US Veterans Health Administration

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Current Jobs in US Veterans Health Administration
Jobs 100
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16 Oct 2021

Duties Summary This position will serve as a Police Officer at the Veterans Health Care System of the Ozarks in Fayetteville, AR. The Police Officer will perform a full range of police duties by following and executing rules, regulations, or…

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16 Oct 2021

Duties Summary Wage Grade 3 Food Service Workers perform tasks with several steps or a sequence of tasks that requires attention to work operations. They follow set procedures in accomplishing repetitive assignments and follow an established sequence of work. Wage…

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15 Oct 2021

Duties Summary This Histopathology Technician (Advanced) position is located in Pathology and Laboratory Medicine Service at the Providence location. This position is a full time at 40 hours per week. This position is not a Bargaining Unit position. Responsibilities Receives…

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14 Oct 2021

Duties Summary Clinical Contact Center Registered Nurse provides care and counseling of persons in the promotion and maintenance of health and prevention of illness and injury based upon nursing process. THIS IS NOT A VIRTUAL POSITION. SELECTED CANDIDATE WILL NEED…

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15 Oct 2021

Duties Summary Position is located at the Lubbock CBOC. The Police Officer is to serve & protect Veterans, patients, employees, contractors, volunteers, affiliates, visitors & others who frequent VA facilities. Safety/security are paramount to ensuring that the VA successfully serve…

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15 Oct 2021

Duties Summary The Licensed Practical Nurse (LPN) will function as a member of the Primary Care Team at the Fargo, North Dakota VA Health Care Facility. The (LPN/LVN) performs nursing care for adult and geriatric patients with a variety of…

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15 Oct 2021

Duties Summary The incumbent serves as a Federal police officer for the St Cloud VA Health Care System performing law enforcement and security duties pursuant to Title 38 USC Sec. 902. VA police officers are a vital part of ensuring…

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16 Oct 2021

Duties Summary This Hemodialysis Registered Nurses Manager position is located in Nursing Service. This position is a full time position at 40 hours per week. Responsibilities Membership on the Nursing Leadership Team, working together to improve patient care, safety and…

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15 Oct 2021

Duties Summary The Patient Aligned Care Team (PACT) Registered Nurse (RN) Care Manager will utilize the nursing process and evidence based practice to deliver and manage comprehensive care to an assigned panel of patients in a clinic setting. The RN…

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15 Oct 2021

Duties Summary The Licensed Practical Nurse works under the direction of an RN and reports to the primary care manager. The LPN is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the…

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14 Oct 2021

Duties Summary The PACT (Patient Aligned Care Team)/RN Care Manager demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. The nurse collaborates with the Core Team (Patient, Primary Care provider, PACT/RN Care Manager, PACT LPN and…

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12 Oct 2021

Duties Summary DIRECT HIRE AUTHORITY: This position is being filled using Direct Hire Authority (5 CFR 337.205) for this occupation. Appointment in this position as a law enforcement official under Title 38 of the United States Code Section 1.218, authorized…

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09 Oct 2021

Duties Summary The full performance, Intermediate Care Technician (ICT) Generalist is assigned to the Department of Veteran Affairs, Veterans Health Administration (VHA). This position serves as an advance technician for outpatient care settings such as; primary care, mental health, and…

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09 Oct 2021

Duties Summary Provides anesthesiology services at a part time (0.25 FTEE) basis. The physician provides a variety of services, including pre operative patient exam and assessment; intra operative care utilizing MAC, reginal and general anesthesia techniques on ASA class 1…

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08 Oct 2021

Duties Summary The Medical Support Assistant (MSA) performs duties related to the receipt, intake and indexing of health and administrative information. MSA's will interface with personal computer applications as well as numerous Vista applications. The MSA is responsible for scheduling…

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04 Oct 2021

Duties Summary The position is located in the Department of Veterans Affairs, Veteran Health Administration (VHA), Mid Atlantic Health Care Network, Veteran Integrated Service Network (VISN 6), Salisbury VA Medical Center, Facilities Management Service, Project Section, Salisbury, NC The primary…

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04 Oct 2021

Duties Summary The Health Technician (Telehealth Clinical) Advanced provides high level support, training, and advanced management of telehealth operations with duties that may require travel. Primary responsibilities of the this position include: delivering established telehealth competency based training for clinicians…

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15 Oct 2021

Duties Summary This position is located within the Loma Linda VA Healthcare System, performing law enforcement work for the preservation of peace and the prevention, detection, and investigation of crimes occurring on Department of Veterans Affairs (VA) controlled property. Responsibilities…

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03 Oct 2021

Duties Summary The HRO is a professional nurse who serves as the initiator of strong, safe clinical processes across the Medical Center. The incumbent uses Patient Safety, Systems Redesign (lean) and Quality Improvement skills to foster the development of an…

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19 Oct 2021

Duties Summary 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…

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30 Sep 2021

Duties Summary 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…

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29 Sep 2021

Duties Summary The VA Loma Linda Healthcare System is currently recruiting for an General Engineer to work in Facility Management Service, Loma Linda, CA. The primary purpose of the General Engineer is to plan, coordinate, advise on work efforts, and…

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05 Oct 2021

Duties Summary The Iowa City VA Health Care System is recruiting for one (1) full time Medical Instrument Technician (Diagnostic Ultrasound) for the Patient Care Service Line. Responsibilities The work involves operating or monitoring diagnostic and therapeutic medical instruments and…

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26 Sep 2021

Duties Summary The Cincinnati, OH VA Medical Center is seeking well qualified candidates to work as a Registered Nurse in the Residential Rehab Treatment Program (RRTP) Safe Medication Program, Ft. Thomas in the Mental Health Care Line. This RN's primary…

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17 Oct 2021

Duties Summary Incumbent serves as a management analyst in the Mental Health Service Line (MHSL). In this role, he/she is responsible for the development of all aspects of developing, analyzing, evaluating, advising on, implementing and improving the effectiveness of the…

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15 Oct 2021

Duties Summary If you are a current, permanent VA employee or Federal employee from another agency, you should apply under CBST 11245895 21 ER. The position is located in the Mental Health Service. The RRTP is a 154 bed residential…

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25 Sep 2021

Duties Summary The Certified Registered Nurse Anesthetist (CRNA) is assigned to the Anesthesiology and Surgical service in Eugene, OR of the Roseburg VA HCS, Roseburg, OR. CRNA performs pre anesthetic evaluations, collaborates with the interdisciplinary team to prepare the anesthesia…

Physician
US Veterans Health Administration  -  Salt Lake City, UT
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17 Oct 2021

Duties Summary The Physician serves as the Director, Health Care Outcomes (HCO) and is located in the Office of Health Equity (OHE) Office of Population Health. The OHE is responsible for health and healthcare equity for Veterans patients within the…

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26 Sep 2021

Duties Summary The employee will serve as a Medical Technician Phlebotomist in Pathology & Medicine Service (P&LMS) at the VA Central Iowa Health Care system, Des Moines, IA. The technician performs phlebotomy in the emergency room, inpatient, outpatient, and extended…

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07 Oct 2021

Duties Summary This position is located in the Veterans Health Administration Office of Community Care, and is organizationally aligned to the Network Management Executive Directorate and assigned under the supervision and direction of the Community Care Contract Administration. The incumbent…

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26 Sep 2021

Duties Summary The Dental Assistant assists the Dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision. Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until December 31,…

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27 Sep 2021

Duties Summary Wage Grade 2 Food Service Workers perform tasks with several steps or a sequence of tasks that requires attention to work operations. They follow set procedures in accomplishing repetitive assignments and follow an established sequence of work such…

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12 Oct 2021

Duties Summary This position is located in the Human Resources Management and Consulting Service (HRMACS). Advisors provide routine oversight and evaluation of all HR sections. The Advisors research laws and regulations, develop policies, guidelines and desk references for staff and…

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16 Oct 2021

Duties Summary The Veterans Health Administration (VHA), Office of Community Care (OCC), Informatics and Data Analytics (IDA), is established to build and leverage a robust data analytics capability and data environment for the Agency. IDA provides a variety of enterprise…

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26 Sep 2021

Duties Summary This position is located within the Compensated Work Therapy (CWT) Program. The employee carries out all duties related to attaining and maintaining competitive employment for veterans. Responsibilities Duties include, but are not limited to: Responsible for utilizing best…

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16 Oct 2021

Duties Summary This position is located within the Telehealth Service Line at the Sioux Falls VA Health Care System in Sioux Falls, SD. The Program Specialist Facility Telehealth Technology Program Manager is required to provide critical operational and technical program…

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25 Sep 2021

Duties Summary The Supervisory Budget Analyst is located in Fiscal Service at the Overton Brooks VA Health Care System in Shreveport, Louisiana. The incumbent ensures accurate budgetary forecasts, promotes organizational effectiveness, and ensures accurate payment of salaries. Responsibilities Serves as…

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26 Sep 2021

Duties Summary This is a developmental position, located in the Prosthetic Service Line at Muskogee VAMC. The primary purpose of this position is to provide direct patient care position and the incumbent must work directly with the Veteran, his/her family,…

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29 Sep 2021

Duties Summary The position is located in the Technology Transfer Program (TTP), Office of Research and Development (ORD), Veterans Health Administration (VHA), Department of Veterans Affairs (VA). TTP has the principal responsibility for the implementation for the Federal Technology Transfer…

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22 Sep 2021

Duties Summary The Social Worker serves as a Social Work Program Coordinator, locally titled Caregiver Support Program (CSP) Manager, which provides a state of the art continuum of services, education and resources to caregivers of Veterans with complex needs. The…

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02 Oct 2021

Duties Summary The full performance, Intermediate Care Technician (ICT) Generalist is assigned to the Department of Veteran Affairs, Veterans Health Administration (VHA). This position serves as an advance technician for outpatient care settings such as; primary care, mental health, and…

Nursing Assistant
US Veterans Health Administration  -  White River Junction, VT
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22 Sep 2021

Duties Summary This Nursing Assistant Teletech position is located in Nursing Service at the White River Junction, Vermont location. This position is full time at 40 hours per week. Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open…

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20 Sep 2021

Duties Summary OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would…

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10 Oct 2021

Duties Summary The incumbent serves as an Advanced Medical Support Assistant (AMSA) in the Health Administration Service at the Hershel "Woody" Williams VA Medical Center, Huntington, West Virginia. The incumbent provides support work relating to the care and treatment given…

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14 Oct 2021

Duties Summary The Senior Social Worker located at a Community Based Outpatient Clinic (CBOC)independently provides clinical psychosocial and case management services at an advanced practice level to eligible veterans and their family members to meet biological, psychological, social and environmental…

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19 Sep 2021

Duties Summary *****THIS POSITION IS LOCATED AT OUR WEST ROXBURY CAMPUS WITHIN ENGINEERING SERVICES***** This position is located in the Project Section within Engineering Service at the VA Boston Healthcare System (VABHS), in the VA New England Network (VISN 1).…

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20 Sep 2021

Duties Summary This position serves as the Patient Experience Officer (PXO), organizationally reporting to the Chief of Quality Safety, and Value (QSV) at the White River Junction VT VA, and is responsible for all functions related to Patient experience matters…

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20 Sep 2021

Duties Summary This position is located within Readjustment Counseling Service, and its primary purpose is to provide administrative and clerical support to a multi disciplinary team providing counseling services to veterans with readjustment problems. By virtue of the mission of…

Security Assistant
US Veterans Health Administration  -  White River Junction, VT
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29 Sep 2021

Duties Summary This position is located in the Communications Section of the White River Junction VA Police Service. The incumbent initiates and carries out a variety of complex duties such as monitoring and directing police officers response to emergency and…

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19 Sep 2021

Duties Summary **This position may be filled by a Licensed Professional Mental Health Counselor or Social Worker. These positions are advertised on separate USA jobs announcements. If you are interested in the Licensed Professional Mental Health Counselor position, you will…

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24 Sep 2021

Duties Summary Sheridan VAHCS embraces patient family centered care principles. The incumbent practices good customer service in all work activities, treating Veterans, their families/representatives, visitors, and other employees in a courteous, tactful, and respectful manner. Makes caring for the veteran…

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20 Sep 2021

Duties Summary The position is located within VISN 4 VA Medical Centers and reports to the Associate Director or Executive Leadership Team. The position of an Emergency Management Specialist (EMS) manages the health care system in sustaining national and regional…

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27 Sep 2021

Duties Summary The Veterans Health Administration (VHA) has adopted the HR Modernization and Shared Services Implementation, which is a new model of organizing and consolidating essential Human Resource (HR) functions and services to the Veterans Integrated Services Network (VISN) level.…

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20 Sep 2021

Duties Summary The Compliance and Business Integrity Officer (CBIO) reports to the Medical Center Director and contributes to the fulfillment of VHA health care system's mission and vision by planning, designing, implementing and maintaining compliance programs, policies, and procedures in…

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08 Oct 2021

Duties Summary The Emergency Management Specialist position is located within Veterans Health Care System of the Ozarks and reports to the Associate Director or Executive Leadership Team. The incumbent is responsible for preparing for and carrying out or coordinating emergency…

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20 Sep 2021

Duties Summary The incumbent is directly responsible to the Clinical Care Coordinator for Primary Care Service Line for providing direct care within his/her scope of practice. The Clinical Care Coordinator is responsible for the supervision and performance evaluation of the…

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21 Sep 2021

Duties Summary This position, at the full performance level is located at NMVAHCS Albuquerque, NM in the Supply Chain Management service . The incumbent serves as a Supply Technician for a 35,000 square foot warehouse and manufacturing area Responsibilities The…

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05 Oct 2021

Duties Summary This Social Worker is a part of the Fargo VA Health Care for Homeless Veterans (HCHV)/Compensated Work Therapy (CWT) team and reports to the HCHV/CWT Supervisor under the direction of the Social Work Executive. They will function as…

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19 Sep 2021

Duties Summary The Battle Creek VA Medical Center is recruiting for a Supply Technician. The Supply Technician will function in Logistics Service. Responsibilities The duties of the Supply Technician include, but are not limited to: Provides wards, clinics, operating rooms,…

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19 Sep 2021

Duties Summary The incumbent serves as the Public Affairs Officer and Chief, Stakeholder Relations Service at the Carl Vinson VA Medical Center in Dublin, Georgia. The incumbent plans, directs, and programmatically manages the medical center's Stakeholder Relations Service, which is…

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27 Sep 2021

Duties Summary This fulltime position is located in the Providence VA Healthcare System (PVAHCS) with many opportunities in different departments. This announcement can be used to fill future vacancies throughout the facility. Existing PVAMC AMSA's interested should apply. The following…

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23 Sep 2021

Duties Summary The Sioux Falls VA Health Care System is currently recruiting for a Registered Nurse at the Dakota Dunes Community Based Outpatient Clinic (CBOC). This position will be in the Primary Care ICC. The Patient Aligned Care Team (PACT)…

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21 Sep 2021

Duties Summary This Advanced Medical Support Assistant (AMSA) position is in the Medical Administration Service (MAS) of the Gulf Coast Veterans Health Care Systemlocated in Biloxi, MS. Responsibilities If you are not a current, permanent VA employee, you should apply…

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20 Sep 2021

Duties Summary 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…

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13 Oct 2021

Duties Summary The scope of practice of all registered nurses in all area of clinical practice is defined in the four dimensions outlined in the Nurse Qualification Standards, date March 17, 2009, and is specific to the grade and level.…

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08 Oct 2021

Duties Summary To perform administrative and clerical duties in support of Clinical Pharmacy Management team. Office automation support using multiple automated programs and software such as word processing, databases, spreadsheets and graphics. Supports the effective delivery of Pharmacy customer service…

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11 Oct 2021

Duties Summary The incumbent is a General Engineer in the Project Section of the Engineer Service, at the Bath VA Medical Center in Bath, NY. He/she is responsible for planning , presenting, and designing assigned non recurring maintenance and minor…

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06 Oct 2021

Duties Summary The Veterans Health Administration (VHA) has adopted the HR Modernization and Shared Services Implementation, which is a new model of organizing and consolidating essential Human Resource (HR) functions and services to the Veterans Integrated Services Network (VISN) level.…

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19 Sep 2021

Duties Summary The full performance, Intermediate Care Technician (ICT) Generalist is assigned to the Department of Veteran Affairs, Veterans Health Administration (VHA). This position serves as an advance technician for outpatient care settings such as; primary care, mental health, and…

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27 Sep 2021

Duties Summary The PACT RN Care Manager practices as a RN under the guidance of the Nurse Manager for Primary Care within Montana VA Health Care System. Primary Care provides acute and chronic care needs for Montana VA Health Care…

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09 Oct 2021

Duties Summary This Supervisory Police Officer (Lieutenant) position is located in Police Service at the VA Providence Healthcare Systems. This position is a full time at 40 hours per week. This position is not a bargaining unit. Responsibilities Duties include,…

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24 Sep 2021

Duties Summary The Supply Technician GS 6 position in the Consolidated Mail Outpatient Pharmacy (CMOP) located at VA Station 762 Southwest CMOP in Tucson, Arizona. The incumbent provides property accountability related duties, receiving activities, and inventory management related duties. Responsibilities…

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20 Sep 2021

Duties Summary The Medical Supply Technician (Sterile Processing) position is located at the New Mexico VA Medical Center in Albuquerque, NM. The Medical Supply Tech (MST) is responsible to the Supervisory Medical Supply Technician in Sterile Processing Service. Responsibilities Receives…

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20 Sep 2021

Duties Summary VHA is home to the United States' largest integrated health care system, consisting of 150 medical centers, 1,400 Community Based Outpatient Clinics, Community Living Centers, Vet Centers and Domiciliaries. Together, these health care facilities and the more than…

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25 Sep 2021

Duties Summary The VA Black Hills Health Care System is recruiting for one Registered Nurse Referral Case Manager for the community care team. The staff nurse delivers fundamental, knowledge based care to assigned clients while developing technical competencies. Responsibilities Major…

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21 Sep 2021

Duties Summary Current permanent VA employees and Federal employees from other Federal agencies should apply under: CBST 11234856 21 LD. The Sterile Processing Service is part of the Central Arkansas Veterans Health Care System and is primarily located at the…

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04 Oct 2021

Duties Summary Serves as the Assistant Chief of Facility Management Service (FMS) with responsibility for all aspects of Medical Center's Maintenance & Repair (M&R), Biomedical Engineering, Facilities Engineering, Safety, Environmental Management Service, and Environmental Management programs. Serves as a full…

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20 Sep 2021

Duties Summary This position is located within the Environmental Management Services Division of a VA Medical Center. This position is under the direct supervision of the Housekeeping Supervisor or designee. This position performs both janitorial and custodial services at the…

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20 Sep 2021

Duties Summary Provides direct patient resident care under the direction of a Registered Nurse, Licensed Practical Nurse ,Physician, Nurse Practitioner or Physician Assistant. Responsibilities Provides direct patient resident care in a variety of settings, including acute medical unit, acute or…

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20 Sep 2021

Duties Summary This position is located within the Primary Care Service at the Veterans Affairs Medical Center in Manchester, New Hampshire. The Secretary is responsible for planning, developing, and directing the daily administrative activities of the Primary Care Service line.…

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19 Sep 2021

Duties Summary This position is located within the Environmental Management Services Division of a VA Medical Center. This position is under the direct supervision of the Housekeeping Supervisor or designee. This position performs both janitorial and custodial services at VA…

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14 Oct 2021

Duties Summary 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…

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18 Sep 2021

Duties Summary Employee will serve as the Communications Specialist for the Information and Communication section at the Executive Division of the VA National Center for Posttraumatic Stress Disorder (PTSD), at the White River Junction VA Medical Center, in White River…

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17 Oct 2021

Duties Summary This position is located within the VA Puget Sound Healthcare System, performing law enforcement work for the preservation of peace and the prevention, detection, and investigation of crimes occurring on Department of Veterans Affairs (VA) controlled property. Responsibilities…

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06 Oct 2021

Duties Summary Incumbent functions as the Telephone Operator for the Health Administration Service at the Fargo VA Health Care System. Responsibilities The incumbent operates Digital Branch Exchange (DBX) console in conjunction with the station automatic exchange, establishing communications between our…

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15 Oct 2021

Duties Summary This full time position can be filled with either occupational series 0101 Licensed Professional Mental Health Counselor (Program Coordinator) or occupational series 0185 Social Worker (Program Coordinator). This position serves as a team member of the Primary Care…

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30 Sep 2021

Duties Summary This position is located in the Grounds Section of the Engineering Service at the Hershel "Woody" Williams VA Medical Center. Responsibilities Duties of the Laborer include and are not limited to: Operate, load, and unloading trucks, like flatbed…

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03 Oct 2021

Duties Summary The Compliance and Business Integrity Officer (CBIO) contributes to the fulfillment of the Veterans Health Administration (VHA) health care system's mission and vision by planning, designing, implementing and maintaining a system wide compliance and business integrity (CBI) program.…

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19 Oct 2021

Duties Summary COMPENSATED WORK THERAPY Social Worker The incumbent will provide clinical services and vocational rehabilitation services to veterans admitted to the Compensated Work Therapy and Domiciliary Care for Homeless Veterans Program (CWT/DCHV). Programming includes services for addictions treatment, mental…

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21 Sep 2021

Duties Summary This position is located within the Compensated Work Therapy (CWT) Program. The employee carries out all duties related to attaining and maintaining competitive employment for veterans. Veterans are assigned to his/her caseload through the Compensated Work Therapy program.…

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13 Sep 2021

Duties Summary The Wilmington VA Medical Center is currently seeking a full time board certified physician for the position of Urologist. This position will be located at the Wilmington, Delaware. Responsibilities Responsibilities include being able to admit, work up, and…

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21 Sep 2021

Duties Summary Vacancies may be 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…

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14 Sep 2021

Duties Summary This position is within the Ambulatory Care Service. The incumbent provides support by analyzing, evaluating, advising on and/or coordinating operations to support improvements in the efficiency and effectiveness of patient care. Incumbent reports to Ambulatory Care Medical Management…

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11 Oct 2021

Duties Summary Serve as a Lead Medical Support Assistant (MSA) at Nebraska Western Iowa Health Care System. The work impacts the administrative aspect of patient care, including: access, scheduling/coordinating appointments using advanced clinic access principles, collecting and updating demographic and…

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26 Sep 2021

Duties Summary In regards to the GI Lab RN Lead, the unique equipment, pace and nature of the GI procedure area requires much coordination and hands on involvement. Responsibilities The daily schedule sees more minute to minute appointment adjustments and…

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12 Sep 2021

Duties Summary This position, located within the Providence VA Medical Center, Rhode Island, reports to and assists/supports the Chief of Clinical Operations (CCO)/Ambulatory Care Operations Director (ACOD)/Supervisory Group Practice Manager (GPM) and to all ambulatory care services in the facility…

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12 Sep 2021

Duties Summary The incumbent is responsible for providing leadership in the interdisciplinary delivery of urgent and emergent medical health care services and for the organization and delivery of these services for the VA Providence Healthcare System (VPHS); and is accountable…

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14 Sep 2021

Duties Summary Casper CBOC, Patient Align Care Team (PACT) is hiring an Intermittent Staff Nurse to assist in providing excellent patient care for our Veterans in an outpatient setting. Staff Nurse is responsible to deliver fundamental, knowledge based care to…

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27 Sep 2021

Duties Summary The Health Systems Specialist reports to the Assistant Director and provides staff assistance in any area under the direction of the Assistant Director, provides support to specific HCS programs as well as special studies, surveys, projects, planning, and…

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10 Oct 2021

Duties Summary This position is aligned under Mental Health Integrated Clinical Community (MH ICC) and supports staff and Veterans in the Rural Access Network for Growth Enhancement (RANGE) program so that effective and efficient access to mental healthcare services is…