Total 13 Maintenance / Repair job vacancies in Clay Center, Nebraska

• formulate budget and estimations to support plans, programs, and activities.
• Present and defend budget estimates before authorities.
• Review and evaluate budget requests.
• Control, and report obligations and expenditures.
• Analyze, interpret, and present data to process owners.
• Perform substantive/audit testing on Assessable Units (AUs) such as Civilian Pay (CIVPAY), Funds Receipt and Distribution, Temporary Duty (TOY), Equipment assets and Contract Vendor Pay.
• Report findings and work with management to create workable solutions for discrepancies found.
• Preform site-visits/spot checks to ensure programs are in compliance with DoD Financial Management Regulation, DoD Financial Improvement and Audit Readiness (FIAR) Guidance and Standard Operating Procedures (SOPs).

• Provide independent, preventive, therapeutic, and comprehensive obstetric and gynecologic care.
• Perform and/or requests laboratory, radiological, and other diagnostic and screening tests, and interprets results, assesses specific problems/complications.
• Provide inpatient obstetrical care including labor management, vaginal delivery; performs and repairs episiotomies; repairs lacerations.
• Manage care of normal newborn including nutrition, elimination, and activity.
• Evaluate and manages the normal postpartum period to include determining hospital disposition, providing discharge counseling, completing necessary records, and conducting clinic follow-up.

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***

Major duties and responsibilities include:

• Follows procedures for patient identification, sample procurement, and specimen labeling
• Performs routine venipuncture specimen collections from patients
• Follows laboratory procedures for collecting specimens in the appropriate container
• Controls the physical condition of samples and responds to time factors to ensure that the physiologic state of the specimen is maintained
• Provides education to patients for proper collection techniques
• Prepares samples for testing to include labeling, centrifugation, decanting and aliquoting, etc.
• Maintains adequate supplies for all phlebotomy and specimen procurement procedures
• Answers incoming calls for the laboratory service - finding and relaying accurate information or referring the caller to technical personnel
• Performs standard diagnostic tests/procedures such as bleeding time, occult blood, urine dipstick, pregnancy test, fingerstick glucose
• Processes specimens using complex instrumentation
• Packages and ships specimens to reference laboratories
• Performs sterilization on the autoclave, and cleans glassware and other reusable items
• Identifies and appropriately responds to adverse reactions such as fainting, nausea, vomiting, convulsions, and arrests
• Perform other related duties as assigned

• At the full performance (GS-11) level you will perform the duties below, but not limited to the following:
• Design, calibrate, and evaluate sampling techniques and instruments used to evaluate hazards resulting from inhalation, ingestion, skin absorption, heat and pressure extremes, ionizing and non-ionizing radiation, noise and vibration and ergonomics.
• Recommend use of specific personal protective equipment to individual activities as needed.
• Prepare written technical reports such as survey of findings, recommendations, and corrective actions required.
• Monitor, measure, and quantify the potential presence of toxic particulates, gases and vapors in the work environment.
• Collaborate with the Directorate of Facility Engineering and Safety Offices to manage and solve occupational health problems.
• Conduct evaluations of work operations involving potentially hazardous environmental conditions to analyze and provide recommendations for corrective measures and controls.

• Plan, direct, analyze, and coordinate administrative activities within the clinic as directed by Group Practice Manager.
• Establish operating policies to implement administrative management and personnel matters.
• Develop plan, and program to initiate, manage, control and assess the impact of new and on-going services.
• Provide budget and accounting expertise and support to interpret financial information and applies accounting concepts to analyze data.
• Prepare a variety of monthly reports covering status of funds, expenses, and obligations.
• Conduct management studies, including cost effectiveness, organizational structure, and equipment utilization.
• Review manpower records and charts maintained for proper maintenance.
• Perform management analyses for special projects, such as budget formulation and execution, automation management, civilian personnel issues, procurement planning, resource management, and organizational efficiency.

• Examine patient, determine need for and orders laboratory tests, x-rays, and other procedures necessary.
• Interpret examination findings and test results.
• Diagnose disease or disorder and prescribe course of treatment.
• Follow progress of case and modifies course of treatment as necessary.
• Provide treatment services for patients to include more complex cases where symptoms are difficult to identify.
• Examine treatment regimens involving use of complicated procedures, new techniques, or where patient's condition is critical or fails to respond to previously tried treatments.
• Serve as consultant in the field for medical officers in this and other specialties.

• Maintain the Laboratory Information Management System (LIMS) by applying software updates, incorporating new instruments, and modifying calculations and processes in LIMS as necessary.
• Facilitate proper sample identification, transport, preparation, handling, analyzing and disposal of domestic and foreign soils that are regulated by the Animal and Plant Health Inspection Service (APHIS).
• Queries databases in response to customer needs and inquiries for specific data sets, performs data review, processing and interpretation and produces custom reports.
• Prepare written methods and make presentations about laboratory data, procedures and analytical results/operations according to management directives.

• Administer large-scale immunoassay testing on service member urine or body fluids to detect drugs of abuse.
• Perform calibration, preventive maintenance, and diagnostic troubleshooting of laboratory equipment.
• Maintain maintenance records, logs, charts and graphs.
• Call in medical equipment maintenance personnel when malfunctions occur.

• Organize and coordinate the functions of the Decedent Affairs department. Receives notification of deaths of active duty and hospital deaths.
• Contact the command; relays available information; ensures body is properly identified; and ensures that Casualty Assistance Calls Officers are appointed/assigned.
• Determine the primary next of kin based on regulatory definition and the person authorized to direct the disposition of the remains.
• Ensure that remains are properly identified, released only with proper authorization, and that they are dispositioned properly in accordance with state, federal and DoD regulations.
• Provide information and explains to Casualty Assistance Calls Officers the different benefits, e.g., financial assistance, Social Security System, survivor benefits, VA benefits, civil service benefits, education, etc.
• Provide resources regarding state specific benefits available to family members.
• Review deceased's medical and dental records, in conjunction with physician and pathologist, and analyzes the past and current diagnoses to determine if the death should be reported to the County Medical Examiner.
• Monitor active-duty patients placed on Serious/Very Serious List and provides information to area coordinator to ensure a Casualty Assistance Calls Officers is on standby in the event of an active-duty death.
• Responsible for the inventory of active-duty member's personal effects on in-house deaths and proper disposition including ensuring that effects are returned to family in such a way to minimize suffering of family.
• Responsible for facilitating any request of the legal next of kin and follows up to make sure request has been honored.
• Coordinate with deceased active-duty member's command for information for death certificates, uniforms, escort and consignee mortuary information.

• You will provide mechanical engineering products, services and consultation for the planning, design, construction, and maintenance of facilities.
• You will use software such as WBGD and AutoCAD to develop complex designs and analyses.
• You will prepare final detailed work drawings, comparative cost analysis, request for proposals, and project specifications for a variety of facility types.

• The nurse consultant applies expert clinical knowledge to guide patient safety/clinical risk management practices with the goal of enhancing health care delivery and decreasing the risk-of adverse events.
• Utilize statistical and epidemiological tools to assist staff in the analysis of data from adverse/sentinel events, close calls/near misses, or project findings.
• Serve as a facilitator and guides patient safety review teams in the identification of the causes of adverse events as well as identifying and implementing practical, measurable, and sustainable corrective actions.
• Participate in continuous readiness projects and conducts site visits to assess organizational processes for compliance with regulatory agency and accreditation standards requirements.
• The incumbent utilizes a combination of patient safety tools and evidence-based practices to improve measures of quality and patient safety.

• Evaluate, examine, diagnose, and treat Gastroenterology and internal medical disorders for patients in the clinic or admitted to the Military Treatment Facility.
• Perform appropriate invasive and non-invasive diagnostic and therapeutic procedures acceptable for the specialties of Gastroenterology and Internal Medicine including advanced cardiac life support.
• Provide all services identified in the current Model of Clinical Practice for Gastroenterology as promulgated by specialty societies.
• Identify significant and relevant symptoms of presenting patients that may be subtle or present with overlapping symptoms due to more complex diagnoses.
• Provide ancillary tests/procedures in the work-up and management of patients with gastroenterological and hepatic conditions.
• Act as a member of the teaching staff for Internal Medicine and Gastroenterology.
• Make recommendations on improvement of work methods, organizational features, and the restructuring of positions to support the Gastroenterology services and quality patient care

Major duties include, but are not limited to the following:

• Provide individualized massage therapy treatment
  • The massage therapist utilizes standard patient evaluation procedures to formulate a treatment plan. The massage therapist incorporates various massage therapy and bodywork techniques taught within their professional education. The massage therapist provides advanced massage therapy services of greater complexity applied to specialty populations in various clinical/environmental settings with limited supervision and coordinate follow up care as indicated. The massage therapist is responsible for changing linen between patients, refilling oils, cleaning massage table/chair/arm rest, and providing a clean, calm environment.
• Provide massage therapy instruction, education, and mentoring
  • The massage therapist provides massage therapy instruction for self-care to patient and family as determined appropriate. The massage therapist educates patients on healthy lifestyle including hydration, basic nutrition, stretching, exercise, mind-body techniques, sleep habits, stress management and other matters related to massage therapy care. The massage therapist has knowledge of complementary integrative health and holistic health principles. The massage therapist mentors other staff in best massage therapy practices. Under routine academic oversight, the massage therapist assists with clinical supervision of massage therapy students. The massage therapist is a subject matter expert, responsible for mentoring other massage therapists and participating in educational activities. The massage therapist has knowledge of teaching methods and learning principles, and will assist other staff through education as a member of an interdisciplinary health care team.
• Complete clinical notes in electronic health record system
  • The massage therapist shall document and code information related to patient care in the VA's electronic health care record on a timely basis following established policies. Consent shall be completed prior to treatment in accordance with local requirements. The massage therapist functions as a member of the health care team and communicates with other health care providers as appropriate. Task #4: Maintain trainings and attend required meetings The massage therapist shall maintain up-to-date with VHA and professional trainings. Required professional meetings must be attended.
• Research and quality improvement
  • The massage therapist participates in research and quality improvement activities related to massage therapy. The massage therapist is required to use various communication techniques to encourage and educate individuals and groups to enhance massage therapy outcomes. The massage therapist is responsible for identifying, collecting and analyzing aggregate patient care information to ensure safety and quality of care.
• Administration
  • The massage therapist may review patient referrals to screen for appropriateness of care and direct Veterans to others services when necessary. The massage therapist is the subject matter expert on massage therapy and related body work services and will provide guidance when requested regarding purchased care.