Total 484 Others level Maintenance / Repair job vacancies in US-IA-Iowa (Remote Employees)

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

Major duties include but are not limited to:

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

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

Major duties include but are not limited to:

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

***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***

This position serves as Supply Technician (Medical) for the Medical Supply Distribution (MSD) areas of Logistics Service within the VA Health Care System. As a Supply Technician, you will provide wards, clinics, operating rooms, secondary storage locations, and other hospital facilities with supplies and material including, but not limited to, sterile and non-sterile medical supplies, instrument sets and equipment. Major duties and responsibilities include:

• Pulls stock inventory and material for delivery; replenishes stock inventory; interacts with clinical and administrative customers and maintains records on stock levels
• Communicates to the Lead or Supervisor any concerns related to supplies, equipment and procedures.
• Provides information to customers regarding medical supplies
• Monitors expiration dates, rotates stock to limit outdates and removes items from use as required by outdates
• Monitors and controls critical supplies
• Performs daily inventory using bar coding equipment on a predetermined schedule that will allow for timely replenishment
• Resolves differences between records and physical count of stock
• Distributes items according to established or ad hoc requirements in computerized inventory management systems
• Delivers supplies in a timely manner and ensures supplies and material delivered are in sterile and operational condition
• Completes specialty cart preparation
• Cleans assigned secondary areas in accordance with aseptic principles
• Receives supplies and material into the medical center's catchment area

Duties included, but are not limited to:

According to the requirements of the Commission on Cancer, the VA Ann Arbor Healthcare System's Cancer Committee, the National VA Oncology Program and the NCI SEER Programs, incumbent identifies required reportable diseases in this facility's patients through the use of the VISTA Oncology Program.

Thoroughly searches the medical record to identify and code all information pertinent to the patient's diagnosis. This includes demographics, diagnosis, site and histology, diagnostic procedures, extent of disease, and treatment.

Coding assignments may involve highly technical, complex diagnoses/procedures. The incumbent utilizes coding references to ensure that complete and accurate data is collected. In addition, uses specific codes required in a cancer registry, stage of disease, morphology and topography using International Classification of Diseases for Oncology, AJCC Staging Manual, and the FORDS manual.

Independently codes a wide variety of medical diagnostic, therapeutic and surgical procedures. These include:

• 1) Codes stages of disease using American Joint Commission on Cancer staging requirements.
• 2) Analyzes the consistency of coding of registry data, cancer diagnosis, histology, treatment, (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy).
• 3) Identifies coding discrepancies.
• 4) Facilitates resolution of coding discrepancies by discussion with providers.
• 5) Codes complicated medical records having diagnostic, surgical and therapeutic procedures that are identified as difficult to classify.
• 6) Reviews records to obtain data.
• 7) Enters data obtained from the record into the registry software.
• 8) Analyzes data retrieved and provides the results to health care staff for research, patient care, protocol studies and trends in cancer.

Duties included, but are not limited to:

According to the requirements of the Commission on Cancer, the VA Ann Arbor Healthcare System's Cancer Committee, the National VA Oncology Program and the NCI SEER Programs, incumbent identifies required reportable diseases in this facility's patients through the use of the VISTA Oncology Program.

Thoroughly searches the medical record to identify and code all information pertinent to the patient's diagnosis. This includes demographics, diagnosis, site and histology, diagnostic procedures, extent of disease, and treatment.

Coding assignments may involve highly technical, complex diagnoses/procedures. The incumbent utilizes coding references to ensure that complete and accurate data is collected. In addition, uses specific codes required in a cancer registry, stage of disease, morphology and topography using International Classification of Diseases for Oncology, AJCC Staging Manual, and the FORDS manual.

Independently codes a wide variety of medical diagnostic, therapeutic and surgical procedures. These include:

• 1) Codes stages of disease using American Joint Commission on Cancer staging requirements.
• 2) Analyzes the consistency of coding of registry data, cancer diagnosis, histology, treatment, (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy).
• 3) Identifies coding discrepancies.
• 4) Facilitates resolution of coding discrepancies by discussion with providers.
• 5) Codes complicated medical records having diagnostic, surgical and therapeutic procedures that are identified as difficult to classify.
• 6) Reviews records to obtain data.
• 7) Enters data obtained from the record into the registry software.
• 8) Analyzes data retrieved and provides the results to health care staff for research, patient care, protocol studies and trends in cancer.

Basic Functions:

• Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
• Selects /assigns codes from the current versions of the International Classification of Diseases, Current Procedural Terminology, and/or Healthcare Common Procedure Coding System.
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management code to ensure ethical, accurate, and complete coding. Also applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation program
• Monitors ever-changing regulatory and policy requirements affecting coded information
• Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
• Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.
• Insures provider documentation is complete and supports the diagnoses and procedures coded. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes
• Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.
• Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database in Austin. Corrects any identified data errors or inconsistencies to ensure acceptance in the national VA database within established timelines. Independently researches references to resolve any questionable code errors
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs
• Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
• Conducts re-reviews of codes abstracted for outpatient encounters identified by the VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
• Codes inpatient professional fee services for identified inpatient admissions. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
• Establishes the primary and secondary diagnosis and procedure codes for outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of E/M service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.
• Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter; adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.
• Reviews and codes assigned fee service Care in the Community outpatient encounters using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.
• Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

Basic Functions:

• Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
• Selects /assigns codes from the current versions of the International Classification of Diseases, Current Procedural Terminology, and/or Healthcare Common Procedure Coding System.
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management code to ensure ethical, accurate, and complete coding. Also applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation program
• Monitors ever-changing regulatory and policy requirements affecting coded information
• Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
• Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.
• Insures provider documentation is complete and supports the diagnoses and procedures coded. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes
• Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.
• Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database in Austin. Corrects any identified data errors or inconsistencies to ensure acceptance in the national VA database within established timelines. Independently researches references to resolve any questionable code errors
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs
• Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
• Conducts re-reviews of codes abstracted for outpatient encounters identified by the VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
• Codes inpatient professional fee services for identified inpatient admissions. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
• Establishes the primary and secondary diagnosis and procedure codes for outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of E/M service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.
• Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter; adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.
• Reviews and codes assigned fee service Care in the Community outpatient encounters using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.
• Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

The Pharmacy Technician, GS-0661-07, with the Clinical Contact Center is expected to strive to achieve First Contact Resolution (FCR) whenever possible. They are expected to maintain a high degree of accurate productivity and performance while being extremely sensitive to their specific contribution to the overall patient care provided. As required and assigned, the incumbent is expected to accomplish all duties normally performed by general VISN Clinical Contact Center pharmacy technicians at the lower grade level.

Specialized duties, in addition to the generalized duties include, but are not limited to the following:

Medication Management:

• Works collaboratively with VISN programs, services, and interdisciplinary team members to provide access to care and meet the need of Veterans, their family members and/or legal representatives via various available contact modalities to include, but not limited to, telephone calls, secure messaging, chat, text messaging, and video regarding a broad range of topics including medication refills and renewals, basic billing inquiries, and procedural pharmacy activities.
• Routinely reviews medication profiles for therapeutic duplication, prescription non­ compliance, allergies, and drug interactions. Seeks assistance with identified individuals from a Clinical Pharmacist or supervisor for further evaluation, if needed.
• Processes and submits patient requests for new prescription orders and renewal requests, including controlled substances, into the VISN Clinical Contact Center software and/or Electronic Health Record (EHR) accurately, thoroughly, and in a timely manner. Uses approved VISN Clinical Contact Center Pharmacy protocols when appropriate to satisfy patient medication requests.
• Consistently documents patient contact and resolution in VISN Clinical Contact Center software and/or the EHR to include, but not limited to, what was requested, what action was taken, and any other information which may be pertinent during future research. Assists in the documentation of medication variances.
• Assists in training of lower graded technicians and technician students.
• Assists in the completion of workload for other VISN Clinical Contact Center Pharmacy Services in the event of natural disasters, low staffing, or other contingency needs.
• Performs all duties of lower graded technicians, if required.

• Actively and diligently treats all Veterans with respect and utmost dignity. Seeks to resolve Veteran's concerns at first contact independently. When required, refers to other VA resources to assist in the resolution process. Always resolves all Veteran issues in a timely and caring manner with emphasis on providing first contact resolution (FCR).
• Seeks assistance from designated Lead Technician, Clinical Pharmacist or Supervisor when responding to unusual questions or when reasonable attempts to satisfy a caller have been unsuccessful.
• Participates in continuous daily improvement and VISN VA Health Connect initiatives.
• Completes additional duties as assigned.

• Oversee regional preventive medicine and public health services and disease surveillance across the assigned network.
• Direct administrative and public health policy in terms of broadly defined missions and functions and determines their effect on program needs.
• Develop regional preventive medicine operational plans, orders and tasks to accomplish Defense Health Agency mission support requirements.
• subject matter expert in advanced clinical public health care, theories, concepts, principles, and methods to experimental theories and/or new advanced developments to solve complex public health problems.
• Recommend significant changes to or the creation of new public health policies and/or programs to achieve far-reaching impact on long term goals with potential impact on broad agency policy objectives.
• Strategically anticipate future requirements and development of new standards, methods, and techniques and evaluate the impact of these products.
• Serve as the Defense Health Network Public Health Emergency Officer (PHEO) for public health emergency preparedness and response across the assigned area of operations.

As a Pharmacy Technician you will work within Pharmacy Customer Care under the direct supervision of the Supervisory Contact Representative for Pharmacy Customer Care. The incumbent accepts case referrals and provides guidance and assistance to Pharmacy Customer Care Contact Representatives. The Pharmacy Technician is responsible for Tier 2 activities associated with clinical medication questions that require clinical communications with staff such as physicians, nurses, pharmacists, and other members of the health care team. The incumbent must perform pharmacy related clinical calculations associated with interpretation of physician instructions, quantities dispensed, day's supply, availability of refills, and related calculations to identify inaccuracies, oversights, and misinterpretations of medication information. The incumbent will answer escalated Veteran inquires involving a broad range of topics, related to medication refills, medication renewals, medication tracking, backordered medications, medication recalls, emergency refills, medications not received or on hold. The incumbent gathers, evaluates, analyzes data, and applies management and leadership principles in researching the accuracy of Veteran medication inquiries. The incumbent evaluates clinical information from patient records and provide written communication to providers using progress notes that become a permanent part of the Veterans patient record.

Work Schedule: This call center operates 24/7/365 and your shift will be anytime between Sunday through Saturday, including nights, weekends, and holidays. Hours are TBD.
Telework: Not Available
Virtual: This is not a virtual position.
Remote: This is a remote position. Selectee must reside within 50 miles of a VA Medical Center (does not include Outpatient Clinics (CBOC), Vet Clinics, etc.) in the continental U.S. or a Member Services location in the following cities: Topeka, Kansas; Canandaigua, New York; and Waco, Texas.
Functional Statement #: 06855-A
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not Required

• Assist in compiling and maintaining a comprehensive database utilizing the hospital’s Oncolog database of all patients diagnosed and/or treated for cancer.
• Ensure accuracy and completeness of appropriate staging, coding and inclusion of all pertinent patient data, sufficient to meet the needs and standards of tumor registry operations and to provide data for physicians and researchers.
• Review standard and electronic patient medical records to identify cases of malignant disease, abstract and code information.
• Maintain quality assurance of case-finding, abstracting, staging, and coding of data and follow-up procedures.
• Utilize the Oncolog database to create statistical and narrative reports, and graphic presentations of tumor registry data for use by staff physicians and researchers.