Total 219 Health / Beauty / Fitness job vacancies in Vancouver, Washington

This position is assigned to the office of the Chief Nurse Executive (CNE) at the Washington DC Veterans Affairs Medical Center (DC VAMC). The incumbent supports the Nursing Education & Research service in accomplishing the mission and goals of the medical center and nursing service. The incumbent provides program support functions of Nursing Education & Research under the direction of the service chief nurse and must have sufficient knowledge of the service to effectively support the management of the administrative requirements of Nursing Education & Research. The incumbent coordinates activities with other members of the nursing service support staff. These activities include but not limited to special activities, visitations, special programs, scheduling, organizing meetings/conferences, fiscal processes including budget and contracting, business functions, coordinating academic affiliations, trainee appointments, coordinating onboarding activities, timekeeping, supply management, education tracking/administrative functions, communications throughout the medical center, program analysis, and reports.

Work Schedule: Monday - Friday 8:00am to 4:30 pm
Telework: Not Authorized
Virtual: This is not a virtual position.
Position Description/PD#: Program Support Assistant/PD25001A
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

The position is responsible for delivering High Reliability/Performance Improvement techniques to a broad array of program and services throughout the Medical Center, including Clinical Team Training (CTT), Lean, Coaching, Project Management, and Training. Duties include but are not limited to the following:

• Program management/administration ensuring programs/initiatives align directly with the journey to high reliability.
• HRO Baseline Training, Clinical Team Training facilitator. Facilitates, coaches and trains staff at all levels of the organization on high reliability principles/concepts.
• Serves as the subject matter expert on the HRO mission and objectives.
• Acts as the project lead for healthcare and operational HRO improvement projects impacting patient care delivery systems and functions throughout the medical center.
• Conducts studies and special projects to implement health care delivery programs and improve the efficiency and reliability throughout the organization.
• Participates in and facilitates transformative quality, safety, effectiveness, and efficiency improvement efforts.
• Responsible for the oversight of the use and management of data for the HCS, including collection, reporting and analysis in support of its high reliability journey.
• Identification of information needs required to manage the critical aspects of clinical operations, design and develop informatics and analytic studies and reports, and to implement data collection processes and systems to meet the ongoing needs of the organization.
• Develops technical guidance and standards for use within the program office for processes where no established criteria exist and where improvement is needed.
• Prepares and delivers written and verbal review of findings and recommendations to HCS, VISN, and VHACO leadership to determine applicable requirements and feasible problem resolution.
• Provides leadership, direction and control of the implementation of HRO activities across the HCS, including developing appropriate controls to assure standardization in use of evidence-based processes and guidance.
• Provides detailed reports to senior leadership on the schedule, measures, and key change management components.

This announcement will close on 11/22/2024; the first 50 applications received will receive first consideration. Applications received after the initial cut-off number will not receive consideration unless otherwise requested by management in increments of 50.

The Major Duties of the Industrial Hygienist include, but are not limited to:

• Performing analyses of survey data and data on emissions from air, waste-water, and hazardous materials stored in complex inter-relational data-basing systems maintained by DoD to determine nature and degree of toxic materials present and potential long-term impacts on human health.
• Identifies potential physical, biological, and chemical health hazards in military work environments; evaluates exposure to workers and prescribes potential corrective measures, which may include changing work processes/procedures, adding/modifying engineering systems, making chemical substitutions, or using personal protective equipment.
• Provides expert advice to HOME, senior VA leadership and other key stakeholders (e.g., DoD, NIOSH, EPA, ATSDR) on industrial hygiene and related health, safety, and environmental issues, recommends actions to prevent or minimize health hazards and contributes to the risk management decision-making process.
• Reviews industrial health and environmental monitoring assessments conducted on or relevant to occupational exposures on military bases to ascertain situations where service-related exposures may have increased risk of adverse health outcomes.
• Conducts operational activities related to industrial hygiene and other environmental health hazards scenarios in Veteran cohorts.
• Prepares correspondence, briefings, and reports related to health hazards identified in military work environments. Provides guidance to key stakeholders regarding applicable standards or regulations on workplace exposures and safety, such as those published by the Occupational Safety and Health Administration.
• Conducts operational activities related to industrial hygiene and other environmental health hazards scenarios in Veteran cohorts.
• Knowledge of a variety of chemical agents (i.e., liquids, duets, fumes, vapors, gases, etc.); physical agents (i.e., noise, temperature, pressure, and radiation); and biological agents (i.e., fungi, bacteria, and viruses).
• Contributes to educational programs designed by HOME to inform VA's clinical personnel of potential hazardous exposures, applicable directives, and general occupational health matters related to military service.
• Recommends actions to prevent or minimize health hazards and contributes to the risk management decision-making process.
• Performing analyses of survey data and data on emissions from air, waste-water, and hazardous materials stored in complex inter-relational data-basing systems maintained by DoD to determine nature and degree of toxic materials present and potential long-term impacts on human health.
• Interact effectively with other health specialists and officials and to properly prepare related correspondence and associated reports.
• Identifies hazards, evaluates data, conducts research, and recommends actions to prevent or minimize health hazards.
• Work situations involve consulting and advising on wide variety of work activities, environments, and numerous types of chemical, biological, physical, and radiological hazards.
• Use judgment in selecting, interpreting and applying established criteria which may not be clearly applicable to all operating situations and skilled in the identification and application of appropriate regulations as well skills in researching pertinent regulatory issues.
• Analyze occupational and environmental exposures, toxicologic effects of various chemicals and agents, and the potential for adverse health outcomes from exposures to various agents.
• Evaluate and analyze safety and occupational health problems, conditions and administrative practices to minimize or eliminate hazardous operations and conditions and devises alternative measures which decrease the risk of adverse health outcomes.
• Development of presentations and reports.

VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU

• Triage Veterans that present to the Emergency Department for a mental health evaluation and/or psychosocial related needs.
• Conducts biopsychosocial assessment of the Veteran in collaboration with the interdisciplinary treatment team, the Veteran, family members and significant others.
• Performs case finding functions and outreach, identifying and screening Veterans for psychosocial and mental health needs.
• Completes Comprehensive Suicide Risk Assessments, Homicidal Risk Assessments and Safety Plans for Veterans presenting with suicidal ideation or behaviors in alignment with established policy/procedures.
• Identifies low, moderate and high-risk patients, provides interim case management services with referral for continuity of care.
• Collaborates with multidisciplinary team for consultation regarding treatment and disposition for patients in the ED.
• Provides crisis intervention services, seeking to address the cause as well as the presenting complaint, coordinates family conferences and serves as liaison to family members.
• Working knowledge and experience in use of medical and mental health diagnoses, disabilities, and treatment procedures. This includes acute, chronic, and traumatic illnesses/injuries, common medications and their effects/side effects, and medical terminology.
• Provides consultation services to other staff regarding the psychosocial needs of Veterans and the impact of psychosocial problems on health care and adherence to treatment plan.
• Responsible for educating the Veteran and/or caregiver of available services and assisting them in establishing the appropriate referrals based on the Veteran's preference or that of his surrogate decision-maker.
• Collaborate with treatment teams to develop a comprehensive biopsychosocial assessment and a discharge plan for Veterans treated in the Emergency Department.
• Referrals for surrogate decision makers, guardianship and/or payee services, as recommended by the interdisciplinary team.
• Responsible for using the current social work resource file of VA and community social service programs and enhancing the content to the benefit of Veterans.
• Work to develop relationships with community agencies to promote collaboration in care and service agreements.
• Experienced in completing rapid assessments and developing crisis management plans for admission to mental health inpatient programs.
• Provide education related to VA and community resources, entitlements, Advance Directives/Living Will and will refer veterans/families to the appropriate interdisciplinary team member for identified health education needs.
• Review the progress notes from the other providers to accurately determine the strengths and limitations of each Veteran being referred for mental health services and to inform treatment planning..
• Educate the Veteran, their families, and the team of all the options available to them and will collaborate with the Veteran and family on the preferred option.
• Assist the Veteran and their family in dealing with the psychosocial impact of coping with chronic/disabling illness(es), onset of a catastrophic illness.
• Enter all Veteran/family contacts in the electronic record using appropriate formats and templates.
• Establish and maintain positive and respectful working relationships with employees, volunteers, consumers and stakeholders within the VA and outside community agencies.
• Collaborate in the performance improvement processes and comply with performance measures as required by the VA for their specific population and/or program.
• Participate in activities that obtain feedback from internal and external customers and work to enhance services, as needed.
• May supervise social work trainees/interns, providing the incumbent has at least two years of post graduate schoolwork experience.

VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU

• Triage Veterans that present to the Emergency Department for mental health evaluations and/or psychosocial related needs.
• Conducts biopsychosocial assessment of the Veteran in collaboration with the interdisciplinary treatment team, the Veteran, family members and significant others.
• Performs case finding functions and outreach, identifying and screening Veterans for psychosocial and mental health needs.
• Completes Comprehensive Suicide Risk Assessments, Homicidal Risk Assessments, and Safety Plans for Veterans presenting with suicidal ideation or behaviors in alignment with established policy/procedures.
• Identifies low, moderate and high-risk patients, provides interim case management services with referral for continuity of care.
• Collaborates with multidisciplinary team for consultation regarding treatment and disposition for patients in the ED.
• Provides crisis intervention services, seeking to address the cause as well as the presenting complaint, coordinates family conferences and serves as liaison to family members.
• Working knowledge and experience in use of medical and mental health diagnoses, disabilities, and treatment procedures. This includes acute, chronic, and traumatic illnesses/injuries, common medications and their effects/side effects, and medical terminology.
• Provides consultation services to other staff regarding the psychosocial needs of Veterans and the impact of psychosocial problems on health care and adherence to treatment plan.
• Responsible for educating the Veteran and/or caregiver of available services and assisting them in establishing the appropriate referrals based on the Veteran's preference or that of his surrogate decision-maker.
• Collaborate with treatment teams to develop a comprehensive biopsychosocial assessment and a discharge plan for Veterans treated in the Emergency Department.
• Referrals for surrogate decision makers, guardianship and/or payee services, as recommended by the interdisciplinary team.
• Responsible for using the current social work resource file of VA and community social service programs and enhancing the content to the benefit of Veterans.
• Work to develop relationships with community agencies to promote collaboration in care and service agreements.
• Experienced in completing rapid assessments and developing crisis management plans for admission to mental health inpatient programs.
• Provide education related to VA and community resources, entitlements, Advance Directives/Living Will and will refer veterans/families to the appropriate interdisciplinary team member for identified health education needs.
• Review the progress notes from the other providers to accurately determine the strengths and limitations of each Veteran being referred for mental health services and to inform treatment planning.
• Educate the Veteran, their families, and the team of all the options available to them and will collaborate with the Veteran and family on the preferred option.
• Assist the Veteran and their family in dealing with the psychosocial impact of coping with chronic/disabling illness(es), onset of a catastrophic illness.
• Enter all Veteran/family contacts in the electronic record using appropriate formats and templates.
• Establish and maintain positive and respectful working relationships with employees, volunteers, consumers and stakeholders within the VA and outside community agencies.
• Collaborate in the performance improvement processes and comply with performance measures as required by the VA for their specific population and/or program.
• Participate in activities that obtain feedback from internal and external customers and work to enhance services, as needed.
• May supervise social work trainees/interns, providing the incumbent has at least two years of post graduate schoolwork experience.

The health and well-being of the Nation's men and women who have served in uniform is the highest priority for the U.S. Department of Veterans Affairs (VA). Registered Nurses hired as Close To Me (CTM) Infusion will execute the National Oncology Program's Close to Me initiative. The role requires comprehensive knowledge of the VA Health Care System, travel to various CBOCs outside of VA Medical Center's metro area, and familiarity with personnel in multiple departments.

The Close to Me (CTM) Infusion Registered Nurse (RN) Nurse commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses). The registered nurse, as a licensed professional, will be responsible and accountable for their practice.

Major duties include, but are not limited to:

• Possess foundational expertise, demonstrating introductory proficiency in delivering both direct and indirect nursing care to oncology patients and their families.
• Must collaborate with the interdisciplinary team to achieve desired patient outcomes.
• Completes physiological assessments and completes documentation in the electronic health record (EHR) in accordance to established policies and procedures.
• Monitors, tracks/tends, and reports ongoing care needs and outcomes to the interdisciplinary team.
• Provide a safe working environment while administering, handling, and disposing of antineoplastic drugs and medical waste.
• Oversee the administration and management of various medical procedures primarily in the Community Based Outpatient Clinic (CBOCs) setting, including vascular access devices and infusion treatments.
• Demonstrates sound judgement, flexibility, and strong decision-making skills in the delivery of patient care and readily identifies patient complications.
• Ability to work effectively with patients with a variety of medical and psychiatric condition; demonstrates physical and psychosocial assessment skills.
• Completes comprehensive nursing documentation according to standards.
• Treats all patients and families with dignity and respect.
• If the incumbent is a purchase card holder, performs the duties of a Government-wide Purchase Care Program cardholder in support of his/her service/department/service line. The cardholder is required to complete all required training courses as directed by the agency/organization program coordinator.
• Uses a team approach to identify, analyze, and resolve patient care problems with measurable outcomes.
• Triages patient problems and assists in the evaluation of symptoms and initiate interventions in collaboration with the interdisciplinary team.
• Conducts in-service education based on insights gained from oncology professional development activities and acquiring specialized skills in oncology-specific areas, including chemotherapy administration, oncology electronic ordering systems, and calculating drug dosages.
• Manages monitoring requirements for specific drugs, handling immediate infusion reactions, and preventing and managing oncology-related symptoms and adverse events, such as chemo-related symptoms and immune-related adverse events.
• Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.
• Uses specialized knowledge and judgement for delivery of high quality and evidence-based care to hematology/oncology patients and their families.

Duties include but not limited to:

• Managing the milieu through the use of therapeutic communication and by utilizing therapeutic alliances with patient base
• Lead the treatment team meetings by conveying patients' activities and any adverse behavior or reaction to medications over the past 24 hours
• Lead patient centered groups
• Open communication with psychiatrists, psychologists, social workers and other medical experts in developing and updating individualized treatment plans for each patient
• Charting and updating of treatment plans
• Conducts intake assessments through interviews with the patient and occasionally with family members
• Administers and notes reactions to psychotropic and other medications
• Assists the client in understanding the nature of emotional disturbances and accepting the need for treatment
• Responsible for maintaining a safe environment through the use of monitoring devices, rounding, and open communication with patients and nursing staff
• Responsible for ensuring discharge planning is completed with appropriate appointments made prior to patient leaving and making patient aware of future appointments
• Contacting appropriate personnel when patient refuses or discontinues treatment

• Perform miscellaneous clerical functions relating to patient file records.
• Extract pertinent information from medical records in form of paper or electronics relating to injuries, diseases, operations, and complete medical histories.
• Answer phone calls from staff, patients and/or public and greets visitors.
• Review a patient documents for completeness and compliance in accordance with regulations and requirements.
• Operate electronic typewriter, word processor, microcomputer, or computer terminal to produce work by coding information into an automated database.

• Take vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length).
• Document patients' chief complaints and other pertinent information in the health record.
• Administer oral, intradermal, subcutaneous, intramuscular immunizations to all age groups in accordance with established protocols.
• Perform teaching to patients and/or family regarding self-care procedures and document teaching.
• Recognize adverse signs and symptoms immediately and call for assistance if the situation warrants it.
• Set up, operate and monitor specialized equipment, such as cardiac monitor, and/or defibrillator.

• Administer, configure, and manage the Wellpinit Service Unit's Local Area Network (LAN).
• Develop, expand, and modify the Wellpinit Service Unit's LAN.
• Oversees and directs the local Information Security Program.
• Performs as Help Desk Manager.
• Assists in the maintenance and modification of the existing telecommunications system.

Major duties include, but, are not limited to:

• Establish and maintain a formal system of procedures and administrative controls.
• On own initiative, change or recommend changes in administrative policies.
• Prepare agenda for and conducts periodic secretarial training sessions for all secretaries to department heads.
• Systematically study and evaluate the office processes and procedures to make changes that increase the efficiency of office operations throughout the medical center.
• Respond to inquiries and administrative problems brought to the Medical Center Director (MCD) by members of the staff and officials of the agency's central office, VISN 20, state and local governments, other hospitals and organizations, other federal agencies, and congressional staff.
• Record the commitments made by the MCD during meetings and conferences. Inform the staff of those commitments and arrange for the staff to implement them.
• Understand the MCD's strategic vision and views and assist medical center staff by providing guidance on current organizational issues.
• Exercise exclusive control over the MCD's appointments; with complete authority for commitments of time.
• Screen all calls and visitors, answer most questions and complete most business involving established policy or routine matters without referring people to the MCD.
• Receive all correspondence for the MCD; reply to mail not requiring the MCD's attention; route matters requiring action by hospital department heads; and follow-up to ensure that actions are completed.
• Screen all correspondence prepared for the MCD's signature for clarity, completeness of reply, and grammatical and procedural correctness. Return inadequate submissions for retyping or re-composition.
• Arrange conferences for the MCD, and at the request of VACO/VISN 20 officials, for meetings to be held locally. This includes preparing an agendum, notifying participants, and arranging luncheons and similar matters.
• Lead three secretarial positions that support the Chief of Staff, Associate Director, and the Associate Director, Patient Care Services (AD/PCS).
• Make work assignments, set or negotiate deadlines and completion dates.
• Schedule and approve funding for individual training.

• Responsible for setup and utilization of diagnostic and therapeutic equipment as well as evaluating patients' responses to treatments and documenting findings in the patients' medical record.
• Knowledge of anatomy and physiology including an in-depth understanding of the functioning of the circulatory and pulmonary systems and the major organs associated with these systems is required.
• Knowledge of a variety of related acute and chronic disorders and diseases, their effect on the lungs and heart, and the method of treatment is needed.
• Knowledge of the pharmacology of common respiratory drugs, common dosages, typical and atypical patient responses and side effects is required.
• Educate and train new staff, students, and members of the healthcare team.
• Must have expertise in the operation of all respiratory care equipment and be able to select and manipulate the respiratory equipment and therapy to meet patient needs.
• Must be able to instruct physicians and other healthcare professionals in the proper utilization of respiratory care equipment and therapy.
• When assessing a patient, providing care, or providing educational instruction, the employee will consider the age of the patient and any learning barriers as well as personal learning preferences as each relates to the ability to understand directions, provide objective self-assessment or any other personal information appropriate to the medical treatment plan.
• Practices professionally, must be reliable, be able to work independently and be self-motivated. The incumbent shall be able to monitor vital signs, perform and interpret arterial blood gases, and perform clinical assessments, recommend treatment options, and assess patient response.
• Skilled in arterial puncture by utilizing arterial puncture technique and utilizing all necessary safeguards to prevent complications from this technique.
• Work is primarily performed in the Pulmonary function department however, diagnostic, and therapeutic bronchoscopies are performed in the bronchoscopy suite, radiology, or at bedside.

• Responsible for setup and utilization of diagnostic and therapeutic equipment as well as evaluating patients' responses to treatments and documenting findings in the patients' medical record.
• Knowledge of anatomy and physiology including an in-depth understanding of the functioning of the circulatory and pulmonary systems and the major organs associated with these systems is required.
• Knowledge of a variety of related acute and chronic disorders and diseases, their effect on the lungs and heart, and the method of treatment is needed.
• Knowledge of the pharmacology of common respiratory drugs, common dosages, typical and atypical patient responses and side effects is required.
• Educate and train new staff, students, and members of the healthcare team.
• Must have expertise in the operation of all respiratory care equipment and be able to select and manipulate the respiratory equipment and therapy to meet patient needs.
• Must be able to instruct physicians and other healthcare professionals in the proper utilization of respiratory care equipment and therapy.
• When assessing a patient, providing care, or providing educational instruction, the employee will consider the age of the patient and any learning barriers as well as personal learning preferences as each relates to the ability to understand directions, provide objective self-assessment or any other personal information appropriate to the medical treatment plan.
• Practices professionally, must be reliable, be able to work independently and be self-motivated. The incumbent shall be able to monitor vital signs, perform and interpret arterial blood gases, and perform clinical assessments, recommend treatment options, and assess patient response.
• Skilled in arterial puncture by utilizing arterial puncture technique and utilizing all necessary safeguards to prevent complications from this technique.
• Work is primarily performed in the Pulmonary function department however, diagnostic, and therapeutic bronchoscopies are performed in the bronchoscopy suite, radiology, or at bedside.

• Responsible for proper interpretation of prescriptions and dispensing of product prescribed, including the review of labeling needs for specifying directions for use and precautions as necessary, to assure proper protection of the contents and to the patient.
• Provide specialized services to assist patients with managing conditions such as diabetes, asthma, high blood pressure and other chronic illnesses.
• Provide information and advice regarding drug therapy and usage, drug interactions, side effects, dosage and proper medication storage.
• Maintain records, such as pharmacy files, patient records, inventories, control records for narcotics or controlled drugs.
• Perform administrative, consultative, or staff advisory work for the pharmacy program.

• Responsible for proper interpretation of prescriptions and dispensing of product prescribed, including the review of labeling needs for specifying directions for use and precautions as necessary, to assure proper protection of the contents and to the patient.
• Provide specialized services to assist patients with managing conditions such as diabetes, asthma, high blood pressure and other chronic illnesses.
• Provide information and advice regarding drug therapy and usage, drug interactions, side effects, dosage and proper medication storage.
• Maintain records, such as pharmacy files, patient records, inventories, control records for narcotics or controlled drugs.
• Perform administrative, consultative, or staff advisory work for the pharmacy program.