Ophthalmology Technicians in the Veterans Health Administration (VHA) support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. At the Advanced Level, Health Technician (Ophthalmology) performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgment. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: Citizenship: Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with chapter 3, section A, paragraph 3g, this part.) Experience and Education: Experience: One year of experience in a health care field, such as but not limited to nursing, medical assistant, or health technician. OR Education: Two years above high school with a minimum of six semester hours directly related to a health care field or associate's degree in a health care related degree. OR Experience/Education Combination: Equivalent combinations of experience and education are qualifying. Examples are listed below: (a) Six months of experience in the health care field; and one year above high school; or (b) Six months of experience in the health care field and successful completion of a course for health care technicians, hospital corpsmen, medical service specialists, or ophthalmology technicians given by the U.S. Armed Forces; or (c) Six months of experience in the health care field and completion of an independent study course in Ophthalmic Medical Assisting. Certification: All applicants must be certified as a Certified Ophthalmic Assistant (COA) with the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). The COA certification is JCAHPO's entry-level certification examination for a Health Technician (Ophthalmology). English Language Proficiency: Health Technicians (Ophthalmology) must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 38 U.S.C. 7407(d) Grade Determinations: Supervisory Health Technician (Ophthalmology), GS-9 Experience: One year of experience equivalent to the GS-8 grade level Assignment: For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. Supervisory Health Technicians (Ophthalmology) at the GS-9 grade level generally are found in Complexity Level 2 (Medium Complexity) or Complexity Level 3 (Low Complexity) facilities. Supervisors may perform other complex ancillary assignments and program management duties such as overseeing the integration between ophthalmic medical devices and the electronic medical record system, serving as the point of contact and lead for the Eye Care electronic health record and serving as the liaison between other departments and services. The supervisory Health Technician (Ophthalmology) is responsible for the supervision, administrative management, and direction of Health Technician (Ophthalmology) auxiliary staff. May be delegated full administrative and professional responsibility for planning and directing the Health Technician (Ophthalmology) staff activities for the service or equivalent unit at an independent outpatient clinic. Has full supervisory responsibility over a section or equivalent work unit. Typical duties include preparing work assignments, monitoring clinical performances of Health Technician (Ophthalmology) staff, conducting performance appraisals, and other clinical and administrative responsibilities to ensure that the mission of the service and the medical center has been satisfied. The supervisor assures compliance with accrediting agency and regulatory requirements, establishes and monitors the quality of the pre-analytical processes as part of the overall Health Technician (Ophthalmology) service quality management program, and assures corrective action is initiated as needed. Assures orientation and competency assessment of assigned staff, and supervises interactions of Health Technicians (Ophthalmology) with affiliate ophthalmology residents. Develops policies and procedures, manages document control, develops performance standards, position descriptions and functional statements, and is responsible for professional and administrative management of an assigned area to include budget execution. Maintains interdepartmental relations with other services to accomplish medical center goals. May have overall responsibility for planning, assessing, and evaluating programs to ensure proper coordination between care delivered by the program and overall delivery of healthcare within the facility, or coordination of non-VA care as appropriate. Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs: 1. Demonstrated leadership and managerial skills, and skills in interpersonal relations and conflict resolution to deal with employees, team leaders, providers, and managers; 2. Ability to perform the full range of supervisory duties, which includes responsibility for assignment of work to be performed; performance evaluations; selection of qualified staff; and recommendation of awards, advancements, and, when appropriate, disciplinary actions; and 3. Ability to plan, organize, coordinate clinical work flow, set short and/or long term goals for the section, and conduct studies on technical and administrative problems, including personnel shortages, organizational structure, and new technology. Preferred Experience: COA or COT with at least 4 years of clinicial experience, prior supervisory experience. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. This position is above the full performance level Physical Requirements: See VA Directive and Handbook 5019 ["Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Duties include, but are not limited to: Supervision, administrative management, and direction of Eye Health Technician auxiliary staff including Health Technician (ophthalmology), Health Technician (optometry) and Health Technician (optician). Preparing work assignments, monitoring clinical performances of Eye Health Technician staff, conducting performance appraisals, and other clinical and administrative responsibilities to ensure that the mission of the service and the medical center has been satisfied. Responsible for training other health technicians and students. Collaborates and assists members of the health care team in data collection, visual screening, and general care for patients. Independently orients patient and sets up equipment in preparation of routine tests. May perform advanced color vision testing of the entire visual spectrum to detect complex color vision defects such as monochromats, dichromats and anomalous trichromats. Performs A-scan ultrasonography, including intra-ocular lens calculations, using immersion A-scan on eyes with complex pathology such as corneal scarring, irregular and/or high astigmatism, zonular weakness, high refractive error that requires multiple alternative calculating formulas. Performs UBM-scan ultrasonography. Performs fluorescein (FA) or indocyanine green (ICG) angiography, with diagnostic photography of retinal vessels. Performs slit lamp photography. May perform diagnostic anterior segment imaging. Assists in minor clinical surgical procedures, including laser surgery and intravitreal injections. May assist as scrub technician in main OR surgical procedures, set up of sterile fields, operation and maintenance of phacoemulsification and vitrectomy units, cryosurgery, endolaser units, all of which require a thorough understanding of complex instrumentation and the ability to troubleshoot problems quickly and efficiently during surgical procedures and care of instruments. Assists with the microbiology testing of patients with sight-threatening ocular infections, preparing instrumentation and media for intraocular biopsy and/or culture. Performs thorough preparatory cleaning of critical reusable medical equipment used in surgical procedures. Complete related tasks not mentioned in this document as directed by the direct supervisor/manager overseeing the clinic. Complies with all station, service, and clinic policies. Completes mandatory annual training requirements in a timely fashion. Performs other health technician-related duties as assigned. Work Schedule: Monday-Friday, 7:30am to 4:00 pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. 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) Telework: Ad-hoc Virtual: This is not a virtual position. Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized"]

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