Total 49 Maintenance / Repair job vacancies in Gaithersburg, Maryland

• Assess and provide intervention for individuals with a wide range of chronic medical conditions, and behavioral health issues affecting medical conditions to include assessment and disposition of beneficiaries with acute and chronic risk.
• Consult with primary care providers to select, approve, and document treatment priorities.
• Educate clinic staff on the principles of primary care behavioral health via trainings and briefings.
• Conduct outpatient group classes, stress management, relaxation training, assertive/social skills training, diabetes management, chronic pain, and brief related interventions.
• Assess acute mental and behavioral medicine conditions in beneficiaries.
• Provide individual and group treatment, using various evidence-based modalities to include problem focused interventions, cognitive-behavioral therapy, and psychoeducational classes.
• Develop, and implement, professional development activities, coordinates departmental training on PCBH related topics.
• Assess and provide interventions for individuals with a wide range of chronic medical conditions and behavioral health factors affecting medical conditions.

• You will identify, collect, document, preserve, and transport evidence to ensure integrity for forensic analysis and judicial proceedings.
• You will enter, upload, maintain, review, and/or update health care records (e.g., patient data, patient identifiers).
• You will receive batch folder, containing chain of custody documents, which serves as the initial source material for data entry purposes.
• You will receive bulk mail deliveries of urine specimens from U.S. Postal Service, other commercial couriers, and in person.
• You will Inventory each shipping container to determine if the specimens, within, are accompanied by the appropriate forms and documentation.
• You will recognize, identify, and annotate discrepancy codes as they apply to box, form, or urine specimen bottle, requiring significant attention to detail and independent judgment.

• Responsible for original creation and distribution of digital and print communication design in all required formats in support of the Medical Treatment Facility (MTF), National Capital Region (NCR), and Regional-wide products and campaigns.
• Perform as senior graphic designer and advisor for a multitude of visual communication projects, formats, audiences, and vehicles serving a large world-renowned multi-service Military Medical Center.
• Create and distribute brochures, posters, banners, display ads, teaching booklets, conference manuals, orientation and welcoming kits, media, special and historical commemorative events, and VIP packets and programs.
• Research military icons, symbolism, patient accessible medical language, correct military rank, titles, bios of VIPs, etc. ensuring proper designation. Research paper stock, printing techniques, and processes as necessary with each project.
• Maintain professional level photographic skills, which require the sensitivity to photograph patients and staff while abiding by strict Health information privacy rules and guidelines and acquiring written permission before photographing.
• Professionally manipulate digital photography for intended outcome (web, print, etc.,) reproducing quality photographs in the highest resolution available.
• Familiar with the sensitive cultural and political issues present in a newly formed "Joint Service" Military Medical Center and be able to sensitively communicate visually and equitably needs of a multi-service cultural military environment.
• Incumbent is expected to learn and stay proficient in newest graphic art and photographic equipment and technology.

• Greet patients and take necessary action to expedite a smooth and effective visit.
• Schedule patient appointments.
• Receive all telephone calls and visitors to the department, and answers inquires such as obtaining medical assistance; directions for contacting different clinics; resolving requests for changes in scheduled appointment; and test preparation.
• Utilize in-depth knowledge of office automation and printing equipment to create, copy, edit, store, retrieve and print various reports that contain medical terminology.
• Establish, organize, and maintain medical records, in the proper sequence, ensuring all necessary forms and documents are present, accurate, and complete.
• Train new staff on departmental guidelines to include, but not limited to, department standard operating procedures, and the Health Insurance Portability and Accountability Act (HIPAA).

• Serve as the Director of Communications/Public Affairs and as Special Assistant to the director of a major Military Medical Center.
• Expert advisor on Strategic Communications (SC) and Public Affairs (PA) initiatives on issues pertaining to media and community relations; communications; risk and crisis management; advocacy, outreach/ internal relations; plans and analysis.
• Serve as a spokesperson for the medical center, responds directly to media inquiries, advises senior leadership of areas of public/media interests, and recommends veterans proposed media responses before public release.
• Draft and review speeches, presentations, and videos for the medical center leadership for internal and external events.
• Liaison with international visitors, private groups, high-level officials of the DoD, flag officers, foreign embassies, international dignitaries, the Secretary of the Army, and other national and local representatives
• Direct and manage a staff of approximately 15 civilian administrative, public affairs and marketing personnel.
• Oversee the budget development and obligation of funds for the Office of Command Communications.
• Host regular meetings to engage team members and discuss communication/public affairs goals/mission, and current issues. Establish rapport with staff to focus on communication, objectives, motivation, cohesiveness, and trust and flexibility.
• Provide continuous feedback to employees regarding performance expectations and any noted deficiency and achievements.

1. Property and equipment custodian: Performs physical inventory and property accountability management of property and equipment. Reconciles property record balances using property inventory from Discover Viewer. Maintains an accounting and reporting system for nonexpendable property and performs routine phases of property management. Corrects routine discrepancies within the system. Maintains inventory of property for Force Support Squadron activities in accordance with established guidelines and procedures. Resolves property record discrepancies through reconstruction of supply transactions and/or extensive search of supply records, computer listings, Discover Viewer, etc. Ensures accurate description, condition, and quantity available when property is declared excess or residue. Reviews reports of excess property submitted by other offices and identifies items that have potential for utilization.
2. Report of Survey Monitor: Receives and adjusts Report of Survey report when property is lost, damaged or destroyed. Ensures that proper documentation of the loss is on file and that the loss was not a result of negligence by a member of the squadron. Ensures that the property is written off of the records and files are maintained with the Shared Service Center.
3. DRMO representative: Serves as principle authority in the FSS for screening and distribution of excess and surplus property. Serves at the FSS principle screening authority for the Defense Reutilization Management Office (DRMO). Directs, coordinates, and controls the turn in of all NAF and APF property and equipment.
4. Vehicle Control Duties: Provides supply support and account management for the FSS vehicle fleet, consisting of widely varying vehicles obtained from APFs, NAFs, DRMO and confiscated vehicle sources. Acts as liaison between the FSS and the base transportation activity for all unit government motor vehicle matter, Controls unit vehicles and obtains transportation services required to support unit mission requirements. Assigns the vehicles to their respective authorized functions. Defends vehicle
requirements, justifies request for additional vehicles; complies with the base vehicle rotation and priority recall plans; notifies the Vehicle Operations Officer when assigned vehicles are no longer required. Provides justifications data to support unit minimum essential vehicle levels (MEL). Ensures only qualified and properly licensed personnel operate assigned motor vehicles. Take appropriate action to prevent misuse, abuse, and damage to Air Force motor vehicles. Ensures low-use vehicles are rotated with high-use vehicles.
5. Performs other related duties as assigned.



If interested in applying for this position you may preview the online application: https://apply.usastaffing.gov/ViewQuestionnaire/12610909

In this position, you will:

• Develops optical and electrical particle characterization methods and applies those methods to reference materials of interest to the biopharmaceutical community, and oversees operation of an X-Ray Photoelectron Spectroscopy (XPS) laboratory to provide surface characterization capabilities to researchers from multiple NIST divisions.
• Conducts reference material method development and operations of XPS laboratory with minimal management supervision.
• Scope of XPS tasks include development and maintenance of instrument capabilities, training of and guidance to users, monitoring instrument performance, initiating necessary corrective actions, promoting safe operations, and communicating instrument issues with users, thereby ensuring continued quality and availability of XPS instrument to NIST user group.
• Conducts research in particle characterization and XPS characterization of surfaces, leading to reference materials or contributions to papers that support industrial applications in these areas.

• Operates one or more types of heavy equipment to excavate, backfill, grade, or level earth to rough specifications on such projects as breaking new ground for trails, roads, airfields, or other construction sites.
• Troubleshoots hard-to-locate problems, identifies defects and causes of mechanical problems to determine type and extent of necessary repairs to a variety of heavy mobile vehicles and equipment.
• Utilizes safety practices and procedures following established safety rules and regulations to maintain a safe and clean work environment.
• Drives one or more types of light trucks, such as pickup trucks, panel trucks, and flatbed trucks to transport supplies, materials, and equipment.
• Loads, unloads, separates, stacks, and carries materials, supplies, and packages weighing from 80 to 100 pounds (36 to 45 kilograms) or more.

• Employee serves as passport and visa specialist with responsibility in directing the work operations be carried out in the Air Mobility Command (AMC) Passport and Visa Office.
• Serves as the primary source of information for individuals, commanders, and other personnel regarding passport and visa application policies, procedures, and requirements.
• Provides guidance's from the Foreign Clearance Guide and applicable travel regulations concerning entry and exit requirements.
• Serves as the Passports and Visa specialist for AMC and associated Air Force Reserve and National Guard units and civilian personnel in support of operational readiness and Special Air Missions.

• Maintains an online inventory of supplies and is fully responsible for determining minimum stock levels.
• Reviews requisitions and revises quantities ordered based on the number of items on hand, and orders substitutions when items are not available.
• Receives, verifies, and signs shipping documents for all merchandise acquired and is responsible for verifying the quantity and condition of merchandise ordered against purchase documents.
• Investigates and reconciles discrepancies relating to actions such as receipt control, stock control, and inventory adjustments.

The incumbent performs the following duties:

• Directs the work of others to provide timely service for patient testing. Plans work schedule of subordinates to insure blood drawing and sterile urine collection coverage on all nursing units, outpatient clinics, central accessioning and processing allowing for unexpected changes in workload considering shortages in staff and emergency situations which demand that strict deadlines are met.
• Coordinates with area supervisors and the Chief of Phlebotomy, in handling day-to-day problems and solutions to unusual problems. Communicates with patients, doctors, head nurses, and other nursing staff on a daily basis to provide pickup service to the nursing units. Contacts nursing and laboratory personnel when mutual problems arise regarding the quality or promptness of specimen collection. Investigates complaints received regarding the collection and/or delivery of specimens.
• Provides input on annual evaluations of members of the team which is reviewed by the supervisor and Chief of Phlebotomy. Recommends awards, step increases, reprimands, separations, or recognitions for outstanding performance of team members. Counsels and makes recommendation for personnel actions. Accounts for the attendance and floor assignments during duty hours in order to ensure prompt and efficient services within the Clinical Center and the Outpatient Clinics.
• Performs complex accessioning routines required by the update of the laboratory information system (LIS) to match tests requested to number and type of specimen tubes received in order to properly account for all orders on the patient. The sophistication of the LIS requires additional clerical work in obtaining the proper labels for tests and in maintaining the paper transmittal sheets for easy retrieval.
• Enters orders into the Clinical Research Information system (CRIS) for outpatients according to the complex research protocols requirements. This requires clerical duties to match handwritten orders to the patient visit and entry of the appropriate request in the CRIS.
• Trains members of the Phlebotomy Service in the accessioning and processing functions as well as higher grade Medical Technologists from other Services within the Department of Laboratory Medicine to accession and process specimens for evening, night, and weekend coverage. Instructs users to access the Clinical Research Information system (CRIS) and to enter test results and order comments into the computer.
• Instructs phlebotomists regarding specimen acceptability based on sufficient volume of specimen for the test(s) requested, proper container, transport media, and other conditions. If the specimen is not sufficient, incumbent contacts the requesting physician to see if there are any particular preferences for certain tests over others; incumbent makes sure the preferred tests are performed first.

• You will advise multi-disciplinary teams on facility development products or services to ensure successful project execution.
• You will evaluate engineering design, construction, operation, maintenance, and repair of utilities equipment and systems to resolve any issues in a timely matter.
• You will resolve engineering problems with architectural and engineering contractors, experts from other engineering functions, and co-workers.
• You will write documentation to resolve disagreements concerning facilities engineering issues.
• You will be working on a multi-discipline team of engineers and architects to create plans and specifications for design build Requests for Proposals and facilities projects.
• You will apply knowledge of the concepts and practices associated with all aspects of the technical design and development process utilizing designs and drawings, modeling, prototyping, and production of mechanical systems and equipment.

Major Duties may Include:

• Outpatient coding: Must be able to code and close outpatient encounters at the sustained rate of seventy (70) encounters per workday
• Inpatient coding: Must be able to code and close inpatient treatment files with PRO fees at the sustained rate of 9 records per workday. Must be able to code and close inpatient treatment files without PRO fees at the sustained rate of 13 records per workday
• Surgical coding: Must be able to code and close surgical cases at the standard rate of 25 cases per workday.
• Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group (DRG). Upon patient admission to the Community Living Center/Nursing Home Care Unit, codes the admission diagnosis for use by unit staff. All diagnoses and procedure codes are selected from the current version of the ICD coding system.
• Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) identified by the 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.
• Codes inpatient professional fee services for identified inpatient admissions in support of the Medical Care Cost Recovery (MCCR) program. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
• Establishes the primary and secondary diagnosis and procedure codes for billable outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of Evaluation & Management service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.
• Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter (PCE); adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.
• Updates codes for current inpatient and Contract Nursing Home admissions for quarterly census and as directed for billable long stay admissions to reflect all patient conditions and care up to the census date or to the requested billing date.
• Reviews and codes assigned Fee Service patient encounters (inpatient and outpatient) using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.
• Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

Major Duties may Include:

• Outpatient coding: Must be able to code and close outpatient encounters at the sustained rate of seventy (70) encounters per workday
• Inpatient coding: Must be able to code and close inpatient treatment files with PRO fees at the sustained rate of 9 records per workday. Must be able to code and close inpatient treatment files without PRO fees at the sustained rate of 13 records per workday
• Surgical coding: Must be able to code and close surgical cases at the standard rate of 25 cases per workday.
• Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group (DRG). Upon patient admission to the Community Living Center/Nursing Home Care Unit, codes the admission diagnosis for use by unit staff. All diagnoses and procedure codes are selected from the current version of the ICD coding system.
• Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) identified by the 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.
• Codes inpatient professional fee services for identified inpatient admissions in support of the Medical Care Cost Recovery (MCCR) program. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
• Establishes the primary and secondary diagnosis and procedure codes for billable outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of Evaluation & Management service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.
• Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter (PCE); adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.
• Updates codes for current inpatient and Contract Nursing Home admissions for quarterly census and as directed for billable long stay admissions to reflect all patient conditions and care up to the census date or to the requested billing date.
• Reviews and codes assigned Fee Service patient encounters (inpatient and outpatient) using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.
• Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

• Provide highly specialized nursing care to patients, including critically ill patients.
• Assessing patient condition based upon observation, examination and/or interview, physician's diagnosis, laboratory findings, age-related issues, and other pertinent information.
• Identify, document, implement, and formulate complex plans to meet patient care needs and to continually revise goals and/or objectives, according to changes in patient status.
• Respond decisively to life-threatening changes in patient's condition.
• Administer a wide variety of rapid-acting, highly potent, and/or potentially lethal IV fluids and medications, calculating drug dosages and administering medications using age-appropriate guidelines.
• Assist with complex nursing and diagnostic procedures and/or be responsible for advanced cardiac life support efforts until a physician arrives.
• Operate and/or monitor the performance of sophisticated equipment, used in the care of critically ill patients.
• Communicate pertinent patient/family information to the health care team.
• Provide education and support to patients and their family members.