Total 4 Maintenance / Repair job vacancies in Toulouse - Saint-Martin

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• Maintain, troubleshoot and service hand and power tools associated with trail maintenance.
• Perform intermediate to advanced trail maintenance duties on backcountry trails.
• Perform intermediate to advanced carpentry and masonry skills using dimensional lumber, rough-cut lumber and native materials.
• Operate vehicles and trailers under 26k pounds and maintain a valid Montana Class C with hazardous material (HAZMAT) (or an equivalent from another state) Commercial Driver's License (CDL).

• Plant, cultivate, and inoculate plants with diverse plant pathogens.
• Maintain, calibrate, or modify equipment for test and evaluation procedures.
• Collect, prepare, evaluate, or analyze plant and plant pathogen samples.
• Perform plant disease surveys.

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

• The technician is trained to work in a strictly operator dependent modality (sonography).
• Performs diagnostic ultrasonic scans of internal organs and body structures. These scans are performed on multiple areas of the body, including, but not limited to, vascular, abdomen, and small parts.
• The technician performs vascular ultrasound examinations (aortic, extracranial, extremities, etc.) and must have complete and thorough knowledge of cross-sectional anatomy of the carotid arterial, peripheral arterial and venous system.
• Possesses the knowledge and skills needed to access the patient electronic health record, review diagnosis and laboratory results to assess order(s) for appropriateness of exam or procedure (i.e. arterial vs. venous, etc.)
• The technician operates a complex ultrasound automated system and auxiliary components, e.g. A-mode, B- mode, Doppler, real-time modalities (sector and linear scanners), transducers, etc. Proper transducer selection and equipment control manipulation of amplitude will be varied by the technologist in accordance with the body part, pathology, and structure under study and is solely recognized and manipulated by the technologist as an impending factor upon the validity of the study. Accurately annotates images (i.e. correct organ, correct plane, right vs left, etc.). Interprets the exam results to provide the radiologist with a preliminary diagnosis evaluation. Alerts the physician of any significant scans requiring their immediate attention.
• Demonstrates ability to provide all measurements of various parameters of the studies performed including stenosis measurements, percent of degree of stenosis measurements, pathological volume and size, vessel motion, and any other measurements required, relevant to the successful interpretation of the diagnostic examination by the radiologist.
• Consults with radiologist to establish requirements for non-standard examinations. Independent of over-the-shoulder supervision.
• The technician exercises judgment in making various oblique, transverse and/or sagittal scans; scans and searches organs for abnormalities, interprets sonographic image while it is being generated. Independently determines technical factors, positioning, and number of images.
• Independently operates computer-based equipment (i.e. Parks Flo-lab analyzer, Picture Archive Communications System (PACS), computer, etc.)
• Reviews and prepares ultrasound requests and works collaboratively with schedulers to schedule appointments for efficient patient flow and equipment utilization. Inputs pertinent information into computer. Registers, requests, cancels, and edits exams via the computer radiology information system (RIS).
• Responsible for explaining exams to competent patients in terms the patient will comprehend and understand. Explains any requirements of the patient in order for an adequate study to be performed. May be required by procedure or patient's condition to monitor vital signs, recognize allergic reactions, and initiate cardiopulmonary resuscitation.
• Assesses each patient's limitations (i.e. vent patient, nursing home care, psychiatric, etc.) modifying procedure to meet patient's needs while obtaining images needed for diagnostic interpretation.
• Performs Quality Control procedures and tests for diagnostic ultrasound, as needed. Troubleshoots equipment used in ultrasound procedures. Performs minor routine preventative maintenance as required. Recognizes and reports major equipment malfunctions within a timely manner to supervisor and/or Biomed service representative. Monitors equipment repair process and performs operational check prior to patient use.

• Responsible for evaluating the adequacy of each completed authorization form. Screens each request for information to determine urgency and assures that most urgent requests are completed fist using established priority systems. Personally greets veterans/visitors and assists them in determining the exact nature of the request and whether the information requested can be released.
• Applies public laws, rules, regulations and exclusions governing confidentiality of the medical record, including the Privacy Act, Freedom of Information Act and 38 U.S.C. 7332 governing the release of records containing information.
• Processes all incoming requests to the facility for Release of Information (ROI) long with information required by the VA Regional Office through the Automated Medical Information Exchange (AMIE).
• Evaluates validity of each request. Determines which information is to be released in compliance with existing laws. Ensures that proper authorization exists before release is made. Processes the request to the requesting agency or individual. Inputs all requests into the ROI computer package for logging and tracking of these requests.
• Receives and directs callers and visitors. Receives and/or gives out forms and assists visitors and/or callers with the completion of forms or documents. Responds to questions from patients concerning services. Provides advisory and technical assistance to patients, administrative staff and professional staff regarding release of information. Inquiries vary widely and information given requires explanation of office functions, describing specific requirements, providing basic instructions, or a similar degree of detail.
• Searches records or files to compose responses, including electronic searches to retrieve and summarize hard-to-locate data. Locates materials that would verify information given. Reviews paper and computerized health records to identify material to be photocopied/printed/written to electronic media and released.
• Responds to routine requests for release of patient information. Selects and compiles information from health records and prepares correspondence, typically using standard form or standard formats for letters. Ensures the information released is limited to what is specifically authorized and to the person or agency designated to receive it.
• Composes detailed explanations in response to correspondence received, arranging information into logical sequence and appropriate format and choosing appropriate words and expressions to convey the desired tone. Determines extent and tone of replies independently.
• Resolves conflicting or inconsistent information found on initial requests. This involves dealing with patients and/or third parties to resolve discrepancies, sorting out errors and reconstructing past transactions, cases or events, or finding alternative sources of information.
• Replies to vague, incomplete, or ambiguous inquires by independently recognizing issues, topics or problems. Inquiries are usually presented by patients or third parties who are not sure what information they are looking for or do not know how to identify it by title. Finds alternative sources of information on which to base a reply when correspondent has provided sketchy or inaccurate information.
• Processes Social Security requests for health information using ROI software. Downloads VistA Imaging documents and ROI software documents onto a secure Network Drive. Accesses the secured Social Security Web page and uploads the documents to the Web portal. Transfers the confirmation codes to the ROI software package and closes the requests in both the ROI and Social Security packages.
• Completes and processes routine releases of information to other VA and Federal Agencies and when requested, to patients and their families, insurance representatives, physicians, hospitals, and city and state health agencies according to VA directives. Processing must be accomplished within established time standards. Accurately enters all requests into the ROI software with necessary information for each request for health information. Completes necessary transactions for deposit of money collected from subpoenas, legal fees, and processing fees for release of information to individuals and insurance companies.