Total 47 Health / Beauty / Fitness job vacancies in Lexington, Kentucky

The RN utilizes the nursing process to:1) provide a safe and supportive environment for patients, staff and others;2) use and direct others to use equipment safely and appropriately;3) incorporate the age, gender, cultural and learning needs of patients and family requiring complex planning and evaluation of care;4) apply and direct others to apply infection control measures appropriately in delivering care;5) identify nd analyze problems which effect/impede patient care and initiate their resolution;6) participate in coordinating patient care and collaborating with other disciplines/departments to achieve patient care outcomes;7) adhere to ethical principles and nursing standards in delivering care;8) serve as a resource and guide to patients, families and other staff in providing patient care;9) use effective communication skills with individuals and groups to achieve desired patient outcomes. RN's are required to be competent in the standards of practice for the care of all patients in the ED. Duties include, but not limited to the following:

• Proficient with obtaining initial assessment of patient condition and response to treatment and initiates follow-up as needed. Triages patients using the Emergency Severity Index (ESI). .
• Demonstrates clinical expertise in the care of emergent and non-emergent patients including the incorporation of head-to-toe assessments with knowledge of normal versus abnormal findings and ability to report findings to Charge Nurse, MD, NP and/or PA as warranted.
• Provides leadership in the application of the nursing process to patient care, organizational processes and/or systems, improving outcomes at the program or service level Administers medication safely and accurately.
• Responsible for assesses, developing and implementing a plan to meet learning needs, instructing patients and families in basic health teaching and discharge planning.
• Proficient in providing nursing care for patients placed on cardiac monitors and proficient in the identification of cardiac dysrhythmias including but not limited to: symptomatic bradycardia, frequent or paired or multifocal PVC's, ventricular tachycardia, ventricular fibrillation, pulseless electrical activity, and asystole.

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Appropriately carry out assigned patient care based on the patients' condition; using judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report and record relevant patient information.-Observe, identify and respond to patient's needs for care including medication, equipment-assisted care and patient/family education. In· planning, organizing and delivering care, the LPN recognizes and considers emotional, cultural, spiritual, socioeconomic, and age-related factors. -Prepare and administer prescribed medications (oral, topical, subcutaneous, intra-muscular and/or intravenous) and other routes and performs treatments according to established policies/procedures. Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to Registered Nurse and/or preceptor or MD.-Ability to recognize urgent or emergent patient care situations, notify the Registered Nurse and/or preceptor and/or physician provider, and initiate appropriate emergency interventions.-Must possess an understanding of human behavior, patient motivations and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff-Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. -Skills in performing support duties for complex diagnostic tests and/or specialized procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure.

Pay Scale: V744
Work Schedule: Day Tour of Duty such as 7:30am - 4:00pm or 8:00am to 4:30pm
Telework: Not available
Virtual: This is not a virtual position.
Functional Statement #: 62004A
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized

Provides nursing expertise and leadership in medical/surgical, mental health and other specialty units throughout the institution.

Responsible for the quality and appropriateness of comprehensive nursing care provided to patients where nursing care is provided.

Monitors and evaluates nursing practice to promote consistency in performance and ensure safe patient care is provided.

Serves as a resource person to other nursing staff.

Supervises and monitors various inmate staffed health services programs functioning within the facility.

Responsible for developing and approving the quarterly nursing unit work schedule.

Participates in audits, program reviews and surveys by the institution, Bureau of Prisons, and the Joint Commission on Accreditation of Healthcare Organizations.

Assures the components of the nursing process (assessment, diagnosis, planning, intervention, and evaluation) are carried out by nursing staff in all areas of responsibility.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.

This job opportunity announcement (JOA) will be used to fill two (2) full-time and permanent GS-0301-11, Supervisory Medical Management Specialist (Chief, Clinical Support) vacancies at the Louisville, KY Veteran Affairs Medical Center (VAMC), with Business Office Service. One Supervisory Medical Management Specialist (Chief, Clinical Support) position will oversee the CBOCs. One Supervisory Medical Management Specialist (Chief, Clinical Support) position will oversee Medical Center clinics.

The Supervisory Medical Management Specialist (Chief, Clinical Support) manages, directs, supervises, and coordinates the administrative staff supporting the outpatient areas with the the Patient Benefits Section such as primary care, mental health, both the medical and surgical subspecialty clinics. Responsible for the managing, directing, training, productivity, and public relations of staff; quality improvement activities; as well as the implementation and monitoring of administrative procedures and plans crossing all clinical services and disciplines. Resolves significant problems, consult & RTC tracking, pre-registration, workload, etc. Duties will include but are not limited to:

• Manages, organizes, supervises, and coordinates the administrative staff supporting the operations of a program responsible for patient examinations and outpatient treatment.
• Organizes the workload and establishes the priorities of others; assigning duties.
• Resolves a wide variety of problems.
• Implements and monitors administrative procedures, training, public relations of staff and quality improvement activities.
• Establishes appropriate administrative and operational procedures for the coordination of clinic scheduling, consult tracking, return to clinic orders, pre-registration, workload reporting, encounter action required, access list, missed opportunities, patient wait times, etc.
• Resolves significant, high profile problems interfering with efficiency of operations impacting on services provided.
• Applies analytical and evaluative techniques to identify, review and resolve issues affecting the administrative support of the delivery of health care services.
• Develops monitors to analyze the success of initiatives.
• Develops plans and provides recommendations regarding the most cost advantageous, efficient, and or highest quality medical support opportunities.
• Writes and coordinates policies, correspondence, and deals with issues affecting patients, staff, and visitors.
• Combines comprehension of economic principles and automation capabilities, performs operational and statistical analysis, preparing comprehensive reports for submission to appropriate officials.
• Performs trend and utilization analysis and directs program development, adjustment, or implementation based on findings.
• Monitors and evaluates to ensure quality and appropriate services are provided.
• Develops, implements and follows a comprehensive quality assurance plan through the use of balanced scorecards and other measures.
• Ensures that training, re-training, orienting and advising staff is common due to the demands and changing environment.
• Other duties as assigned.

Evaluates critical and emergency procedures and prioritizes them to accommodate the situation. The examinations are achieved by using x-ray equipment such as digital radiography (DR), computed radiography (CR), computed tomography (CT), general radiography (conventional/analog), fluoroscopy, portable radiographic and other devices for the purpose of producing high quality diagnostic images to provide appropriate diagnosis and treatment of identified abnormalities. The amount of time spent in each modality will be contingent upon the needs of the department. The incumbent will work a minimum of30% in Computed Tomography and as much as l00%. The incumbent will work between 1-70% in General Radiography. Duties or Functions of this position include but are not limited to:

• Employee understands and complies with the laws, regulations, and industry standards which apply to their job functions and performs those functions with the highest standards of business integrity. Responsible to the radiologists and supervisor for the quality and quantity of radiographic exams performed in order to assure a high level of acceptability of radiographs while minimizing patient exposure and reducing costs.
• Performs routine to moderately complex radiographic procedures that may require utilization of contrast materials and sterile techniques including but not limited to general radiography, computed tomography, etc. Assist radiologists or other professional staff in the performance of fluoroscopic examinations (i.e. UGI, BE, IVP, etc.)
• Prepares contrast materials under the direction of the radiologist for the purpose of performing exams requiring injectable solutions such as IVP, computed tomography with contrast, cystograms, cholangiograms, fistulagrams, as well as other oral and rectal exams of the GI tract. These procedures require the use of needles, syringes, renografin, barium, enema bags, drinking cups, etc. Improper use or administration of the contrast materials runs the risk of patient mortality. Therefore, it is essential that those who prepare and administer contrast materials possess a thorough understanding of its usage and contraindications. This requires continual alertness to the patient's condition and other disorders. The alertness is essential for the recognition of potential patient reactions. Reactions require an immediate response to minimize harm and ensure patient safety. Therefore, CPR certification and demonstrated venipuncture competency is a requirement for this position.
• Determines technical factors, positioning, etc., to produce a high quality diagnostic and/or computed tomography image and confers with the radiologists to determine the requirements for non-standard exams that do not conform to established standard protocols. Notifies the physician of scans requiring their immediate attention. Performs advanced image manipulations and/or reconstructions on workstations as directed by the radiologist, healthcare professional or standard protocol.
• Responsible to the radiologists and supervisor for the quality and quantity of radiographic exams performed in order to assure a high level of acceptability of radiographs while minimizing patient dosage and reducing costs.
• Properly identifies the patient and the image. Uses left, right and other markers when appropriate. This is essential so that mistaken identity does not occur. The technologist must be certain that the patient ID band (if applicable) and the request are identical. Confirms patient identity by verbally confirming patient name and social security number and/or date of birth.
• Performs radiographic exams at the bedside and/or in the operating/surgical suites. Responsible for providing quality diagnostic radiographs for the surgeons and/or other professional staff on patients that are unable to receive imaging services within the radiology department due to patient incapacity or surgical requirement. Use of portable x-ray equipment, mobile intensifier units and other equipment may be required to complete the requested procedure(s).

Duties included, but not limited to:

• The Medical Procedures Unit RN MPU provides service to GI, Cardiology, Pulmonary and Surgery for Endoscopy Procedures, including the following: Transesophageal Echocardiogram with Cardioversion, Interventional Radiology, GI & Pulmonary Endoscopy.
• Provides pre, intra & post op care to patients undergoing Interventional Radiology
• Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.
• Assess, plan, implement and evaluate care based on age-specific components.
• Responsible for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction.
• Consider all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences.
• Administer medications and procedures per established policies and guidelines. Influence care outcomes by collaborating with members of the interdisciplinary team.
• Knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs.
• Make assignments and directs activities of other unit staff, (RNs, LPNs, students, PSAs, other team members).
• Independently plan and deliver technically competent care to patients with complex needs.
• Other duties as assigned.

The registered nurse possesses basic knowledge and skills to apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting which will then enable effective implementation of health promotion and prevention practices, management of acute and chronic illnesses, and attainment of optimal levels of functioning and/or support of the dying patient and significant others. As an entry level position, the nurse is committed to continued professional development. Role responsibilities and accountabilities also include demonstration of knowledge and skills necessary to provide care appropriate to the age-related needs of patients served in the assigned area of practice. This knowledge includes understanding changes associated with aging and principles of growth and development relevant to the adult and geriatric population.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
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)
Licensure: 1 full and unrestricted license from any US State or territory

Pay Scale: N01M
Work Schedule: Day Tour of Duty, on call required
Telework: Not available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized

Duties include but are not limited to the following:

• Monitoring all RMD processes
• Quality Assurance monitoring for the cleaning/decontamination, inspections, preparation, packaging, storage, sterilization, reprocessing, and the distribution of surgical instruments and technical medical equipment processed in SPS.
• Reviewing completed work to ensure that supervisory instructions on work sequence, procedures, methods, and deadlines have been met.
• Ensuring the availability and control of a large number of separately recurring reusable medical/surgical supplies and equipment.
• Establishing/maintaining an accurate medical equipment tracking system.
• Managing the SPS Equipment Inventory Listing for all equipment assigned to SPS.
• Representing the Chief, SPS, as a member of an advisory capability on committees such as Reusable Medical Equipment Committee, Clinical Product Review Committee, Infection Control Committee; Testing and Evaluation; and Quality Assurance.
• Issuing, adapting, implementing, and maintaining local SPS policies and procedures.
• Soliciting assistance from or responding to inquiries from outside regulatory agencies such as Food and Drug Administration, Association for the Advancement of Medical Instrumentation, Joint Commission, Association of Perioperative Registered Nurse, International Association of Healthcare Central Service Material Management, Center for Disease Control, Association for Professional Infection Control and Epidemiology, International Standard Operations, and the Environmental Protection Agency.
• Participating in continuing education programs and courses.
• Demonstrating comprehensive knowledge of pertinent state and Federal regulations, particularly OSHA regulations.
• Responsibility for planning and carrying out the work, resolving most of the conflicts that arise, integrating and coordinating the work of other SPS employees as necessary and interpreting policy in terms of established objectives.
• All other duties as assigned.

*****************This vacancy will remain open until filled.****************
Duties include but are not limited to:

• Must maintain credentials and privileges in diagnostic and interventional radiology, moderate sedation and fluoroscopy. Provides direct patient care in interventional radiology, moderate sedation, and fluoroscopy including providing triage, pre-procedure and post-procedure care.
• Shall support the VISN mission, vision and values, while operating in accordance with Veterans Health Administration (VHA) policies, facility and VISN policies, and standards of federal professional and accrediting agencies external to VHA.
• Assist in the drafting of standard operating procedures.
• Reviews imaging requests and consults and directs scheduling priorities.
• Provide on-call services for interventional radiology on a rotating and/or reasonable basis.
• Ensures pre and post procedure documentation is completed according to the facility policies.
• Provides technical oversight and feedback for the technologists and nurses involved in performing procedures.
• Overall safety of imaging patients including oversight of contrast administration and response to adverse patient reactions.
• Provides the customer with consistent information according to established policies and procedures.
• Handles conflict and problems in dealing with the customer constructively and appropriately.
• Radiology scan interpretation and report generation, using voice recognition software, including interpretation of general diagnostic radiographs, CT, US, MRI, nuclear medicine exams and other diagnostic and therapeutic procedures.
• Administration/supervision of all drugs as needed for the performance and interpretation of imaging examinations.
• Supervision of technical aspects of all aspects of radiology practiced at the Lexington VA HCS.
• Performance of additional duties in such a manner as to comply with all requirements of VAMC Medical Staff Bylaws, including participation in VAMC hospital or service committees, commensurate with a staff physician of the Lexington VA HCS and as required by the Chief of Radiology.
• Physician is encouraged to participate in research activity.
• Shares in call responsibilities as assigned.
• Willing to serve as clinical director of a section of radiology if needed.
• The physician works under the direction of the Chief, Radiology Service.
• Meets the needs of customers while supporting VA missions. Consistently communicates and treats customers (veterans, their representatives, visitors, and all VA staff) in a courteous, tactful, and respectful manner.
• The primary age of patients treated and cared for are normally at the geriatric level, i.e. 60 years of age or older, although occasionally there may be younger patients between the ages of 18-60 years of age that require care. The position requires the incumbent to possess or develop an understanding of the particular needs of these types of patients. Sensitivity to the special needs of all patients in respect to age, developmental requirements, and culturally related factors must be consistently achieved.
• Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations, VA statutes and policy, and VHA policy. Protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, etc., as set out in the computer access agreement that the incumbent signs.
• Demonstrates infection control practices for disease prevention (i.e. hand washing, universal precautions/isolation procedures, including TB requirement/precautions.

The purpose of this position is to conduct and evaluate a wide range of program management and administrative duties to fulfill requirements related to VHA's academic mission and OAA's strategic plans.

Duties include, but may not be limited to the following:

• Responsible for the technical work required for HPE programs including affiliation agreements, trainee qualifications and credentials letter (TQCVL), program letters of agreement (PLAs), direct HPT/affiliate staff customer service, and the on- and off­ boarding processes of HPTs.
• Review and validate HPT applications, qualifications, and appointment against OAA criteria before starting clinical rotations and performing patient care.
• Inform management with authoritative analyses, policy guidance and opinions regarding HPT appointment and on- and off-boarding processes as it relates to HPE programs.
• Enhance the efficiency of processes and HPT training experience as it effects the reputation of VA and its ability to maintain and expand the clinical workforce of VA and the nation through recruitment and retention of highly qualified HPTs.
• Responsible for enacting process changes with OAA, affiliate staff, facility leadership, clinical and administrative service lines by implementing SOPs, developing and administering training programs, and advising on HPE regulations.
• Provide complex coordination across clinical and administrative service lines at both facility and Veterans Services Integrated Network (VISN) levels.
• Synthesize and maintain data from diverse data systems and sources to cross check, validate and present relevant information and reports.
• Performs other related duties as assigned.

• Administers a comprehensive community health care program providing primary health care to students at the Job Corps Civilian Conservation Center.
• Maintains a system of medical records, accident forms, and preparation of reports (narrative and/or statistical) as required. Ensures adherence to all Privacy Act requirements are met.
• May serve as the Contracting Officers Representative (COR) for various contracts which include supplies and/or services related to the health and wellness of the student population.
• Maintains proper safeguards for the storage of critical supplies, such as controlled substances, in accordance with all existing regulations. Arranges for maintenance of the dispensary and equipment.
• Holds regularly scheduled sick call; provides assessment, diagnosis and treatment of minor illness; administers medications and treatments in accordance with authorized physicians Standing Orders.
• Provides primary care for trauma cases, including suturing; emergency care; and management of chronic health problems.
• Makes referrals to private physicians, dentists, clinics, community resources, or specialized services based upon assessment of the students physical and/or emotional needs.
• Counsels, educates, and trains students on a variety of health subjects such as hygiene; prevention of pregnancy, STDs, and HIV; nutrition and exercise; and specified information on illnesses and disease prevention.

Major duties and responsibilities include (but are not limited to):

• Sets up and breaks down assigned station with the correct supplies and food items;
• Portions food items into standard serving sizes using the proper utensils and specified dishware
• Selects and places correct items on patient trays
• Decides what food items to serve for the most common diets
• Identifies obvious discrepancies between the prescribed diets and the food items
• designated by the menu
• Sets up dining room tables for service, place food and beverages on tables, and replenish items as necessary;
• Delivers meal trays to the patients' bedsides; reporting the patients' comments and complaints to the supervisor or dietitian;
• Provides assistance to cooks in the food preparation area, such as weigh, measure and assemble ingredients according to standardized recipes;
• Prepares fresh fruit/cold salads/dressings/sandwich fillings and cold sandwiches and simple cold desserts;
• Reads and interprets regular or modified menus, individual diet cards, tray tickets or patient selections
• Performs heavy-duty cleaning tasks throughout the food service and related areas;
• Performing other duties as assigned.

The incumbent serves as a Telephone Care Clerk for Patient Care Services within the Primary Care Outpatient Clinics. In this capacity the incumbent will provide telephone access to our veteran population. This is a complex role requiring a global understanding of Lexington VAHCS policies and procedures.

Major Duties:

• Clinical and administrative network designed to provide fast, responsive assistance for veterans seeking information and care at this medical center.
• Works collaboratively with an interdisciplinary coordinated care delivery model (i.e., patient aligned care team, or other specialty care setting where the patient aligned care team model is used)
• Develop/maintain effective and efficient communication ,with the patient, interdisciplinary team, VA medical centers, and other agencies (e.g., communicate with non-VA medical facilities)
• Provides assistance with telephone coverage and analyzes calls to take action when appropriate in referring calls to the appropriate staff members.
• Acts as primary liaison between the medical facility, patients and their families for consulting, advising and assistance with program access and questions.
• May handle notification to family members of Veterans in regards to program activities and status
• Performs work involving the collection, compilation and/or tracking of data and statistical information in support of the HBPC programs operation
• Assists in the planning, review and reporting of data/statistical results of the program and establishes and organizes computerized data sets and retrieves computerized data
• Preparing for clinic visits; completing encounters in order to obtain appropriate workload credit; verifying and updating demographics and insurance information
• Other duties as assigned.

Duties Include:

• Answer 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
• Schedule, cancel, re-schedule patient appointments and/or consults
• Enter no-show information and monitor appointment requests from multiple electronic sources
• Participate in huddles with other MSAs and/or clinic staff to determine the daily needs of the clinic
• Monitor both inpatient and outpatient appointments in areas of responsibility
• Verify and update demographics and insurance information when patients check-in for appointments
• Coordinate administrative functions relating to emergency and non-emergency transfers to other VA facilities or private hospitals and determines appointment t-type based on the patient's eligibility status (i.e., TRICARE, sharing agreements, collaterals, research patient, VA employee, etc.)
• Serve as an initial point of contact for the units, clinics, patient, call centers, CitC, to include, but not limited to, scheduling patient appointments, tracking, reviewing, and responding to electronic orders, consults, and other elements in the electronic medical record and medical systems
• Utilize practical knowledge of computerized data entry, information processing systems and software related to patient care, the healthcare system's organization and services, basic rules and regulations governing visitors and patient treatment
• Apply, knowledge of standard procedures, utilizing medical records, and medical terminology

• The Lead MSA is responsible for daily workload assessments, assigning work, and assuring proper staffing coverage.
• Evaluating training records and determining training needs of MSAs to provide support across interdisciplinary settings.
• The Lead assists the unit with clinical flow processes related to access to care across multiple clinics and/or specialties.
• Assignments at this level include but are not limited to ensuring accurate and timely processing of Return to Clinic Orders, Consults, and Leaf Requests; providing guidance to staff members, to include changes in policies and procedures, creating and maintaining employee work schedules; and acting as a liaison among Advanced MSA staff, MSA staff, patients, and other interdisciplinary staff to resolve day to day conflicts.
• For all assignments above the full performance level, the higher-level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time.
• The Lead MSA provides comprehensive, detailed, on the job training to all new MSA personnel.