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The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Major duties include but are not limited to:

• Delivering established telehealth competency based training for clinicians and telehealth staff members.
• Supports clinical telehealth encounters for both the patient and provider locations by serving as the telepresenter within scope of practice, functioning as an imager and supporting clinical data for telehealth store and forward applications, managing real time clinical telehealth events, providing established patient education, and providing technical and administrative support of telehealth operations.
• Evaluating telehealth operations and supporting performance improvement efforts.
• Providing technical support to end-users.
• Scheduling simple and complex intra-facility and inter-facility telehealth appointments.
• Installing, configuring, maintaining, and troubleshooting technology, and performing a variety of program support duties as assigned.
• Coordinating, installing, maintaining, and managing the inventory of telehealth technologies including hardware and software with assistance of Biomed and IT.
• Providing established standardized competency-based training, guidance, and information on the use of advanced telehealth technologies to patients, staff, and providers.
• Providing established standardized competency-based training for telehealth technology, facilitating interactive simulations for clinical staff participating in telehealth programs.
• Participating in performance improvement activities aimed at improving the efficiency of the patient telehealth processes.
• Developing reporting procedures, sampling techniques and measurements at various points in the telehealth processes to identify/analyze inherent weaknesses in work and procedures.
• Coordinating clinic set up and monitoring of workload capture and issues for assigned patient and provider clinics including telehealth resource-based scheduling.
• Supporting designated complex telehealth programs that require advanced technical skillsets'.
• Incumbent must possess an active driver's license and be able to sustain long periods of sitting and driving. An ability to lift objects such as laptop cases, nurse/medical bags, and other home care medical supplies in and out of vehicles and into homes is
  necessary.

Selectee will report to an assigned DOL office location on a regular basis and be eligible for telework as determined by agency policy. This is not a remote position. Offices are located in Boston, MA; New York, NY; Philadelphia, PA; Atlanta, GA; Chicago, IL; Kansas City, MO; Dallas, TX; San Francisco, CA; and Seattle, WA. Advertised salary reflects the pay range for the above locations. Upon selection, salary will be set in accordance with the selectee's assigned duty location.

Major duties at the GS-15 level include but are not limited to the following:

• Advise Departmental leadership to effectively impact change and enterprise transition that minimizes client resistance and maximizes client engagement and posturing in alignment with the overarching strategic plans.
• Collaborate with all levels of management to gain better understanding and apply changes to support short and long-range planning.
• Analyze problems and apply sound judgment to make recommendations or decisions for resolution of problems within customers' organizations or the Division.
• Prepare and deliver presentations to groups of agency officials, managers, staff and other organizations detailing Safety and Health and Emergency Operations programs, processes, and procedures.
• Oversee efforts to improve operations, programs, and services and/or gain efficiencies.
• Craft and implement internal management and operational reforms to increase the cost-effectiveness and productivity of operations.
• Plan, develop, manage, implement, and administer complete Safety and Health and Emergency Operations Program to include Physical Security out in the field for the Office of Field Operations.
• Perform other duties as assigned.

What will I do in this position if hired?

In this position, you will provide medical expertise in support of the FEMA mission to help people before, during and after disasters. Typical assignments include:

• Developing and implementing an occupational health program to ensure workforce medical protection,
• Managing agency vaccination program,
• Establishing remote clinics for the deployed workforce and provide routine and emergency care during disaster,
• Conducting injury and illness surveillance during deployments,
• Managing automated external defibrillator (AED) and trauma kit program.
• Managing CBRN medical countermeasures program for preparedness and response to pandemics and CBRN attacks.

What else do I need to know?

At FEMA, our mission is to help people before, during and after disasters, and every employee at FEMA has a role in emergency management. Every FEMA employee has regular and recurring emergency management responsibilities, though not every position requires routine deployment to disaster sites. All positions are subject to recall around the clock for emergency management operations, which may require irregular work hours, work at locations other than the official duty station, and may include duties other than those specified in the employee's official position description. Travel requirements in support of emergency operations may be extensive in nature (weeks to months), with little advance notice, and may require employees to relocate to emergency sites with physically austere and operationally challenging conditions.

FEMA is committed to ensuring that its workforce reflects the diversity of the nation. At FEMA, our workforce includes the many identities, races, ethnicities, backgrounds, abilities, ages, cultures, and beliefs of the people we serve. To learn about FEMA's ongoing diversity and inclusion efforts, reasonable accommodation process, and the FEMA Core Values, please visit www.fema.gov.

Duties include but not limited to:

• Providing recommendations regarding strategic decisions that affect the overall RRTP Programming operations which includes scheduling of groups, scheduling Veterans of staff facilitated programming.
• Developing practice management protocols to demonstrate productivity and access, manages daily programming operations including continuous quality improvement related to programming and provides RRTP leadership productivity metrics for all disciplines within the RRTP monthly.
• Proactively and systemically developing, gathering, collating, managing, analyzing and interpreting data regarding the RRTP's operation.
• Working closely with RRTP Chief and creates presentations that include data, action plans, process improvements, and meaningful information regarding trends in data.
• Proactively recommending and maintaining capacity in various clinic types based on demand trends and future projections and improves productivity at all levels of clinical operations. Maintaining all schedules for RRTP staff and requests scheduling changes based on programming needs. Providing program managers a monthly review of productivity for each staff through dashboard awareness and data utilization.
• Establishing environments favorable to the accomplishment of RRTP programming.
• Creating processes for organizing and maintaining the RRTP's clinical programming, adhering to the requirements found in MHRRTP Directive 1162.02.
• Facilitating routing meetings that promote bidirectional communication, review of performance standards, ameliorates an administrative barrier to programming and providing recommendations to be more successful with metrics.
• Providing guidance on clinic builds, productivity standards, productivity reviews, as well as Labor Mapping certifications.
• Providing recommendations related to programming needs including FTEE needed to support programming by census.
• Performing demand/capacity analysis, templating and has indirect authority to ensure scheduling operations of patients are upheld in clinic flow for highest patient outcomes and satisfaction.
• Developing and implementing local business operational policies related to programming, scheduling, ensuring minimum programming hours are met, coordinating with programming not provided by RRTP staff, administrative requirements of creating staff schedules according to programming needs, and provides advice to executive leadership on clinical programming operations based on audits, utilization of groups and RRTP metrics.
• Overseeing the daily programming.
• Advises, counsels, and instructs employees on both work and administrative matters. Hears and resolves minor complaints from employees; addresses concerns in a timely manner and works closely with Human Resources as well as the union.
• Interviews candidates for positions in the units; recommends appointments, promotions, and reassignments to unit positions; identifies and provides trainings needs; and finds ways to improve production or increase the quality of work within the area of authority.
• Facilitating routing meetings for direct reports.
• Creating and maintaining policies.

The Occupational Health Nurse will provide emergency assessment, diagnosis and initial treatment of injuries or illnesses. The nurse also administers life-saving procedures including cardiopulmonary resuscitation and other first aid procedures and provides information on health related issues. 

Major Duties Include:

Occupational Health Nurse Services

• Providing health care maintenance, diagnostic and therapeutic services, education and counseling while performing Occupational Health Nurse duties.
• Performing emergency assessment, diagnosis and initial treatment of injury or illness. Notifies the Attending Physician in cases where initial treatment is beyond the competence or scope of the incumbent for advice and assistance, and based on the circumstances, to expedite the conveyance of the patient to a physician or suitable medical facility at the request of or on behalf of the patient.
• Administering lifesaving procedures including cardiopulmonary resuscitation and other emergency first aid procedures to stabilize a patient. Must be fully knowledgeable in the areas of cardiopulmonary resuscitation and other lifesaving procedures.
• Performing routine diagnostic and therapeutic procedures, monitoring stress levels and evaluating the treatment. Provides emotional support to the patient and family by providing information on the treatment. Performs electrocardiograms for patients to diagnose abnormalities of a heart condition. Refers patients to their personal physicians as necessary.
• Dispensing or performing first aid or palliative treatment for conditions to enable the employee to complete the current work shift before consulting with their personal physician. Administers certain treatments such as allergens, vaccines, vitamins and similar treatments requested by the employee's private physician and in accordance with instruction of the OAP. Administers required immunizations as requested.
• Providing standard healthcare maintenance, diagnostic/therapeutic services, education and counseling to patients.

Evaluates and Instructs Patients on Routine and Emergent Care

• Encouraging and informing patients of ways to maintain or improve their health status through education and counseling and performs other routine general nurse duties. 

Serves as an Information Resource

• Serving as a health informational resource to Members of Congress, Staff and visitors for specialized information related to a particular patient population, health issue or clinical protocol. Maintains accurate, complete and confidential medical records on all patients diagnosed or treated and ensures proper security of these records.
• Maintains a supply of emergency drugs in an Emergency Drug Box and ensures all drugs and supplies are current and maintains proper security of the Emergency Drug Box and Supplies.
• Maintains an automated data base of patients treated and operates a personal computer for required and data input and retrieval. Conducts effective observations, prepares personal histories or uses other assessment measurement devices to gather information that portrays the client's physical health.

Must be reliable, adaptable, able to prioritize patient privacy, and capable to work independently and/or with a group.

As a Public Health Analyst (Policy & Issues Management) you will:

• Develop projects to identify, review, and analyze complex and highly visible actions such as public health legislation, executive directives, Departmental policy issuances, voluntary changes in practice by influential organizations or groups, as well as other problems, issues, or program requirements that may be unstable or complex and that have the potential to impact public health as well as the activities of the division, center, and/or coordinating center.
• Cultivate and maintain relationships with other organizational units within Centers for Disease Control (CDC) including other national centers, and offices within the CDC Office of the Director, CDC Washington, FMO/Leg, and others; other Federal agencies and quasi-governmental groups such as the CDC Foundation; and other key partners including national and international organizations.
• Develop new public health programmatic initiatives and assess issues of importance to the mission and activities of the program.
• Identify strategic programmatic and public health areas in need of strengthening as well as new areas for program development.
• Respond to Congressional/Executive Branch inquiries and correspondence requesting information regarding CDC strategies, programs, and responses to health problems; data; and general information requested about health problems.
• Develop materials to explain programs to the general public and to specific groups including Congressional staff, legislative committees and subcommittees, state policy makers, Departmental and other executive branch officials, and other groups interested in specific program activities.

NOTE: This position is multi-disciplinary and can be filled by: Social Worker, Licensed Professional Mental Health Counselor, or Marriage & Family Therapist. Applicants must apply to the appropriate vacancy announcement.

The ADD/C's primary responsibility is to provide clinical and administrative leadership, management and supervision of all Vet Center staff and all other professional, paraprofessional and nonprofessional staff assigned to work at the Vet Center and to plan, develop, implement, coordinate, monitor and evaluate all treatment services of the Vet Center.

Additional duties and responsibilities include, but are not limited to:

Oversight: The ADD/C oversees clinical effectiveness of Vet Centers. Performs quality assurance inspections of Vet Centers Ensures clinical charting and Veteran client privacy is following Readjustment Counseling Service and VHA policies.

Quality Assurance: Oversees the administrative and clinical aspects of a major specialty treatment program, for quality assurance in RCS. Ensures clinical quality assurance utilizing various clinical modalities and evidence-based practices. Reviews and evaluates Vet Centers at least annually. Establishes and tracks developmental objectives to guide the team in improving services to Veteran clients.

Clinical Crisis Management: Develops, reviews, and analyzes a clinical crisis reporting system that accurately tracks critical incidents to improve Vet Center services. The individual collaborates and coordinates with VA entities to facilitate and ensure that a Mortality & Morbidity (M&M) quality review panel is conducted when Vet Center clients die by suicide. Ensures the Peer Review protocol process is completed at Vet Centers when the outcome of the Self- Directed Violence Assessment tool indicates a suicide attempt. Utilizes administrative and clinically qualitative outcomes to further educate staff.

Staff Development and Education: Ensures that the clinical staff in their respective RCS Zone is adequately trained to address the needs of Vet Center clients. The individual also ensures staff is kept abreast of clinical issues or evidence-based treatments. Assesses the educational developmental needs of the clinical staff. Responsible for monitoring licensure of all eligible clinical staff in consultation with Deputy District Director and Staffing, to ensure compliance. Develops educational activities, training curriculum in conjunction with District Offices.

Education Liaison: Oversees and ensure that all clinical supervisors adhere to established VHA policies governing health professions training in VHA facilities.

Supervision/Guidance: Provides consultation, clinical supervision, and guidance to the clinical staff of the Vet Centers. The individual is the primary clinical supervisor for each Vet Center Director within their RCS Zone. The venue of supervision may be on-site during a quality assurance site visit, telephonic, tele-video, or through written policy and directives.

Research: Reviews all research proposals involving Vet Centers and advises the Deputy District Director of the effectiveness and value of the project to enhance treatment of Vet Center clients. Upon approval of any research project, the ADD/C monitors the process and compliance with VHA research protocol; ensures proposal guidelines, Veteran client privacy, and timely completion. Independently studies such areas to arrive at appropriate solutions to be recommended for implementation.

Outreach: Monitors Vet Center outreach activities are strategically planned and adjusted to ensure market penetration of the local eligible individuals' population. Reviews and advises the Deputy District Director as to the appropriateness and effectiveness of outreach efforts, strategies, and activities. Promotes the sharing of successful outreach strategies among the Vet Centers in a best practices model.

Collaboration and Networking: Ensures that Vet Centers maintain clinically productive relationships with programs and organizations internal and external to the Readjustment Counseling Service. The goal of these relationships is to attain a network of liaisons and coordination of services that enhance prompt and successful referrals of Veteran clients. Collaborate with internal and external partners to further program goals and enhance patient centered care.

Work Schedule: Monday - Friday, 8:00 am - 4:30 pm; some evenings and weekends may be required based on the needs of the District.
Telework: Ad-hoc
Virtual: This is not a virtual position. Please see note below.
Functional Statement #: PD478270
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not Required

** Hired employee will need to have a permanent residence and currently living in one of the states falling under the "10RCS4 Continental District," to include Montana, Wyoming, Utah, Colorado, Oklahoma, Texas, Arkansas, Louisiana, or Mississippi. **

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Major duties include, but are not limited to:

• The Nurse II Inpatient Mental Health (MH) Registered Nurse (RN) provides and leads the provision of competent, evidence-based care, the psychiatric MH nurse independently provides patient-centered and recovery-oriented care, milieu management, and maintains self-awareness while caring for patients living with MH conditions.
• Facilitate shift reports, warm hand-offs, and nurse-led psychoeducational groups; use therapeutic communication techniques, practice de-escalation techniques, and utilize recovery-oriented language.
• The nurse actively participates in MH interdisciplinary treatment team, MH Environment of Care rounds, assumes team lead for psychiatric emergencies, reports and assists in resolving safety concerns, and documents nursing assessments, nursing plan of care, patient safety observations, and environmental safety rounds according to facility policy.
• The nurse maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient.
• Has oversight of licensed vocational nurses/nursing assistants, as appropriate to the setting.
• The nurse will assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation.
• 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 MH interdisciplinary team.
• Supports colleagues through MH knowledge sharing to provide safe, quality nursing care.
• Shares MH 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 MH practice culture

As a Health Scientist, you will:

• Assist the Chief-of Party on matters relating to laboratory systems analysis and developmental planning, operational research, and all aspects of laboratory quality assurance to support CDC-DGHT and host government priorities in the designed DGHT country.
• Provide consultation in substantive matters related to public health and clinical laboratory practice and training to include scientific and technical assistance in methodology, study design, project and data management.
• Maintain professional relationships with international, national, and local laboratory policy makers, universities and schools of public health, key personnel in appropriate clinical and laboratory organizations, and professional staff from other CIOs within CDC.
• Participate in providing leadership in developing justifications for resources to meet current needs and developing requests to fund new initiatives.