Total 273 Health / Beauty / Fitness job vacancies in San Antonio, Texas

• Serves as a Child and Youth Services Nurse with responsibility for all health support services in CYS programs.
• Coordinates and/or provides specialized training to and oversight of staff responsible for providing services to children/youth who have more complex health care needs.
• Assists in training of staff, providers, volunteers and/or parents on health related topics.
• Conducts routine health/sanitation inspections of CYS Services programs using Army standardized checklists. Assists/supports facilities/homes in maintaining appropriate standards for condition, health, and sanitation.
• Serves as the primary liaison between CYS Services and the installation Community Health Nurse. Communicates with trainers, Special Needs Director, Environmental Health, schools, and physicians to clarify roles in health support/services.

Duties include but not limited to:

• Collection of laboratory specimens (blood, urine, and stool). Processing of specimens by centrifuge to separate plasma and serum. Separation of specimens into correct tubes for transportation to various labs. Performs D- Sticks for Metabolic studies.
• Obtains timely and appropriate blood samples as ordered per unit policies and procedures. Recognize abnormal lab values and reports to Charge Nurse and Physician.
• Exercises sound judgment to identify patient care needs, implement treatment protocols and collect pertinent data.
• Directs and supports patients in the implementation of unit protocols, treatment goals and provides input into the treatment and discharge plan. Instructs patients on their role in various procedures and metabolic protocols covering information previously discussed with the patient by the Physician or RN.
• Reviews current treatment plan, CPRS records on assigned patients prior to initiation of any procedures or protocols, to ensure quality care.
• Documents in the clinical record the patient's progress toward protocols, medical treatment needs and interventions; discharge planning and referral data.
• Obtain venous blood samples by aseptic venipuncture technique from patients in the Outpatient Clinic
• Proficiently collects blood samples with a minimal number of failures, patient bruising, or required resticks.
• Verifies patient information and tests ordered in the computer system.
• Specimens must be properly labeled and initiated, following specimen procurement policies and procedures.
• Performs a range of support duties to include obtaining specimens, including, but not limited to, blood (phlebotomy), urine, feces, nasopharyngeal swabs, fecal occult blood specimens (FOBT kit).
• Performs the processing of all clinical laboratory specimens and is responsible for the timely and proper distribution of specimens to the reference laboratories to include centrifuges, decants, and aliquots specimens as appropriate.
• Responsible for proper disposition of laboratory waste in the laboratory.
• Packages supplies and specimens for pick up or shipment, following established packaging requirements.
• Obtains and documents patients' vital signs, 12 Lead ECGs and reports abnormal findings to PACT team members.
• Moves, lifts, transfers, and transports patients as necessary.
• Knowledge of pain scale monitoring
• Incumbent is also responsible for monitoring technical equipment and performing maintenance and quality assurance on instrumentation.
• Incumbent also monitors lab environment: such as temperatures, freezers, refrigerators and incubators to ensure that they are working as expected.
• Incumbent has a general knowledge of Laboratory accreditation requirements that are recommended by CAP, FDA and Joint Commission.
• Performs ancillary testing such as CLIA waived testing and operates instrumentation necessary for testing.
• Completes eyewash station testing.
• Performs urine pregnancy testing to include controls.
• Perform quality control (QC) on glucose testing machine.
• The incumbent must possess the ability to work with all levels of healthcare system personnel and willing to assist the healthcare system staff with a variety of laboratory policies and procedures.
• The incumbent will have contact with veteran patients, family members, all levels of NTX staff including physicians, nurses, technicians, etc. The employee must be able to effectively interact with personnel at all levels of the facility and foster harmonious working relationships, and is expected to maintain an attitude of professionalism, courtesy, cooperation, and respect towards all contacts.
• Patient/family teaching
• Basic computer knowledge

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

The MEDVAMC Diagnostic & Therapeutic Care Line is a complex, teaching department providing comprehensive care ranging from routine imaging exams to complex interventional radiology procedures. The Medical Support Assistant (Advanced) performs duties related to the receipt, intake, indexing, and otherwise processing Veteran health and Care Line operational administrative information. The primary duties of the Advanced Medical Support Assistant may include but are not limited to:

• Works collaboratively in an interdisciplinary coordinated care delivery model staffed by Radiologists, Physician Assistants, Nursing staff, DRT's, Health Techs and other MSAs to provide comprehensive imaging services to eligible Veterans.
• Coordinates with the patient care team to optimize patient access to care.
• Develops and maintains effective and efficient communication with patients, the care team, other MEDVAMC departments, Community Based Outpatient Clinics (CBOC's), outside/other VA medical centers, and other agencies to coordinate care, responding to Veteran or Veteran designee phone calls.
• Notifies patients of provider decisions/recommendations regarding their imaging orders and completion of those orders.
• Scans patient care information into the electronic medical record.
• Schedules via negotiated appointments with patients corresponding to availability of the imaging clinic appointments.
• Adjusts the flow and sequencing of the work to meet team and patient needs.
• Monitors pre-appointment requirements to assure readiness for patient visit/procedure (e.g. CT Abdomen prep or Ultrasound abdomen/pelvis studies).
• Completes follow up assignments.
• Participates in and independently follows up on team huddle decisions by sharing information and collaborating with the team to assure continuity of care.
• Evaluates patient information and clinic schedule lists to determine whether patient's imaging needs have been fulfilled and expired orders have been discontinued (all pending orders are scheduled or completed at the time of appointment).
• Trains other MSAs who have not achieved the Advanced MSA level.
• Assures that patient appointments are scheduled and managed appropriately according to the most current MEDVAMC Medical Center Policy Memorandum.
• Enters clinical appointment in the EWL (Electronic Wait List) as necessary.
• Ensures that the patient is informed of the place and time of each appointment.
• Ensures that workload is properly credited.
• Schedules and coordinates appointment, and changes scheduled appointments, utilizing the Vista Scheduling Enhancements (VSE), Veterans Information Systems and Technology Architecture (VISTA), and the use of the Computerized Patient Record System (CPRS).
• Provides preparatory instructions to patients.
• Handles paperwork for clinic "walk-ins" appropriately to assure that appointments are made, and encounters are completed.
• Processes no-show patients and referrals per clinic policy.

The Supervisory Mobility Transportation Specialist - Mobility Manager supervises/ensures the VTS and BT processes comply with regulatory guidance, while assuring program effectiveness. They serve as the Contracting Officer Representative for all transportation contracts, including common carrier, Special Mode, ambulance, and air ambulance. The incumbent is also responsible for working with state Veterans and Transportation Agencies and local transportation providers to establish expanded transportation networks to improve Veterans access to care.
Major duties include but are not limited to:

• Manages the Veterans Transportation Program at the facility which provides safe and reliable transportation to Veterans who require assistance traveling to and from VA health care facilities and authorized non-VA health care appointments within the Medical Center's catchment area;
• Orchestrates travel for eligible enrollees through mileage reimbursement and contracted travel modes;
• Plans, develops, evaluates, markets and directs key administrative activities in multiple programs related to transportation system for Veterans, active duty service members, Caregivers and others in metropolitan and rural/remote rural areas, especially those which are disabled, frail, elderly or receiving life dependent treatments (dialysis, chemo therapy, radiation therapy, etc.);
• Conducts complex and special studies for efficiency and productivity and recommends changes or improvements in work methods and procedures;
• Identifies resources (staffing, funding, equipment, facilities) required to support varied level of program operations;
• Manages transportation budget, analyzes organizational budgets, and provides advice and recommendations to Medical Center management, as appropriate, including critical budget areas and all Transportation program matters;
• Serves as Contracting Officer Representative for all transportation contracts, including common carrier, special mode, ambulance, and air ambulance;
• Provides consistent and effective outreach to community transit authorities;
• Coordinates the preparation and submission of recurring monthly, quarterly and annual performance improvement reports, management briefings, summaries, and a wide variety of nonrecurring reports;
• Assures performance measures and standards issued by various accrediting, regulatory, and higher agency authorities;
• Performs the full range of supervisory responsibilities to include but not limited to establishes guidelines and performance expectations for staff; observes and evaluates employees' performance; provides advice, counsel, and instruction to employees on both work and administrative matters; hears and resolves minor complaints and grievances; reviews, approves or disapproves leave requests; adjusts work procedures among staff according to workload, etc.;
• Assures that all transportation staff obtains and maintains appropriate licenses, certifications and training appropriate for each position; and,
• Performs other related duties as assigned.

VA Careers - Medical Support Assistant: https://youtube.com/embed/EE9c4XkaELo
Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

Duties include, but are not limited to:

• Providing specialized and expert administrative patient support while working collaboratively in an interdisciplinary coordinated care delivery model
• Work involving specialized administrative judgment and the flexible use of a wide range of clinical flow processes relating to access to care across multiple clinics, specialties, and/or care in the community resources
• Recommending changes to existing clinic procedures based on current administrative guidelines
• Expertise in utilizing numerous advanced patient systems in support of multiple clinics involved in an interdisciplinary coordinated care delivery model
• Coordinating with the patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively support the needs of the clinics, and adjusts as necessary
• Developing/maintaining effective and efficient communication with the patient, interdisciplinary coordinated care delivery model teams, VA medical centers, and other agencies (e.g., assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities; prepare correspondence to notify patients of normal lab results; manage a system for follow-up care such as consults, tests, etc.)
• Processing incoming patients
• Secure messaging through MyHealthyVet
• Coordinating with care team as appropriate
• Participating in team huddles and team meetings to manage, plan, problem solve, and follow-up with patient care by sharing information and collaborating with the interdisciplinary team
• Setting priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs
• Identifying incomplete encounters and communicates findings to providers
• Assisting the team to reinforce the plan of care and self-help solutions

This is a direct patient care position in which the Recreation Therapist is responsible for performing the work of recreation/creative art therapist which encompasses a variety of different duties and responsibilities. They demonstrate competency which qualifies them to perform patient evaluations and treatment procedures with indirect supervision on patients with a verity of complex diagnosis and disabilities. They have skills in program development and administrative aspects of patient treatment and has knowledge and ability in diverse recreation/creative arts therapy treatment services. They are responsible for developing, organizing, and administering recreation/creative arts therapy programs to provide therapeutic interventions to patients on different programs with diverse diagnoses.

Additional duties include but not limited to:

• Evaluates, establishes goals based on evaluation findings, and develops treatment interventions.
• Implements and modifies as necessary treatment plan and goals as needed throughout course of treatment to ensure optimum outcomes.
• Expected to perform documentation of patient care including assessments, progress notes, encounters, consultations, care plans, and other reports on a timely basis as needed.
• Uses Recreation Therapy expertise for direct service delivery to patients.
• Acts as a subject matter resource to staff and other healthcare professionals.
• Serves as Recreation Therapy representative on interdisciplinary teams as assigned or needed.
• Consultation with patients, their families, and caregivers, Recreation Therapist shell educate as required regarding treatment interventions and goals, in addition to any consideration involving adaptations to better ensure optimal treatment outcomes.
• Demonstrates ability and competency in treating patients that range in age from young to adult to geriatric who may experience complex medical or mental health issues.
• Adheres with Medical Center policies.
• Complies with accrediting body standards and fully complies with VA regulations.
• Participates in the evaluation of equipment and supplies and makes recommendations which affect their service delivery.
• Fosters and maintains a safe treatment area.
• Promotes effective communication with all patients, caregivers, treatment team members, Medical Center staff and community partners and stakeholder.

The Police Officer will perform a full range of police duties by following and executing rules, regulations, or procedures covering law and rules enforcement, physical and personal security operations, patrol duties, control desk duty, coordination with local courts, and/or crime prevention activities for the local jurisdiction.

MAJOR DUTIES AND RESPONSIBILITIES

• Protects the civil rights of all individuals on VA controlled property.
• Prevents, detect and investigate crimes.
• Patrols assigned areas on foot or by motor vehicle.
• Subdues persons causing disturbance or who threaten harm to themselves or others.
• Follows rules/procedures concerning search and seizure of evidence and contraband.
• Takes charge of significant and catastrophic events.
• Conducts investigations, apprehensions, and detention.
• Obtains search and arrest warrants.
• Arrests violators.
• Uses independent judgment in cases where policy is not clear.
• Provides basic first aid and CPR prior to arrival of emergency medical personnel.
• Prepares report of activities and events that occurred during shift.
• Performs traffic control.
• Assists citizens in emergency situations.
• Performs other related duties as assigned.

The Peer Review/Risk Management Registered Nurse (RN) assumes the following major duties and responsibilities:
1. The RN is responsible for developing and managing the VA San Diego Healthcare System (VASDHS) Peer Review Program and all other assigned programs that supports the mission, vision and core values in accordance with
regulatory agencies, VHA, Network and facility requirements.
2. The RN serves as the Peer Review Program Coordinator, including internal and external quality activities, Occurrence Screening Program, and for other assigned programs and/or services including serving as a consultant for internal
and external regulations, standards, and requirements.
3. The RN is a subject matter expert for peer review/risk management. Working closely with service chiefs and others in planning, designing, integrating, implementing, modifying and administering the peer review/risk management
program. The RN maintains expertise through attendance at continuing education sessions, conferences and workshops.
4. The RN provides advice and support to the medical center staff, directs the development and maintenance of programs designed to reduce risk at all levels within the healthcare delivery system, and provides professional management,
educational assistance and policy development and implementation guidance in the area of risk management.
5. The RN demonstrates knowledge of current concepts and principles of process improvement and external review standards. Analyzes and interprets data to determine the effectiveness of the peer review/risk management program,
identifies opportunities for improvement, and offers solutions.
6. The RN monitors the Peer Review/Risk Management Program compliance with VHA policy, The Joint Commission standards and other regulatory agency requirements.
7. The RN initiates, leads, and/or participates in quality improvement activities to collect data, analyze results, to improve organizational performance and recommend practice changes that will minimize risk to the facility and improve
patient outcomes. Provides leadership in improving and sustaining the quality and effectiveness of care delivered in diverse or complex programs. Develops strategies to disseminate "lessons learned" to appropriate staff throughout the
organization.
8. The RN serves as a peer review/ risk management resource at the facility and Network level.
9. The RN plans, develops and conducts education and training programs related to peer review, risk management and related quality management topics.
10. The RN collaborates with Deputy Chief and Chief QMS in the daily integration of peer review and risk management into the PI Program.
11. The RN assists facility leadership in the setting of institutional priorities related to peer review and risk management.
12. The RN liaisons with the Risk and Patient Safety Managers regarding patient events requiring peer review, disclosure, Root Cause Analysis (RCA) and other quality management activities.
13. The RN conducts an annual assessment and evaluation of the peer review/risk management program to determine the program's effectiveness and ensures that findings are used to modify and improve the program and facilitate accomplishment of performance improvement goals and objectives.
14. The RN participates in regulatory surveys as appropriate and participates in Continuous Readiness activities.
15. The RN monitors the follow-up to recommendations specific to peer review/risk management resulting from The Joint Commission and other external review visits and formulates communication through the Deputy Chief and Chief QMS to
external agents regarding these reviews.
16. The RN performs other duties as assigned.

Preferred Experience:
1. Current experience in Peer Review.
2. Demonstrated ability to interact collaboratively with internal and external customers which may include, attorneys, patients and healthcare providers, utilizing excellent written and verbal communication skills appropriately targeted at a wide variety of audiences.
3. Experience with data extraction, display (statistical tools), analysis, and report preparation.
4. Demonstrated ability to successfully facilitate interdisciplinary teams with proven results.
5. One year current experience with The Joint Commission standards related to patient safety and the survey process.
6. Experience in Quality Management /Performance Improvement.

Work Schedule: 07:30am - 4:00pm
Telework: Not Available
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

VA Careers - Medical Support Assistant: https://youtube.com/embed/EE9c4XkaELo
Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

Duties include, but are not limited to:

• Responsible for answering phones, greeting patients, relaying messages to appropriate staff inside or outside of the unit, scheduling appointments, including interpreting and verifying provider orders in accordance with VHA national scheduling guidelines.
• Handling complex incoming calls from several sources and performing duties that include, but are not limited to: scheduling, canceling, rescheduling patient appointments and/or consults; the receipt, intake, and indexing of health and administrative information.
• Participating in huddles with other MSAs and/or clinical staff to determine the daily needs of the service.
• Routinely communicating with physicians, case managers and other allied health care professional staff using sound interpersonal skills and is constantly aware of the sensitive information that is being communicated.

VA Careers - Medical Support Assistant: https://youtube.com/embed/EE9c4XkaELo
Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Medical Support Assistant: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-MSA-VA-Career-Flyer.pdf

Duties include, but are not limited to:

• Responsible for answering phones, greeting patients, relaying messages to appropriate staff inside or outside of the unit, scheduling appointments, including interpreting and verifying provider orders in accordance with VHA national scheduling guidelines.
• Handling complex incoming calls from several sources and performing duties that include, but are not limited to: scheduling, canceling, rescheduling patient appointments and/or consults; the receipt, intake, and indexing of health and administrative information.
• Participating in huddles with other MSAs and/or clinical staff to determine the daily needs of the service.
• Routinely communicating with physicians, case managers and other allied health care professional staff using sound interpersonal skills and is constantly aware of the sensitive information that is being communicated.

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.

The Nurse Case Management (CM) Registered Nurse (RN) is responsible for providing competent, evidence-based care to assigned patients. Provides patient management, care coordination, and discharge/disposition planning for inpatient and outpatient settings. The Orthopedic 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 with multiple providers 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. Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Evaluates practice in an ongoing process, based on best evidence. Provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through CM knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain an evidence-based-practice culture.

Work Schedule: Monday to Friday from 6:30am to 6:00pm
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

The incumbent serves as the full-time Maintenance Supervisor over the assigned HVAC Refrigeration Shop, and reports to the Maintenance Controls Manager. The Maintenance Supervisor will supervise journeyman level personnel associated with the following trades: Maintenance leader, Maintenance Mechanic, and AC Equipment Mechanics at the GS-IO grade level.

Duties and responsibilities include, but are not limited to:

• Incumbent will be the Engineering Service contracting officer representative (COR) on all maintenance and repair HVAC/Refrigeration and equipment systems at the VA San Diego Healthcare System.
• This position essentially assigns and administers the Medical Center's electrical and electronics technical staff, contractors, and vendors.
• Incumbent will be responsible for the buildings and associated systems, including preventative maintenance, repairs, installations, alterations, and renovations covered by the Maintenance Unit; and to ensure the quality of work that is produced by contractors and shop personnel through the use of inspections, on the spot checks, work samples and customer feedback.
• This requires actively and continually developing and applying up-to-date working knowledge and skills and abilities through on-the-job training, experiences, review and study of technical and engineering publications, codes and standards and other career development and continuing education opportunities.
• Incumbent is required to keep all work areas clean and secure, observe safe work practices and perform other related duties when assigned.
• This position may be required to become familiar with different area functions and assist in those functions in the absence of section personnel, to the extent of the employee's competency and ability.
• Plans the use of subordinate workers, equipment, facilities, materials, on a week-to-week or month-to-month basis; establishes deadlines, priorities, and work sequences, and plans work assignments 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; determines the number and types of workers needed to accomplish specific projects; redirects individual workers and resources to accomplish unanticipated work; informs sources to accomplish unanticipated work; informs higher level supervisors of the need to revise work schedules and re-estimate labor and other resources; and participates with supervisors in the initial planning of current and future work schedules, budget requests, staffing needs, estimates, and recommendations as to scheduling projected.
• Investigates work related problems such as excessive costs or low productivity and determines causes; implements corrective actions within authority to resolve work problems; and recommend solutions to staffing problems, engineering requirements, and work operations directed by other supervisors.
• Plans and establishes overall leave schedule; determines training needs of subordinates and arranges for its accomplishment, sets performance standards, and make formal appraisals of subordinate work performance, and initiates recommendations for promotion or reassignment of subordinates.
• Incumbent is a first line supervisor over the HVAC/Refrigeration/Equipment Shop, supervising grades ranging from WLIO to WG-IO. Responsible for journeyman and tradesman workers of varying, unrelated trades and/or crafts.
• Possesses strong communication and writing skills and a broad knowledge of hospital operations.
• Works with higher level supervision to determine how many assignments can be done concurrently or which must be delayed and the number/type of employees needed, considering skills and personnel available to do the work and the availability of materials and equipment required.
• Plans and schedules work, considering factors such as the types of projects involved, materials needed, weather, disruption to patient care, disruption to medical center business, coordination, manpower availability, and priorities as set by higher level of supervision.
• Responsible for the continuous and effective operation of the work order system, evaluates time and materials, records materials and services used and ordered, and implements and operates an effective preventive maintenance program for the assigned unit(s).
• Maintains the critical HVAC Refrigeration and Equipment systems of the medical center. Responsible for performance of personnel, both in quality and quantity, as well as promptness in meeting emergency situations.

Duties may include but are not limited to:-

1. Performs floor maintenance, wall washing. Cleans doors, doorframes, baseboard corners and edges, and stairwells.
2. Periodically utilizes pressure washers and heavy industrial powered and battery operated equipment the above task.
3. Empties trash and wastebaskets, replaces liners.
4. Cleans rest rooms, bathrooms, and shower rooms, ensuring that they are cleaned and meet acceptable standards (cleans, disinfects, and deodorizes lavatories, showers, bathtubs, urinals, and toilet bowls; cleans mirrors, sinks, and water fountains; washes and polishes light and toilet fixtures).
5. Defrosts and cleans patient care refrigerators and ice machines in nourishment kitchen areas.
6. Periodically cleans specific non-critical Reusable Medical Equipment (RME) in inpatient and clinical areas of the medical center.
7. Cleans and/or replaces needle boxes.-Provides interim cleaning of windows and window ledges from the inside, cleans glass door and other glass surfaces; and replaces curtains and cleans blinds.-Provides bed-making services in patient care areas and OD rooms; cleans mattresses, springs, and bed frames; and cleans bedside stands, over bed lights, blood pressure cuffs, bed tables, etc.

VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4

Licensed Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf

Duties outlined below are the GS-6 Licensed Vocational Nurse.

The Licensed Vocational Nurse (LVN) will make observations and thoroughly documents care and the patient's response. The Licensed Vocational Nurse Completes all clinical reminders that may be completed by the LVN prior to the due date and closes encounters. Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring higher-level intervention.

Additional duties will include, but are not limited too:
Performs, reports, and records assigned nursing care in Primary Care Clinics, including, but not limited to:
Assists in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based on interpretation of health-related data. Performs focus assessments.
*Data collection and information, recognizes changes in conditions, and documents all interventions completed during patient visits. Reports to the RN or another appropriate clinical supervisor to assist, review, and develop goals and plan of action.
*Administers and documents immunizations per protocol/VATVCBHCS policies.
*Clinical reminder completion.
*Documents transfers in CPRS, and warm handoff reports given to receiving facility.
*Closes encounters.
*Completes pre-appointment telephone calls for scheduled patients.
*Review and assist Team to address/complete pending alerts communicated on message manager throughout the day to assist the team to facilitate care and address needs of the caller.
*As assigned, assures twice daily documentation of temperature for medication refrigerator.
*As assigned, daily check of clinic AED and other required daily monitoring logs.
*Check expiration dates of meds and supplies.
*Delegated procedures and treatments (i.e., EKG, dressing change).
*Assists with minor procedures, ensuring patient comfort and privacy.
*Based on the patient's goals, provides and/or reinforces patient and family health education.
*Provides back up to PACT clinical support as need, if applicable.
* Is a role model in the provision of excellent customer service.
*Provides patients with personalized, proactive, and patient-driven health care through such activities as assisting in developing a personal health plan, listening to the patient, and addressing their needs/goals, engaging in group appointments, encouraging, and supporting and training for Telehealth modalities, maintains an awareness of access with an awareness of third next available appointments and creating an environment that
benefits the veteran.
*Engages in education activities that connect, inform, resonate, and motivate the patient, their families and support networks.
*Delivers patient centered care to all patients and employs population health management principles to optimize health and wellbeing for the patient through such activities as use of evidenced-based practice recommendations, completing clinical reminders, tracking high risk behaviors and assisting the patient to develop coping mechanisms, assisting the patient to identify health care goals and actions to take to meet those goals and evaluating progress.

Work Schedule: Monday to Friday (8:00am to 4:30pm)
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases.
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
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)
Telework: Ad-hoc-(Employees who telework on an occasional, episodic, or short-term basis, and have completed required telework training and telework agreement.) (Portion of day acceptable)
Virtual: This is not a virtual position.
Functional Statement #: 52204-F,52205-F,52206-F,52207-F
Permanent Change of Station (PCS): Not Authorized
Note: This is a Bargaining Unit Position.

• Make recommendations for approval, modification, or disapproval of contract changes or special projects, based on clinical feasibility and conformance with agency goals and policies.
• Conduct special studies in health care to determine adequacy and effectiveness of MA-PD and PACE.
• Prepare issue papers, manual revisions, etc. regarding program regulations, policies and procedures.
• Represent CMS at meetings and seminars with government and non- government officials for the purpose of addressing policy and project surrounding the measurement, assessment, and improvement of quality care.
• Monitor and evaluate performance of quality improvement projects and initiatives to ensure project goals and Agency objectives are met.