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Dental Assistant- Expanded Function

Department of Veterans Affairs
Veterans Health Administration
Miami VA Healthcare System (Bruce W. Carter VA Medical Center)

Summary

A Dental Assistant (LDA) with Expanded Functions (EFDA) responsibilities combines leadership, advanced clinical skills, and administrative duties to ensure efficient, high-quality dental care.

Overview

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Accepting applications
Location
1 vacancy in the following location:
Work site options
Telework eligible
No
Remote job
No
Relocation expenses reimbursed
No
Salary
$53,740 - $69,864 per year
Pay scale & grade
GS 7
Promotion potential
None
Pay scale and grade determines the salary of the job.
Work schedule
Full-time
Travel Required
Not required
Appointment type
Permanent
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Excepted Service
Represented by a union
Yes
Drug test
Yes
Security clearance
Not Required
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Jobs require a background check and some require a security clearance. The type depends on the job.
Background check type
Financial disclosure required
No
Some jobs require financial disclosure to identify conflicts of interests.
Announcement number
CBTC-13071719-26-DRD
Control number
886435800

This job is open to

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Clarification from the agency

All qualified candidates encouraged to apply. Open to U.S. Citizens. NOTE: The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below.

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Duties

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Total Rewards of a Allied Health Professional

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.
Permanent Change of Station (PCS): Not authorized

A Lead Dental Assistant with expanded functions is both a clinical leader and a multi-skilled operator, capable of advanced procedures, team leadership, and administrative oversight. The exact scope depends on state regulations and individual certification, but the role blends hands-on patient care with operational management to improve efficiency and quality in dental practices

Other duties and responsibilities include, but are not limited to:

  • Guide and train junior dental assistants on clinical procedures, patient management, and administrative tasks
  • Assist dentists during a wide range of treatments, including preparing instruments, ensuring patient comfort, and maintaining a sterile environment
  • Perform advanced procedures permitted by state law, such as: Applying sealants, coronal polishing, topical anesthetic, or fluoride Placing/finishing fillings, preparing composite resin or dental cement
  • Taking and processing dental X-rays
  • Administering local anesthesia under dentist supervision
  • Manage inventory of dental supplies and equipment, placing orders and verifying receipt
  • Coordinate patient scheduling and appointment bookings to optimize dentist time
  • Maintain accurate, confidential patient records and treatment plans
  • Process billing and payments and handle front-desk tasks
  • Educate patients on oral hygiene, post-operative care, and preventive measures
  • Ensure compliance with dental office policies, infection control protocols, and regulatory standards
  • May be responsible for more complex procedures and independent chairside support compared to standard dental assistants
  • Technical proficiency in dental procedures and infection control
  • Leadership and mentoring abilities for junior staff
Work Schedule: Monday - Friday; 7:00 AM - 4:30 PM(Note: Work schedules are determined and approved by the supervisor. The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs).

Requirements

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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.
  • 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.
  • 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).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • 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.
Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

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: All applicants must meet the following basic qualifications:

1) United States Citizenship: Must be a US Citizen (Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy).
2) Education and Experience:

  • Experience. Six months experience that demonstrates the applicant's ability to perform the work, or provides familiarity with the work.
OR,
  • Education. Successful completion of a 1-year dental assistant program accredited by the American Dental Association's Commission on Dental Accreditation (CODA).
OR,
  • Experience/Education Combination. Equivalent combinations of experience and education are qualifying.
3) Dental Radiographer Certification:
  • Public Law 97-35 requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75. Essentially, you must have successfully completed an educational program that meets or exceeds the standards described in that regulation, and is accredited by an organization recognized by the Department of Education, and be certified as radiographers in your field.
    • Provisions for Certification of Radiologic Competence:
      • Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, Inc.; OR,
      • Successful completion of the Principles and Practice of Dental Radiology and Radiographic Safety courses and examinations developed by the Assistant Under Secretary for Health for Dentistry; OR,
      • Successful completion of a radiation health and safety program or examination approved by a state board of dentistry or the Department of Defense (DoD).
4) Dental Assisting National Board (DANB) Certification:
  • The American Dental Association (ADA) recognizes DANB as the national certification for Dental Assistants. DANB certification it is required for all positions above the full performance level.
This position is above the full performance level.

5) English Language Proficiency: Dental assistants must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part.

Grandfathering Provision. Persons 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-7 Clinical Expanded Function Dental Assistant . At this level, dental assistants serve either as a Clinical Expanded Function Dental Assistant or Lead Dental Assistant. For all positions above the full performance level, duties must be assigned to the position at least 25% of the time.
  • (a) Clinical Expanded Function Dental Assistant 1. Experience. At least 1 year of experience at the next lower grade level or equivalent that demonstrates the core competencies described at that level. In addition, the candidate must demonstrate the following technical KSAs:
2. Demonstrated Knowledge, Skills, and Abilities
a. Ability to perform dental assisting expanded functions.
b. Comprehensive working knowledge of advanced imaging techniques in order to provide instruction (e.g. cone beam, cephalometric, advanced panoramic imaging, TMJ, etc).

3. Assignment: In this position, the employee performs a higher level, scope, complexity and variety representing the clinical assignment, and applies advanced clinical skills. Representative duties at this level include, but are not limited to: gathering diagnostic information, pulp vitality testing, charting of existing conditions, placing of rubber dam and matrices, selecting shades, placing retraction cord, placing and removing temporary restorations, fabricating temporary crowns and removing permanent cement from supragingival surfaces. In addition, the expanded function assistant may place and remove surgical dressing, monitor nitrous oxide analgesia, and perform coronal polishing and the cleaning and polishing of removable prostheses

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.The full performance level of this vacancy is GS-07.

Physical Requirements: The physical demands of the work include moderate lifting (15-44 lbs), heavy carrying (45 lbs and over), ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, good distant vision in one eye, ability to hear whisper voice. There is moderate walking (3-4 hrs.) and some extended periods of standing (3-4 hrs.).

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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.

Veterans Health Administration

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?

The Miami VA Healthcare System provides health care services at 9 locations in south Florida. Facilities include our Bruce W. Carter VA Medical Center in Miami and 8 community-based outpatient clinics in Deerfield Beach, Hollywood, Homestead, Key Largo, Key West, Miami, Pembroke Pines, and Sunrise. The Miami VA Healthcare System also includes an AIDS/HIV center, a prosthetic treatment center, a spinal cord injury rehabilitative center, and a Geriatric Research, Education, and Clinical Center. VA Miami health care is recognized as a center of excellence in spinal cord injury research and substance abuse treatment and is a recognized chest pain center. In addition to serving south Florida, VA Miami health care is the tertiary referral facility for the West Palm Beach VA Medical Center and provides open-heart surgery and other specialty services to VA facilities in Florida and nationwide.

Agency contact information

Desiree Dellafosse
Phone
(209) 557-6225
Email
Desiree.Dellafosse@va.gov
Address
Bruce W Carter Department of Veterans Affairs Medical Center
1201 Northwest 16th Street
Miami, FL 33125
US

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