Total 185 Health / Beauty / Fitness job vacancies in homestead florida

Duties Include:

• Serves as a professional and technical advisor to staff and other health care professionals.
• Represents the Clinical Nutrition Section on projects, committees and/or workgroups within the department and facility.
• Assumes full responsibility for planning, directing, and assessing the work and competence of subordinate staff.
• Collaborates with other managers in the medical center to negotiate and/or make decisions on NFS related matters affecting clinical operations.
• Provides Clinical Nutrition Section specific leadership and exercises a full range of supervisory and personnel management authorities and responsibilities.
• Participates in performance improvement efforts within Clinical Nutrition section, acting on quality improvement data and plans.
• Identifies and prioritized problems, sets long and short-term goals, identifies action plans for the clinical section and nutrition programs.
• Executes the training plan for the clinical section and ensures staff remain up to date on advances and changes in medical nutrition therapy. Orients and trains employees related to the clinical nutrition and appropriate policies and procedures. Assists with new employee onboarding.
• Ensures evidence-based guidelines and are integrated into clinical practice.
• Collaborates with the food operations staff, bringing the work of the clinical nutrition staff to the food services provided to Veterans.

Duties consist of the following, but are not limited to:

• Assists Supervisory Accountant and senior operating accountants in providing cost reports, financial statements and other informational data reflecting the interrelation of accounting and cost budgeting.
• This position performs administrative work for Stations 675 and 485, in support of human resources, budget, accounting, auditing, payroll, fiscal and/or financial management functions.
• Assists in overseeing activities concerning entry of data into various ledgers and records, transfers of funds, disbursements, receivables and payables to ensure funds are efficiently controlled and reports accurately reflect station financial positions.
• Assists in continuously monitoring the Accounting Section with a constant goal of improvement.
• Works in constant coordination with the Social Work Service for the payment to the Compensated Work Therapy (CWT) participants. Processes CWT Payroll on a biweekly basis based on data provided by the Social Work Service.
• Receive, verify for accuracy and process deposits form the Agent Cashier corresponding to the Patient Funds Accounts, General Post Funds, or other miscellaneous funds requiring manual entry into the Financial Management System (FMS).
• Assists senior operating accountants with other reconciliations and review as assigned.
• Serve as a training coordinator for systems used in the procurement and invoicing records.
• Assists station services and collaborates with other agencies with requests/orders within the G-invoicing systems.
• Monitors for funding or administrative issues within the G-invoicing system.
• Review daily reports to ensure all transactions for this program have been released and recorded appropriately in all systems.
• Analyze accounts receivable aging reports and prepare monthly reports for management, as requested.
• Audit bills of collection per policy and established guidelines.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Social Work: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf

Duties may include, but are not limited to:

• Interviews veterans and their family members/significant others to establish facts about the veteran's situation, presenting problems and their causes, and the impact of such problems on the veterans functioning and health as part of a comprehensive psychosocial assessment.
• Interprets and explains VA's treatment and benefit programs.
• Reviews all data, subjective and objective, makes a clinical assessment, identifying needs and strengths.
• Effectively uses professional skill, objectivity and insight.
• Uses advanced clinical training, insight, and experience to interpret data and to identify viable treatment options.
• Assesses high risk factors, acuity and needs for services.
• Monitors and assists veterans to maintain appointments at VAMC and other community agencies for medical, psychiatric, substance abuse, vocational and other services consistent with veteran's goals associated with healthful independent living.
• Refers veterans to appropriate VA and other government/community services including: local shelters, food banks, employment services, veteran's benefits, and social security applications.
• Assists veterans who encounter problems obtaining services from the VA and other service delivery agencies, by increasing their problem solving/social interaction skills.
• Independently evaluates the client's situation, including the veteran's reaction to it and ability to deal with it, and arrives at a reasoned conclusion.
• Based on the psychosocial assessment, uses professional judgement and advanced practice skills to make a psychosocial diagnosis.
• Develops psychosocial treatment plans in coordination with interdisciplinary team members, including goals for psychosocial clinical treatment.
• Identifies eligible candidates for VASH from the HCHV Program.
• Assists HCHV staff during outreach activities including field interviews, assessment and referrals for homeless veterans contacted in the community, shelters, "on the streets," as well as those who are referred by the VET Center or the HCHV Office.
• Establishes a continuing relationship with the veteran, evaluating progress towards goals and adjusting the treatment plan as appropriate.
• Social Work Service covers in-patient hospital weekend/holiday shifts. All Social Workers are assigned a 5 hour weekend shift twice a year.

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.

This position serves as the Deputy Psychologist Program Manager for the Specialty Mental Health Clinic BHIP Teams (MHC). The MHC is a multidisciplinary outpatient program within the MH Service that provides state-of-the-art mental health services for veterans based on the psychiatric rehabilitation recovery model. The Psychologist Program Manager is expected to provide assigned psychological services within the Mental Health Service for MH patients; and to be responsible for the clinical and administrative supervision of all BHIP LIPs (Psychiatrists, APRNs, Psychologists, Social Workers, LMHCs) at the facility Community-Based Outpatient Clinics, located in Clermont, Deltona, Kissimmee, and Tavares. The Deputy Psychologist Program Manager works closely with the local BHIP Primary Program Manager, and has direct line authority and is accountable for aspects of the clinical care and support services provided to Veteran in the BHIP program at a specific location. In addition to providing direct patient care, this psychologist has substantial administrative/managerial, supervisory and training responsibilities. Some of the duties include, but are not limited to;

• Provides a full range of psycho-diagnostic services including assessment and using the most appropriate psychotherapeutic techniques in providing quality care.
• Provides a full range of therapeutic interventions including: individual and group therapies for a full range of behavioral, adjustment and lifestyle problems.
• High level of skill and expertise to establish and maintain effective therapeutic relationships with Veterans and/or their families.
• Able to independently work with Veterans and their families who are experiencing a wide range of complex medical, psychiatric, emotional, behavioral, and psychosocial problems.
• Possess a thorough knowledge and have experience in use of medical and mental health diagnoses, disabilities, and treatment procedures, including acute, chronic and traumatic illnesses, common medications and their effects/side effects, and medical terminology.
• Independently complete psychosocial assessments and be able to independently provide a DSM diagnosis to determine the psychosocial functioning and needs of Veterans and/or their families.
• Possess knowledge and ability to independently implement Evidenced Based Treatment modalities, provide individual, group or family psychotherapy, supportive contact and psychosocial education for Veterans and families.
• Experienced in making rapid assessments and developing crisis management plans for admission to mental health inpatient programs.
• Responsibility to ensure that mental health services in the BHIP location complies with all OVAHCS policies, VA directives and accreditation requirements.
• Ensures efficient and effective deployment of psychotherapists across clinical teams at the location.
• Supervision of staff, professional management, and administrative responsibilities that are complex in scope and that constitute a significant portion of the health care system.
• Ability to organize work, set priorities, delegate tasks, and meet multiple deadlines.
• Skill in managing and directing the work of others to accomplish program goals and objectives, and ability to devise ways to adapt work operations to new and changing programs, staffing, and budget requirements, etc.
• Ability to translate management goals and objectives into well-coordinated and controlled work operations.
• Other duties as assigned.

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Travel for this position refers to visiting the Orlando VA CBOCs that are being managed by this position. Frequency is as needed. Government vehicle may be available.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Education Debt Reduction Program (Student Loan Repayment): EDRP Authorized: Contact the VISN 8 Compensation Center of Excellence at VISN8CCOE@va.gov if you have any questions or concerns. Learn more.
Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
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
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting
Financial Disclosure Report: Not required

The BHIP Program Manager provides comprehensive psychiatric care to Veterans referred for Mental Health services within the Psychiatrist's approved privileges. In addition to Veteran care, the Psychiatrist may have responsibilities in other areas such as education and research.

• Provide psychiatric care in an outpatient setting, identifying Veterans' mental and medical health needs and designing diagnostic and therapeutic plans to meet these needs.
• Serve as the medical subject matter expert within their assigned team and may be responsible for coordinating activities of other health service personnel, resolving problems affecting Veteran care, and providing appropriate education for the Veteran and/or family members regarding the Veteran's care, condition, and its management.
• Adhere to all applicable VACO, VISN and Orlando VA policies, rules and regulations and to the Orlando VAHCS Medical Staff Bylaws.
• Provide team-based leadership in the application of clinical practice to organizational processes and/or systems improving outcomes at the service level; to achieve excellent customer satisfaction.
• Assure compliance with clinical practice guidelines and to work collaboratively with others; to foster systems that promote state-of-the-art acute, chronic and preventive Mental Health care; for performance improvement process.
• Keep abreast of changes as appropriate; and to serve on committees as assigned.

The LMFT Deputy Program Coordinator will provide assigned psychotherapy services within the Mental Health Service for MH patients; and to be responsible for the clinical and administrative supervision of all BHIP LIPs (Psychiatrists, APRNs, Psychologists, Social Workers, LPMHCs) at the facility Community-Based Outpatient Clinics, located in Clermont, Deltona, Kissimmee and Tavares. The incumbent is expected to adhere to service standards regarding matters of timeliness, accuracy, and compliance with procedures and quantity of work produced. The incumbent will be responsible for developing and maintaining policies, procedures, and processes to implement the deployment of psychologists and counselors in the Mental Health Service. Some of the duties include, but are not limited to;

• Program managers have broad program management responsibilities for a specific program that is designed to deliver specialized, complex, highly professional services; that are important program components of the facility and that significantly impact the health care provided to Veterans.
• Decisions made by the Program Coordinator affect staff and other resources associated with the programs managed and are made while exercising wide latitude and independent judgment.
• Operation and management of key clinical, training, research, and administrative activities for the BHIP location, to include full responsibility for managing the day-to-day activities of the BHIP program.
• Provides a full range of psycho-diagnostic services including assessment and using the most appropriate psychotherapeutic techniques in providing quality care.
• Provides a full range of therapeutic interventions including individual and group therapies for a full range of behavioral, adjustment and lifestyle problems.
• Must be a team player and function as a member of the interdisciplinary team.
• Responsible for strategic planning to ensure the provision of high­ quality services to meet the needs of the Veterans being served and planning and developing and implementing short- and long- term goals and objectives consistent with the program's strategic plan.
• Has oversight of administrative and programmatic resources and deploy those resources in support of the program needs.
• Develop and implement programs, policies, and procedures to meet program goals, VHA policy and external accreditation requirements, and monitor outcomes using data-driven quality assurance processes and implement strategies for improvement based on data analysis.
• Consults with and serves as a resource for other professional staff concerning the need for the development of mental health services.
• Administrative supervision of all LIP staff at the location, which may include Psychiatrists, Psychologists, Social Workers, Licensed Professional Mental Health Counselors and Peer Supports.
• Supervision of staff, professional management, and administrative responsibilities that are complex in scope and that constitute a significant portion of the health care system.
• Ensures efficient and effective deployment of psychotherapists across teams at the location.
• Ability to organize work, set priorities, delegate tasks, and meets multiple deadlines.
• Skill in managing and directing the work of others to accomplish program goals and objectives, and ability to devise ways to adapt work operations to new and changing programs, staffing, and budget requirements, etc.
• Ability to translate management goals and objectives into well-coordinated and controlled work operations, the ability to establish and monitor production and performance priorities and standards.
• Must have knowledge of, and the ability to appropriately utilize, evidence-based practices and clinical practice guidelines and ability to guide staff in using these tools.
• Other duties as assigned.

The Deputy Licensed Professional Mental Health Counselor Deputy Program Coordinator works closely with the local BHIP Program Manager/Coordinator, and has direct line authority and is accountable for all aspects of the clinical care and support services provided to Veteran in the BHIP program at a specific location. In addition to providing direct patient care, this psychologist has substantial administrative/managerial, supervisory and training responsibilities. Some of the duties include, but are not limited to;

• Has very broad responsibility for clinical programs.
• Responsibility to ensure that mental health services in the BHIP location complies with all OVAHCS policies, VA directives and accreditation requirements.
• Will have direct administrative and professional supervision of staff assigned to the BHIP location.
• Ensures efficient and effective deployment of psychotherapists across clinical teams at the location.
• Supervision of staff, professional management, and administrative responsibilities that are complex in scope and that constitute a significant portion of the health care system.
• Decisions are made exercising wide latitude and independent judgment.
• Ability to organize work, set priorities, delegate tasks, and meets multiple deadlines.
• Skill in managing and directing the work of others to accomplish program goals and objectives, and ability to devise ways to adapt work operations to new and changing programs, staffing, and budget requirements, etc.
• Ability to translate management goals and objectives into well-coordinated and controlled work operations.
• Ability to establish and monitor production and performance priorities and standards.
• Knowledge of, and ability to appropriately utilize, evidence based practices and clinical practice guidelines and ability to guide staff in using these tools.
• Ability to deal effectively with individuals or groups representing widely divergent backgrounds, interests, and points of view.
• Ability to analyze organizational and operational problems and to develop and implement solutions that result in sound operation of the program.
• Full responsibility for the professional practice of psychologists and Masters-level therapists, including services conducted by trainees, and consultants.
• Consults with and serves as a resource for other professional staff concerning the need for the development of mental health services.
• Responsible for timely completion of all program evaluations and documents required by the Health Care System, VISN, and VACO, ensuring compliance with appropriate accrediting bodies (such as JCAHO) and monitoring entities (such as NEPEC), as appropriate.
• Provides a full range of evaluation services and diagnoses mental disorders, particularly for complex or unusually difficult patients many of whom have psychiatric and medical problems.
• Provides evidence­ based psychotherapeutic interventions, including individual, family, and group psychotherapy.
• Provides consultation to professional staff within the assigned Mental Health program, and to community providers, concerning clinical assessment findings and appropriate treatment plans for patients with psychological and psychiatric problems.
• Develops, implements, and documents the psychotherapeutic treatment plan for Veterans with psychological and psychiatric problems­patients receiving services within the program.
• Provides case management and support to Veterans with psychiatric and psychological problems.
• Works collaboratively and cooperatively with an interdisciplinary treatment team to provide services to Veterans with psychiatric and psychological problems.
• Other duties as assigned.

The Senior Licensed Professional Mental Health Counselor (LPMHC) is under the Mental Health & Behavioral Sciences Service and works with and clinically supports Acute Care Mental Health, which includes an inpatient psychiatric unit, inpatient medicine, and the emergency department. In addition to providing direct patient care, the Senior LPMHC functions as the facility Baker Act Coordinator and has supportive administrative duties.

Duties and responsibilities include, but are not limited to:

• Providing a full range of mental health services to patients with complex mental, medical, and psychosocial problems in Acute Care Mental Health.
• Completing Suicide Risk Identification to include CSREs, Safety Plans, and consultation with the Suicide Prevention Team as needed.
• Providing evidence-based psychotherapy services including individual, family, couples, or group psychotherapy and behavioral modification for addressing behavioral and psychological symptoms. Has advanced skills in specialized interventions and treatment modalities for Veterans with complex needs.
• Educating patients, family members, and significant others.
• Functioning as a member of an interdisciplinary treatment team by providing consultation and treatment recommendations to professional staff within the medical units, inpatient psychiatric unit, ED, and community providers, concerning clinical assessment findings and appropriate treatment plans for the patients in his/her care.
• Developing, implementing, and documenting the treatment plan for patients seen, including prompt completion of clinical reminders.
• Functioning independently as a member of the West Palm Beach VAMC Medical Staff, with full clinical privileges. The incumbent assumes complete professional responsibility for his/her clinical assessment findings, patient care decisions, and documentation.
• Appropriately referring patients to other disciplines for treatment outside purview and expertise of a LPMHC.
• Providing clinical supervision to LPMHC staff and/or LPMHC trainees.
• Developing behavioral health related training curriculum and conducting trainings for clinical staff as needed.
• Complying with all regulations of VHA and ensuring clinical documentation complies with service policies.
• Participating in ongoing performance improvement initiatives.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Social Work: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf

The Deputy Program Coordinator may be the sole practitioner in this specialty at the facility and typically provide direct patient care services in the program area. The program coordinator oversees the daily operation of the program, develop policies and procedures for program operation, and prepare reports and statistics for facility, VISN, and national use. Program coordinators at the GS-12 grade level are administratively responsible for a clinical program providing treatment to Veterans in a major specialty area. Their health care and psychosocial problems and needs are complex and require a high degree of clinical oversight and creative problem solving. Services are provided in the BHIP Mental Health Teams. The incumbent is required to interact not only with the patient but also family, significant others, community agencies, and other staff. The BHIP Social Work Coordinator should have advanced clinical knowledge of both substance use and complex mental health diagnosis. The BHIP Social Work Coordinator provides guidance and oversight regarding clinical practice and professional standards for Mental Health Clinicians assigned to the BHIP Teams. Some of the duties include, but are not limited to;

• Provides both administrative and clinical supervision to the staff as assigned.
• Expected to set priorities and make assignments according to capabilities of employees and oversee personnel management functions of staff assigned.
• Evaluates subordinate's performance and offers instruction, advice, or counseling on clinical and administrative matters.
• Responsible for monitoring compliance with social work and mental health practice standards and guidelines on documentation, workload, data entry, ethical practice, and service delivery.
• Effectively handles minor disciplinary measures such as warning and reprimands and recommends action in more serious cases.
• Provides general and position specific orientation to BHIP staff, including position-specific competencies.
• Participates in the application of FPPE/OPPE, Social Work Scope of Practice, monitors continuing education requirements, and other requirements for the staff assigned to supervise.
• Responsible for and provides guidance to BHIP clinicians regarding clinical Social Work practice including promotion of Social Work and Mental Health services as a key component of treatment.
• Interviews Veterans referred for substance use and/or mental health treatment to establish facts about the Veteran's situation, presenting problems and their causes, and the impact of such problems on the Veteran's functioning and health as part of a comprehensive psychosocial assessment.
• Uses clinical training, insight, and experience to interpret data and to identify viable treatment options.
• Independently evaluates the Veteran's situation, including the Veteran's reactions, coping abilities, as well as their ability to arrive at a reasoned conclusions.
• Performs insightful assessment of serious and complicated cases involving psychiatric illness, substance use, catastrophic medical conditions, dementia, and other high-risk diagnoses.
• Provides clinical services to Veterans and family members/significant others in support of the veteran's treatment.
• Other duties as assigned.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf

Medical Technologist: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Medical-Technologist-Career-Flyer.pdf

The incumbent serves as a generalist in medical technology with responsibility for performing procedures in the areas of Chemistry, Hematology, Coagulation, Urinalysis and minimal selective test in Microbiology and Serology. The generalist medical technologist rotates with other generalists on a regular basis through the above-mentioned areas. The specialty/medical technologist is assigned only to a specific department (i.e. Hematology or Chemistry) and will rotate with other specialty technologists within the department. The technologist cross-trains in all Clinical Laboratory areas as assigned and works according to area's policies and procedures. Works' independently with minimal supervision on any assigned tour of duty.

The duties and responsibilities of the Medical Technologist - Generalist/Specialty includes but is not limited to the following:

• Evaluates the suitability of the specimen for analysis, requesting new specimen if determined to be unusable. Prepares specimen for analysis, ensuring that the physiologic state of the specimen properties is maintained.
• Selects, performs, evaluates and monitors the performance of test procedures using manual and/or instrumental techniques in accordance with established protocols. Recognizes and reacts to indicators of malfunction; locates and implements corrections.
• Conducts quality control procedures on equipment, reagents, and products and documents/maintains proper records for quality control reports.
• Calibrates, standardizes, adjusts and maintains instruments. Verifies correct instrument operation using established procedures and quality control checks and monitoring. Identifies the cause of common problems and makes simple repairs.
• Documents and maintain all quality control, maintenance, and corrective action logs; performs instrument to instrument correlations, new reagents and control validations and all other technical procedures required to maintain laboratory compliance.
• Evaluates the validity of data in relation to the test system and accepted assay procedures. Correlates quantitative data with patient data (i.e., history, medications) to verify results.
• Performs review of manually entered laboratory results in the VISTA system.
• Organizes workload for maximum efficiency in order to complete tests being performed.

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.

The Lead MSA routinely interacts with MSA staff and collaborates with other members of an expanded health care team to assist in providing a robust interdisciplinary approach to care. The Lead MSA monitors daily work assignments and balances workload among MSA staff. The Lead MSA provides input on performance regarding quality of work, and Medical Center Policies.

Lead Medical Support Assistant duties consist of but are not limited to the following:

• Scheduling/coordinating appointments using advanced clinic access principles.
• Daily review of active/pending consults and open Return to Clinic Orders (RTC's).
• Ensures Code-Purple forms and medication administration reports(MARS) are up to date via communication with clinical staff.
• Pulls reports to ensure that the work has been completed.
• Conducts reviews to ensure quality of work and to ensure accurate and timely scheduling of appointments.
• Assure staff collect, scan, and update health insurance information serving a major role in the revenue process.
• Train staff to ensure is in compliance, reporting quality assurance, and budgetary initiatives.
• Develops ways to resolve problems with the administrative and clinical staff on access, customer service, patient flow, revenue, and data validation issues, action plans, monitoring and reporting.
• Assemble patient hardback charts at time of patient admission, and consolidate patient hardback charts at time of discharge.
• Acting as a receptionist at the clinic, either face-to-face or telephonically.
• Perform timekeeping duties and additional tasks assigned by the supervisor to ensure efficient daily operations.

This position may be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

• Program managers have broad program management responsibilities for a specific program that is designed to deliver specialized, complex, highly professional services that are important program components of the facility and that significantly impact the health care provided to Veterans.
• Operation and management of key clinical, training, research, and administrative activities for the BHIP location, to include full responsibility for managing the day-to-day activities of the BHIP program.
• Adhere to service standards regarding matters of timeliness, accuracy, and compliance with procedures and quantity of work produced.
• Responsible for developing and maintaining policies, procedures, and processes.
• Works closely with, and supervises the local BHIP Deputy Manager, and has direct line authority and is accountable for the clinical care and support services provided to Veterans in the BHIP program at a specific location.
• May delegate specific aspects of the functioning and management of the BHIP location to the Deputy Program Manager.
• Development and implementation of programs, policies, and procedures; oversight of administrative and programmatic resources; and monitoring of outcomes using a data­ driven quality assurance process.
• Consults with and serves as a resource for other professional staff concerning the need for the development of mental health services. Serves on Health Care System, VISN, and/or National VA committees, workgroups, or task forces.
• Supervision of staff (which is multi-disciplinary that may include Psychiatrists, Psychologist, Social Workers, LPMHC and Peer Support), professional management, and administrative responsibilities that are complex in scope and that constitute a significant portion of the health care system.
• Other duties as assigned