Clarification from the agency

United States Citizens. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

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Optometry Technicians in the Veterans Health Administration (VHA) support Optometrists in diagnosis, treatment, prevention, follow-up care and patient counseling. The Full Performance Health Technician (Optometry) performs a range of standard, but complex, diagnostic procedures, assists during clinic-based surgical procedures, educates patients and legal representatives, assists with the education of medical students and residents. The Full Performance Health Technician (Optometry) may perform many "direct patient care services" under the supervision of Optometrist.

Duties include, but are not limited to:

• Operates, calibrates, and monitors commonly used equipment performing basic screening procedures.
• Understands basic hygiene, cleaning, and disinfection of reusable medical equipment instruments and ophthalmic equipment.
• Obtains and documents accurate medical/ophthalmic history including: chief complaint, reason for visit, pertinent signs/symptoms, past ocular and general history, review of medications and allergies including current ocular prescription and non-prescription medications.
• Entering eye testing performed on the encounter form.
• Measuring and recording visual acuity with and without correction (with use of pinhole testing as indicated).
• Obtaining accurate potential acuity meter, and or other specialized visual acuity measurements.
• Evaluate pupillary light responses and measure pupil sizes, recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities including relative afferent pupillary defect.
• Determine the presence or absence of fusion and perform stereo acuity measurements.
• Perform Extraocular Motility testing.
• Performs Amsler grid testing.
• Administers eye medications/drops under the supervision of an eye care provider (Optometrist or Ophthalmologist).
• Performs basic tonometry (iCare, Goldmann).
• Estimates anterior chamber depth with a penlight or slit lamp Biomicroscope.
• Be skilled in properly reading a basic spectacle prescription using an automated or manual lensometer recording sphere, cylinder, axis, and prism.
• Obtains accurate autorefractometry and keratometry measurements.
• Performs confrontation and standard automated visual field testing
• Administers and scores basic color vision tests (e.g. pseudoisochromatic plates, Farnsworth D-15).
• Adept at measuring and recording corneal thickness by pachymetry as well as performance of advanced corneal measurements including corneal topography.
• Performing ocular imaging (e.g. stereo fundus, basic slit lamp biomicroscopy, intraocular lens master measurements, ocular ultrasonography, posterior and anterior segment optical coherence tomography, fundus autofluorescence and/or ocular angiography).
• Performs pre-operative and post-operative teaching with patients and families.

Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the 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.
• 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 identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Qualifications

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.
• English Language Proficiency. Health Technician (Optometry) candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f).
• Experience and Education.
  • Experience. One year of experience as a health technician or assistant in the health care field demonstrating the applicant's ability to perform the work or by demonstrating a basic understanding of work in the health care field; OR
  • Education. Successful completion of two academic years above high school with a minimum of 12 semester hours related to health technician/assistant or health technician (optometry)/assistant or associate degree, or completion of an independent study course in an optometry related technician or assistant field; OR
  • Experience/Education Combination. Equivalent combinations of experience and education are qualifying. Examples are listed below:
    • Six months of experience comparable to the next lower level which demonstrates the knowledge of optometry assistant theory and practices and general understanding of the health technician/assistant duties and one year above high school with a minimum of six semester hours of health technician/assistant or health technician (optometry)/assistant related courses.
    • Successful completion of a course for health care technicians or assistants, hospital corpsmen, medical service specialists, or hospital training in a program given by the U.S. Armed Forces, the U.S. Maritime Service, or the U.S. Public Health Service, may be substituted on a month-for-month basis.
• Licensure/Certification/Registration. None.
• 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: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.

• Experience. One year of experience comparable to the next lower level which demonstrates the knowledge, skills and abilities related to the duties of the position to be filled.

• Demonstrated Knowledge, Skills and Abilities. In addition to meeting the experience or educational requirements for this grade level, the candidate must fully demonstrate the following KSAs:
  • Ability to determine preliminary objective estimate and/or refinement of the optical status of the eye, not to include the patient's final subjective refraction.
  • Ability to triage and manage eyeglasses issues (e.g., measurement of vertex distance, base curve, prism correction, center thickness, slab off, Fresnel prism, decentration, etc.).
  • Ability to perform accurate assessment of accommodation, near point of convergence and ocular alignment (far and near).
  • Ability to assist the eye care provider (optometrist or ophthalmologist) with ophthalmic procedures.
  • Ability to assist with obtaining accurate ocular cultures and smears.
  • Knowledge and ability to provide advanced patient education for eye health and/or vision conditions.
  • Ability to provide patient education for eye health and/or vision conditions, to include assisting with patient contact lens insertion, removal and hygiene (cleaning and disinfection) care.
  • Ability to accurately enter into a phoropter the autorefractometry or habitual refractive prescription (i.e., eyeglasses prescription) or lensometer findings, including sphere, cylinder and axis.
  • Ability to perform patient spectacle fitting and dispensing, including selection of appropriate frame, ophthalmic lenses, interpupillary measurements (distance and near) and proper segment height determination, as well as the ability to transpose sphere, cylinder and axis.
  • Ability to provide basic triage of patient telephone calls or optometry requests.
  • Knowledge of ophthalmic medications and supplies needed in the process of restocking the eye clinic exam rooms.

• Proficient in ophthalmic imaging including: Spectralis, Clarus, Cirrus, Humphrey Visual Field, Oculus Pentacam, lensometry
• Experience in hospital setting or providing direct patient care
• Current Optometry Health Technician with 2 years of Optometry experience

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.

Areas of Consideration - Applicants will be considered based on the following 3 areas of consideration.

• First Area of Consideration (Facility Employees) - Current, permanent VA Northeast Ohio Healthcare System employees (this includes Outpatient Clinics, permanent employees of the Veteran Canteen Service assigned to this facility, Office of Information & Technology employees assigned to this facility, CPAC bargaining unit employees located at the Cleveland VAMC, and Virtual CBOPC bargaining unit employees under station 741 located at the Cleveland VAMC.
• Second Area of Consideration (Other VA Employees) - Current, permanent Department of Veterans Affairs Employees (VA employees who are located somewhere other than the VA Northeast Ohio Healthcare System).
• Third Area of Consideration (External Candidates) - All other United States Citizens.

• Attention to Detail
• Customer Service
• Decision Making
• Flexibility
• Integrity/Honesty
• Interpersonal Skills
• Reading Comprehension
• Self-Management
• Stress Tolerance
• Teamwork