Lead Health Technician (Ophthalmology)
What you'd do
The GS-9 Lead Health Technician (Ophthalmology) serves as a senior technical provider within the Optometry/Ophthalmology Clinics, performing specialized clinical duties and providing leadership, coordination, and oversight of assigned Health Technicians. The Lead Technician carries out clinical and administrative responsibilities with significant independence and is responsible for ensuring effective patient flow, technical accuracy, and adherence to VHA standards.
Major duties
Total Rewards of a Allied Health Professional Health Technicians in the Veterans Health Administration (VHA) support Optometrists and Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. At the GS-9 Lead Level, the Health Technician (Ophthalmology) performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgment. The higher-level duties consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard and be performed by the incumbent at least 25% of the time. The Lead Health Technician (Ophthalmology) carries additional responsibilities that involve the oversight of specific services within the Optometry/Ophthalmology clinic. Advanced Clinical Duties: Independently performs complex diagnostic ophthalmic/optometric testing with minimal oversight. Ensures accuracy and reliability of clinical imaging and diagnostic data. Supports ophthalmologists and optometrists during patient evaluation and clinical procedures. Provides mentoring, hands-on instruction, and assesses competency and competency reinforcement for technicians, students, and trainees. Lead and Oversight Responsibilities: The GS-9 Lead Technician oversees specific operational areas and daily clinic function, including: 1. Work Assignments: Distributes workload based on patient volumes, staffing needs, provider schedules, and urgency of care. Adjusts assignments during call-outs or high-demand periods to maintain smooth clinic operations. Responsible for coordinating and managing access telephone clinic staffing and operation. 2. Monitoring Workflow: Monitors daily performance, patient throughput, wait times, and room utilization. Identifies and resolves bottlenecks to ensure efficient patient movement and minimal delays. 3. Providing Input on Performance: Offers supervisors feedback related to technician performance, competencies, and training needs. Assists in identifying staff ready for advanced competencies or developmental opportunities. 4. Resolving Daily Workplace Issues: Serves as initial point of contact for technician concerns. 5. Training Responsibilities: Provides onboarding, clinical skills training, and ongoing development for Health Technicians. Assists in maintaining and updating competency checklists and training materials. 6. Input in Personnel Actions: Provides supporting observations for supervisory decisions related to special advancements, promotions, or disciplinary actions (as appropriate to non-supervisory lead roles). Work Schedule: Monday to Friday, 7:45am - 4:15pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases 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) 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: Not Available Virtual: This is not a virtual position. Functional Statement #: 55817F Permanent Change of Station (PCS): Not Authorized
What you need to qualify
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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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: Six months of experience in the health care field; and one year above high school; or 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 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). Foreign Education: To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: Experience: One year of experience equivalent to the GS-8 grade level. Experience will include performing a range of standard, but complex, diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure; obtaining patient physical history, including chief complaint; reason for visit; pertinent signs/symptoms; past history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and non-prescription medications; accurately testing visual acuity at distance and near, with and without correction or with and without a pinhole; measuring eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder; performing pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect; performing basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter; instilling eye medications (i.e., drops or ointments, including anesthetic, dye, dilation, cycloplegic, or antibiotics. Responsible for measuring intraocular pressure of the eye utilizing techniques, including Goldmann applanation tonometry; performing pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature; performing intra-ocular lens calculations using the IOL Master; performing automated visual field testing using various perimetry machines; performing external photographs and fundus photography; performing optical coherence tomography (OCT) of the anterior segment, retina, and optic nerve; performing patient screening and evaluating triage emergencies; identifying ocular emergencies; performing patient screening and telephone triage for immediate care; assisting during clinic-based ophthalmic surgery, including revision of wounds, biopsies of the eyelid lesions, cultures of conjunctiva, or cornea; reformation of anterior chamber, evacuation of hyphema, repositioning of corneal endothelial grafts, intra-vitreous injections, and laser surgical procedures; educating patients and legal authorized representatives in eye care, including preoperative and postoperative instructions; assisting in the education and training of medical students, residents, and fellows in those facilities with medical school affiliations; ensuring proper cleaning and disinfection; calibration, maintenance, backup, annual inventory, and ordering of instruments, supplies and equipment; obtaining quotes as needed; and reports needed repairs to biomedical engineering. 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. The Lead Health Technician (Ophthalmology) carries additional responsibilities that involve the oversight of specific services within the ophthalmology clinic. The Lead Health Technician (Ophthalmology) may assist with technician oversight duties including: making work assignments, monitoring workflow, providing input on performance, resolving daily workplace issues, and maintaining efficient flow of patient care. They may provide training to eye care staff, students and/or trainees; and may provide input into special advancements, promotions, and disciplinary actions. Demonstrated Knowledge, Skills, and Abilities (KSA): In addition to the experience above, the candidate must demonstrate all of the following KSAs: Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities of a Health Technician (Ophthalmology) in order to effectively complete job duties of assignment such as distributing workload, monitoring the status and progress of work, monitoring accuracy of work, etc; Ability to communicate effectively in order to meet program objectives. This may include preparing reports in various formats and presenting data to various organizational levels; Ability to assist in Health Technician (Ophthalmology) development, outcome management, and strategic planning; and Ability to act as liaison between Health Technicians (Ophthalmology) to resolve informal employee complaints and concerns. Qualifications continued in the Education section of this announcement.
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