentive (Sign-on Bonus): Authorized for Internal Employees.
Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VISN17EDRP2@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

As a nursing assistant, you serve as a member of the nursing team, performing a variety of nursing assignments in the outpatient clinical setting. This position requires the Nursing Assistant to perform such tasks as recording vital signs, doing EKGs, blood glucose monitoring and administering care to patients. The Nursing Assistant also provides support to providers and nurses in the performance of personal care and assisting with diagnostic examinations. The Nursing Assistant requires excellent customer service and communication skills when dealing with the veterans, their family and co-workers. Tasks include:

Maintaining unit flow in busy, high-volume environment by ensuring equipment is clean/sterile and in working order; exam/procedure rooms are clean, stocked and set-up, providing timely turnover of exam/procedure rooms to facilitate providers/clinic staying on time. The Nursing Assistant assists providers and other nursing staff with minor procedures. The Nursing Assistant will monitor for expiring medication/supplies. Assist with repeat blood pressures, patient admissions and transfers, general transporting of patients, lab and pharmacy running for clinic. The Nursing Assistant will be entering information into the patients' electronic records or charts using standard medical terminology for the human body, physical and emotional reactions, nursing care, and contraindications to medications, etc. The Nursing Assistant will foster/support a learning environment by participation in the orientation of new employees, providing feedback as appropriate and seeking opportunities for self-improvement. Must have basic computer skills to perform daily tasks. The Nursing Assistant will be required to monitor patients who are disoriented and in need of constant direction. You will be required to work as a team in improving patient care. You will be required to perform other related duties as assigned. This position reports directly to the Nurse Manager of the Surgical Specialty Clinics.

Clinical Skills
1. Completes all care assignments in a safe and timely manner
2. Actively participates in unit level quality improvement activities and attends huddles, team meetings, and assigned committees.
3. Completes applicable documentation per policy to include but not limited to Intake/Output, daily weights, vital signs, pain score, hourly rounding, blood glucose testing with accurate comment for notification.
4. Uses the appropriate equipment for safe patient handling to include but not limited to: SCDs, bladder scanner, Bucks tractions, lift equipment, CPM, glucometer to include maintenance of quality controls as applicable.

Emergency Intervention:
1. Is able to apply knowledge of effective verbal interactions and preventative tactics, such as the use of the least restrictive environment, when confronted by aggressive, potentially assaultive, disruptive, confused and elopement risk patients.
2. Is able to utilize knowledge of physical, social, and emotional factors when assisting with patient care.

Patient Education and Planned Activities:1
1. Applies knowledge of human behavior and the various degrees of physical and mental impairment, is able to reinforce patient/family teaching provided by the registered nurse.

Assessment and Communication:
1. Is able to recognize patient care management difficulties or problems and brings their finding to the attention of the registered nurse.
2. Is able to communicate with patients and families in a calming, reassuring, and supportive manner.

Interpersonal Relationships:
1. Establishes therapeutic relationships with patients and all members of the Interdisciplinary Team.
2. Maintains courtesy during telephone and direct verbal interactions with patients, families, visitors, coworkers, and supervisors.

Fire and Safety/Infection Control:
1. Maintains a safe work environment and has knowledge of Safety and Infection Control Guidelines.
2. Utilizes proper body mechanics, encourages others to do so, and includes participates during unit In-service and Patient Care Conferences.

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

Work Schedule: Monday-Friday 0730-1600
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 00000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized
Financial Disclosure Report: Not required