Total 54 Maintenance / Repair job vacancies in Lakeland, Florida

VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws

The certified GS-8 Pharmacy Technician (Procurement) is responsible for assisting in procurement of prescription medications, nonprescription medications, and supplies in a highly complex area of Pharmacy Service at within the Orlando VA Healthcare System. This responsibility mandates compliance with all Veterans Health Administration (VHA), Drug Enforcement Agency (DEA), Food and Drug Agency (FDA) and all federal rules and regulations regarding contract compliance, purchase card procedures, reconciliation requirements, control point rules, controlled substance purchasing, purchasing documentation maintenance, and general inventory control processes. Primary duties consist of pharmaceutical and supply order initiation, proper receipt of shipments, compliance with product and storage requirements. Incumbent has independent purchase responsibilities. The Procurement Pharmacy Technician functions as staffing requirements dictate, assisting the pharmacy administration team in providing optimal pharmaceutical care and timely customer service in accordance with the mission, vision and goals of the Pharmacy and the Medical Center.

Duties include, but are not limited to:

• Performs all duties of lower grade Pharmacy Technicians, particularly lower grade procurement technicians.
• Accurately interpret, fills, and prepares prescriptions with appropriate medications and or medical supplies for pharmacist verification.
• Maintains work areas in a clean and orderly condition by assuring that all stock and equipment are in assigned places and all shelves and counters are free of dust and debris in order to create optional work areas.
• Assures drugs and supplies are appropriately stored and secured according to USP and VA guidelines, including the storage of high-risk, look a-like sound a-like, hazardous, controlled substances, corrosive chemical, flammable liquids, and refrigerated items.
• Receives, checks, rotates, and places in stock all items received and identifies and reconciles any discrepancies to assure correct items have been received.
• Utilizes automation dispensing equipment available to the pharmacy staff following all safety and QA procedures. Reports automation malfunctions timely the supervisor as appropriate.
• Records expiration dates in pharmacy automation systems, as needed.
• Performs monthly inspections to assigned areas to ensure proper storage of medications and soon to expired drugs are removed, if assigned.
• Compounds and/or reconstitutes oral or external medications (non-sterile). This includes calculating and converting to proper weights and measures the amount of drug or solution to be used for final pharmacist verification.
• Serves as an ordering officer for pharmacy service, delegated by the VA National Acquisition Center (NAC), while maintaining annual training requirements.
• Initiates ordering requirements of pharmaceuticals, specialty, and supply items through pharmacy prime vendors multi complex accounts or other mandatory sources.
• Responsible for adherence to federal contracts and compliance with federal regulations regarding open market, ensuring inventory control through perpetual evaluation.
• Assists in determining ordering intervals and stock levels appropriate to meet changes in formulary, brand to AB rated generic drugs, contract changes, conversions, new drug indications including backorders and seasonal changes.
• Procures all types of pharmaceuticals including controlled and non-controlled drugs within established VA ordering guidelines, policies, and procedures within inventory management specialized area with the understanding of proper budget utilization.
• Serves as a purchase card holder, including maintaining all requirements to hold the purchase card and completing requirements for purchases timely.
• Other duties, as assigned.

The position has a high degree of visibility throughout the Clinic as a result of direct patient care provided by the Health Technician and contacts with the Veteran population, many of whom are severely disabled and are without additional resources. Professionalism, proficiency, and a high positive image are critical and required. The incumbent must perform and exhibit knowledge and skills specific to the young adult, the adult, and the geriatric patient. The incumbent must be highly motivated, seek ways to expedite care, and eliminate problematic clinical processes.

MAJOR DUTIES:

• The technician independently assesses the patient's contraindications for impressions of the ear and auditory canal, including presence of cerumen or other medical issues.
• The technician is responsible for making impressions of the ear for earmolds, custom hearing aids, and hearing aid repairs due to poor fit or changes in patient status (i.e. loss/gain of weight) including those on surgically-altered or difficult to fit ears.
• Prior to fabricating the impression, the technician is responsible for careful examination of the ear and its environs, cleaning of the area as needed, placement of an oto-block, and visual confirmation of oto-block placement/coverage. After making the impression, the technician is responsible for verifying complete removal of impression material, assessing the ear canal, and assessing completeness of the ear impression.
• The technician is then responsible for preparing, shipping, and verifying the hearing aid repair/order with the ear impression.
• Receives patients from the Audiologists and independently completes the earmold impressions
• Receives patients from the Audiologists to assist further with cleaning, education or repair of hearing aid/assistive device.
• The technician is responsible for follow up hearing aid care for patients fitted with hearing aids in order to determine the success of the physical fit and to make any necessary modifications.
• The technician questions patients and employs one or more diagnostic measures in order to determine the cause(s) of the hearing aid related problem(s) and provides primary level troubleshooting and repair of hearing aids.
• If the patient is experiencing physical adjustment or other adjustment problems associated with the hearing aid(s), the technician may independently apply one or more of the following procedures.

• Modify the earmolds, tubing, receiver length or shell,
• Repair hearing aids in house (i.e. changing batteries, battery doors, cleaning of all parts of the hearing aids, replacing tubing, replacing receivers/cords, etc.)
• Refer the patient to the Audiologist for additional counseling, recommendations and/or re-evaluation.
• The technician may be required to monitor patients with limited dexterity or intellectual capacity several times to ensure the proper use and care of hearing aids.
• When a hearing aid or assistive device is unable to be repaired in-house, the technician processes all repair paperwork and ships the devices to the VA contractor in the proper packaging. This includes properly tracking devices/repairs.
• The technician uses tools ranging from brushes/pliers to electrical hand tools to modify hearing aids or earmolds for a more comfortable fit or to change the response of the hearing aid.
• The technician determines if a patient should be referred to the Audiologist for assessment of rehabilitative needs or extensive reprogramming of the hearing aids.
• The technician is required to properly document all interactions in the medical record in the form of a clinical progress note.
• Consults with Audiologists to determine the patient's needs for loaner hearing aids from clinic stock.
• Receives and screens all calls from veterans, or incoming devices from veterans with complaints about their hearing aids or assistive devices.
• Reviews all hearing aid follow-up questionnaires and follows-up with veterans to determine proper course of action to facilitate repairs or refers patients to their Audiologist.
• Enters IOI-HA into Remote Order Entry System.
• Triages phone calls and secure messages.
• Performs cerumen removal once approved by patient's Audiologist or an Audiologist. Cerumen removal is not performed without authorization of an Audiologist.

The position has a high degree of visibility throughout the Clinic as a result of direct patient care provided by the Health Technician and contacts with the Veteran population, many of whom are severely disabled and are without additional resources. Professionalism, proficiency, and a high positive image are critical and required. The incumbent must perform and exhibit knowledge and skills specific to the young adult, the adult, and the geriatric patient. The incumbent must be highly motivated, seek ways to expedite care, and eliminate problematic clinical processes.

MAJOR DUTIES:

• The technician independently assesses the patient's contraindications for impressions of the ear and auditory canal, including presence of cerumen or other medical issues.
• The technician is responsible for making impressions of the ear for earmolds, custom hearing aids, and hearing aid repairs due to poor fit or changes in patient status (i.e. loss/gain of weight) including those on surgically-altered or difficult to fit ears.
• Prior to fabricating the impression, the technician is responsible for careful examination of the ear and its environs, cleaning of the area as needed, placement of an oto-block, and visual confirmation of oto-block placement/coverage. After making the impression, the technician is responsible for verifying complete removal of impression material, assessing the ear canal, and assessing completeness of the ear impression.
• The technician is then responsible for preparing, shipping, and verifying the hearing aid repair/order with the ear impression.
• Receives patients from the Audiologists and independently completes the earmold impressions
• Receives patients from the Audiologists to assist further with cleaning, education or repair of hearing aid/assistive device.
• The technician is responsible for follow up hearing aid care for patients fitted with hearing aids in order to determine the success of the physical fit and to make any necessary modifications.
• The technician questions patients and employs one or more diagnostic measures in order to determine the cause(s) of the hearing aid related problem(s) and provides primary level troubleshooting and repair of hearing aids.
• If the patient is experiencing physical adjustment or other adjustment problems associated with the hearing aid(s), the technician may independently apply one or more of the following procedures.

• Modify the earmolds, tubing, receiver length or shell,
• Repair hearing aids in house (i.e. changing batteries, battery doors, cleaning of all parts of the hearing aids, replacing tubing, replacing receivers/cords, etc.)
• Refer the patient to the Audiologist for additional counseling, recommendations and/or re-evaluation.
• The technician may be required to monitor patients with limited dexterity or intellectual capacity several times to ensure the proper use and care of hearing aids.
• When a hearing aid or assistive device is unable to be repaired in-house, the technician processes all repair paperwork and ships the devices to the VA contractor in the proper packaging. This includes properly tracking devices/repairs.
• The technician uses tools ranging from brushes/pliers to electrical hand tools to modify hearing aids or earmolds for a more comfortable fit or to change the response of the hearing aid.
• The technician determines if a patient should be referred to the Audiologist for assessment of rehabilitative needs or extensive reprogramming of the hearing aids.
• The technician is required to properly document all interactions in the medical record in the form of a clinical progress note.
• Consults with Audiologists to determine the patient's needs for loaner hearing aids from clinic stock.
• Receives and screens all calls from veterans, or incoming devices from veterans with complaints about their hearing aids or assistive devices.
• Reviews all hearing aid follow-up questionnaires and follows-up with veterans to determine proper course of action to facilitate repairs or refers patients to their Audiologist.
• Enters IOI-HA into Remote Order Entry System.
• Triages phone calls and secure messages.
• Performs cerumen removal once approved by patient's Audiologist or an Audiologist. Cerumen removal is not performed without authorization of an Audiologist.

• You will interpret and analyze complex legislation, policy and regulatory decisions for application to Navy Enterprise Resource Planning (NERP) system and associated feeder systems.
• You will ensure NERP processes are in compliance with DoD/DON Financial policy and regulations.
• You will use knowledge and expertise of NAVFAC business, business rules, processes and practices and work to facilitate/support successful migration to NERP system.
• You will participate in various BSO52 Business Process Working Groups, providing NAVFAC perspective, specific information and technical opinion.
• You will coordinate data cleansing and suspense clearing efforts with FM divisions and other parties, both internal and external (directorates, LANT, HQ, DFAS, etc).
• You will coordinate NERP migration/transition data validation efforts, actions, data calls, etc.
• You will perform NERP system configuration and table updates, coordinating with applicable parties to collect required data and relay impact to current financial operating processes.
• You will perform reconciliation, identify and investigate system issues for root cause and initiate remedial actions to correct issues.
• You will perform NERP User Systems access administration for the command.
• You will provide technical advice and guidance on NERP system capabilities and usage, field questions, draft responses, proposals, and briefs.
• You will develop and deliver NERP user training to the command users, create financial reports from various automated financial systems to extract, compile and perform analysis of Labor and Payroll data to ensure reconciliation.
• You will Work with Data Analytic team, FM divisions, and other parties within the command to design, develop and maintain Execution Reports and various metrics using financial data from NERP, Advana/Jupiter, DCAS, etc.

• Make purchases for a wide variety of medical supplies, equipment, and other services supporting hospital operations through the use of simplified acquisition procedures.
• Coordinate with requesting customers to obtain information needed to support or complete purchase requests.
• Maintain required records, reports, correspondence, documents, etc. to support procurement actions.
• Research stock numbers, catalog numbers, part number, nomenclature, units of issues, special codes, manufacture codes, packaging and handling codes, open/closed records, partial shipments, etc.
• Prepare modifications to orders as needed.
• Review quotes for price reasonableness and determine if the requirements for competition have been meet.

1. Performs complex, nonstandard accounting transactions in the control and review of travel and transportation funds and accounts for a number of different organizations. Receives, reviews, and processes all types of travel and transportation accounting documents (e.g., individual, purchase orders for group travel, moving of household goods, etc.).
2. Maintains, controls, and reconciles accounting transactions and records for multiple accounts. Reviews and maintains complex accounting transactions (e.g., reconciling accounts in accounting system involving extensive subdivision of accounts, frequent and varied adjustments to accounts, or extensive balancing and reconciling of detailed summary accounts).
3. Analyzes and examines accounting data and accounts to resolve nonstandard transactions, complaints, or discrepancies. Utilizes extensive knowledge of accounting procedures and techniques to verify specialized ledger(s) and automated system(s) of accounting data.
4. Prepares reports and performs other miscellaneous technical tasks in support of accounting function(s). Prepares monthly reports, correspondence, and follow-up on flagged documents (e.g., inactive, unliquidated obligations, etc.). Prepares the required forms and enters data into the computerized system.
5. Provides customer service for vendors, resource advisor, financial analyst, and other external and internal customers. Checks records/files in automated accounting systems on status of payments and payment dates, and follows up with OPLOC as necessary.

• You will conduct integrated external assessments or audits of the Environmental Management System (EMS) at Navy Region SE installations to identify deficiencies and areas of concern.
• You will review procedures, management initiatives, best management practices and other required documentation related to the installation’s EMS implementation and sustainability.
• You will provide guidance and approvals for audit plans, reports and other pre-audit documentation and post audit tracking and execution status of EMS and compliance findings and POAMs.
• You will formulate conclusions and recommendations for improvement of the installations’ EMS requirements IAW ISO 14001, CNICINST 5090.8, and OPNAVINST 5090.1M.
• You will utilize and provide training on the Navy’s EMSWeb tool to disseminate information, create audit records, identify deficiencies in the system, and preserve EMS and EV compliance requirements.
• You will serve independently as the Lead Auditor for environmental assessments and audits, and will provide post-audit technical support, training and guidance on EMS requirements.

1. This position will support the Federal Government's response efforts to COVID-19.
2. Performs hazard and risk assessment and conducts a complete incident analysis. Performs crash-rescue and firefighting duties involving air traffic or support operations where hazardous conditions are such that the expectancy for fire is high and potential for becoming destructive is great.
3. Performs structural firefighting duties for a variety of facilities, which may include large multistoried buildings, industrial areas, and/or base storage facilities.
4. Performs rescue of personnel and a variety of first aid measures to alleviate further injury and prepare the victim(s) for transport to a medical facility.
5. Maintains firefighting equipment and fire station facilities. Complies with health, safety, and environmental rules and procedures and performs work in a manner that enhances the safety of the work environment.

• Design, implement, and review activity plans.
• Observe and evaluate each child's health and development and reports on and maintains records of observations.
• Prepare and implement specialized programs for children with special needs.
• Provide technical guidance and leadership to junior employees assigned to assist with program activities and participates in special projects.

• Provide medical care to all ages of active-duty personnel, their dependents, eligible Navy Civilian employees and other eligible beneficiaries.
• Perform emergency services or crisis intervention, including life-saving emergency procedures when necessary.
• Develop guidelines and trainings for interns, residents, and other medical staff to follow when carrying out patient care services.
• Teach and provide consultation to other health care providers as assigned.
• Serve as member of the professional medical staff to provide advisory and consultative services on various meetings, committees, conferences, and boards.

Major Duties Include:

• Independently sets up sterile field with all necessary items for each procedure such as air-powered equipment, fiber optic equipment, laparoscopic equipment, microscopes, lasers, arthroscopy equipment, urologic equipment, complex recording devices, and OR tables and accessories. Prepares., organizes, and maintains highly complex sterile set-ups. Skillfully drapes operative area.
• Plans and discusses each procedure with surgical professionals, including "Time­out" procedures, and assures that all supplies and equipment are available before procedure begins.
• Independently observes, prioritizes, and responds promptly to e:ach stage of the surgical procedure and anticipates the needs of the surgeon by maintaining a high level of concentration for extended periods of time.
• Responsible for vigilant observation of the maintenance of aseptic technique and an environment conducive to the welfare of the surgical patient.
• Utilizes Standard Precautions and follows all infection control policies and procedures when handling specimens, supplies and equipment.

• Plans and lays out work from blueprints, sketches, drawings, specifications, guides, codes, and work orders.
• Troubleshoots HV AC/R systems with complex problems and extensive repairs requiring judgment to locate
  malfunctions.
• Installs, repairs, and maintains large commercial and industrial ventilation, refrigeration, air conditioning
  (AC), and cooling systems with complex problems and extensive repairs.
• Installs, modifies, overhauls, repairs, and maintains a variety of complex beating boilers and/or heating.
  systems, single and multiple fuel power boilers, and associated auxiliary and pollution control equipment.
• Performs essential electrical work incidental to the maintenance and operation of HV AC/R systems.
• Performs preventive maintenance on HV AC/R systems and equipment..

• Screens and interviews patients, and performs bio-psychological social evaluations, using expert knowledge of general and specific concepts, principles, procedures, and practices relating to psychological counseling.
• Conducts therapy, monitors, approves, and documents all treatment planning, and provides advice for case staffing, using expert knowledge of general and specific concepts, principles, procedures, and practices relating to psychological counseling.
• Executes performance initiatives (PI) through revision of clinical standards and procedures.
• Oversees and interprets appropriate tests, using expert knowledge of general and specific concepts, principles, procedures, and practices relating to clinical psychology.
• Develops, implements, and evaluates professional development activities, using expert knowledge of general and specific concepts, principles, procedures, and practices relating to clinical psychology.

• You will serve as Subject Matter Expert, program manager, leader and mentor for environmental compliance products and services.
• You will serve as SME in support of petroleum storage tanks compliance, maintenance and repair, spill prevention control and countermeasures and Facilities response planning.
• You will evaluate and develop environmental information requirements to monitor and demonstrate legal compliance, technical guidance, documents and field assistance in investigations and oversight of associated management plans, studies, and audits.
• You will serve as a senior SME for environmental compliance in order to develop technical requirements, prepare justifications, and/or provide technical expertise to leadership and other activities.
• You will interact with regulatory agencies to ensure compliance with and resolve potential infractions of applicable local, state, or federal regulations, directives, policies, or permits.
• You will review plans, designs, and specifications for improvement, alteration, planning, design and construction of facilities.

Employees at this grade are to be qualified to provide services at an advanced level with highly specialized skills in the areas f the Cardiac Catheterization Lab, Electrophysiology Lab and Hybrid OR Suites.

This position is a Cardiovascular Technologist who has demonstrated advanced training in Interventional Cardiac Catheterization procedures; Electrophysiology and mapping procedures; and procedures performed in the Hybrid OR Suite.

The incumbent is skilled to assist with diagnostic and advanced special procedure radiographic procedures in cardiac catheterization, electrophysiology, and hybrid suites. The incumbent is skilled and experienced in performing the following list of procedures that are performed:

• Percutaneous coronary interventions,
• Coronary stent placements
• Coronary atherectomy, coronary flow evaluation,
• Valvuloplasty,
• Swan ganz catheter placement
• Pericardiocentesis
• Temporary Pacemakers (highly acute patients)
• CTO: Chronic Total Obstruction procedures
• Advanced knowledge of fluoroscopic imaging and the use of equipment
• Intravascular coronary ultrasound, ventriculography