Clarification from the agency

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DUTIES:
GS5:

• Obtains and records vital sign including blood pressure, pulse, and glucose levels.
• Participates in performance of quality assurance activities such as staff meetings, mandatory educational in-services, quality control reports, systems redesign, and team and morale improvement.
• Meets the needs of customers while supporting the Medical Center, Service and national VA priorities.
• Consistently communicates and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner
• Provides the customer with consistent information according to established policies and procedures
• Handles conflict and veteran complaints constructively and appropriately.

GS6

• Knowledge of general outpatient clinical policies and procedures in a healthcare environment
• Ability to obtain, document and record demographic and medical information from patients in order to develop an accurate medical record
• Ability to use basic ophthalmic equipment
• Knowledge of basic disinfection of non-critical reusable medical equipment
• Obtains an accurate medical and ophthalmic history
• Measures and records visual acuity
• Administers anesthetic eye drops
• Records a simple spectacle reading through automated lensometry

GS7:

• Triages patient phone calls or requests
• Ensures exam rooms are stocked with adequate supplies
• Instructs patients on administration of eye drops and post-operative instructions
• Accurately measures, compares, and evaluates pupillary responses
• Administers eye drops to dilate pupils
• Performs basic color vision screening
• Perform basic visual field testing (using Amsler grid or automated equipment)
• Performs basic imaging testing such as corneal topography, external photography
• Assists the eye care provider during minor ophthalmic surgical procedures and is adept at applying sterile technique and infection control procedures.

GS8:
The GS-8 level (Full Performance Level) is the full performance level for this assignment. The Health Technician (Ophthalmology) at this level performs a range of standard, but complex, diagnostic procedures. In addition to the duties expected of the GS-7 level, the following clinical duties and responsibilities are expected at the GS-8 assignment:

• Checks and performs calibration of technical ophthalmology screening instrument
• Obtains patient physical history, to include chief complaint; reason for visit; pertinent signs and symptoms; current medication allergies; past ocular and general medical history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and nonprescription medication
• Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole.
• Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder.
• Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation. Performs swinging flashlight test to detect a relative afferent pupillary defect
• Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter
• Instills eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops , or antibiotics).
• Ensures proper cleaning and disinfection; calibration, maintenance, backup, annual inventory and ordering of instruments, supplies and equipment; obtains quotes as needed; and reports needed repairs to biomedical engineering.
• Ability to review medical records and triage patients to the appropriate eye care delivery model including, but not limited to, telemedicine appointments, in-person

Work Schedule: Monday-Friday 8am-4:30pm
Travel: 25% or less
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

Qualifications

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:
• (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)

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:

GS-5 (Entry Level)
(a) Experience or Education. None beyond the basic requirements
(b) Assignment. Employees at this grade level serve in a Health Technician (Ophthalmology) entry level position and are trainee in nature. The entry level performs limited routine assignments under daily direct supervision. Deviations from unanticipated problems and unfamiliar situations are referred to the supervisor for a decision or help. Obtains and records vital signs including blood pressure, pulse, and glucose levels. Participates in performance of quality assurance activities such as staff meetings, mandatory educational in-services, quality control reports, systems redesign, and team and morale improvement

GS-6 (Developmental Level 1)
(a) Experience. One year of experience equivalent to the GS-5 grade level
(b) Assignment. The Health Technician (Ophthalmology) at this level operates and monitors commonly used equipment performing basic screening procedures. Assists ophthalmology staff by obtaining an accurate medical and ophthalmic history, measuring and recording visual acuity, administering anesthetic eye drops, performing basic tonometry, estimating the anterior chamber depth and recording a simple spectacle reading through automated lensometry. Deviations from regular procedures, unanticipated problems, complex patients and unfamiliar situations are referred to the supervisor for a decision or assistance. Some assignments at this level also include developmental duties involving more complex procedures performed under supervision

(c) Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate all of the following KSAs
1. Knowledge of general outpatient clinical policies and procedures in a healthcare environment;
2. Ability to obtain, document and record demographic and medical information from patients in order to develop an accurate medical record;
3. Ability to use basic ophthalmic equipment; and
4. Knowledge of basic disinfection of non-critical reusable medical equipment.

GS7 (Developmental Level 2)
(a) Experience. One year of experience equivalent to the GS-6 grade level.
(b) Assignment. At this level, the Health Technician (Ophthalmology) performs the following: triages patient phone calls or requests; ensures exam rooms are stocked with adequate supplies; instructs patients on administration of eye drops and post-operative instructions; accurately measures, compares, and evaluates pupillary responses; administers eye drops to dilate pupils; performs basic color vision screening; performs visual field testing (using Amsler grid or automated equipment). Performs basic imaging testing such as corneal topography; external photography; performs basic ocular testing such as pachymetry, tear production with test strips, glare testing, stereo acuity, contrast sensitivity, potential acuity meter, measuring spectacles using both automated and manual lensometry and transposing cylinders. .

(c) Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs:
1. Knowledge of anatomy and function of the eye and basic ocular pharmacology;
2. Knowledge of outpatient eye care policies and procedures in a health care environment;
3. Ability to use basic ophthalmic diagnostic equipment to perform preliminary ocular testing;
4. Ability to perform minor extraocular surgical assisting; and
5. Ability to provide eye care patient education.

GS-8 (Full Performance Level)
(a) Experience. One year of experience equivalent to the GS-7 grade level
(b) Assignment. This is considered to be the full performance level for this assignment. The Health Technician (Ophthalmology) at this level performs a range of standard, but complex, diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure. Responsible for obtaining patient physical history, to include 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 tests visual acuity at distance and near, with and without correction or with and without a pinhole. Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder. Performs pupil evaluation recording pupil size shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect. Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter. Instills eye medications (i.e., drops or ointments, including anesthetic, dye, dilation, cycloplegic, or antibiotics.

(c) Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs:
1. Ability to perform advanced tonometry and pupil evaluation;
2. Ability to perform calculations for selection of intraocular lens;
3. Knowledge of clinic based ophthalmic surgical assisting;
4. Knowledge of eye anatomy and physiology;
5. Knowledge of medication effects and proper instillation in the eye;
6. Knowledge of optics; and
7. Knowledge of proper cleaning and maintenance of clinic equipment

Preferred Experience: Certified Ophthalmic Assistant. must have the skills and ability to perform refractions, eyeglass measurement and fitting, retinal photography, and tonometry, among other skills. Recognized certifications include: https://www.jcahpo.org/ Certified

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is 5. The actual grade at which an applicant may be selected for this vacancy is in the range of 8

Physical Requirements: See VA Directive and Handbook 5019

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.