Clarification from the agency

NOTE: The 2-page Resume requirement does not apply to this position. This announcement is open to current John D Dingell VAMC employee and All US Citizens. First consideration will be given to John D Dingell VAMC employees.

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The Health Technician (Ophthalmology) 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 Health Technician (Ophthalmology) may perform many "direct patient care services" under the supervision Ophthalmologists and/or Optometrists. At the full performance level of GS-8, major duties include, but are not limited to:

• Checks and performs calibration of technical ophthalmic screening instruments.
• 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
• 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, cyloplegic drops, or antibiotics).
• Measures intraocular pressure with standard techniques, including Goldmann applanation tonometry.
• Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature.
• Performs intra-ocular lens calculations using an IOL Master or equivalent device.
• Performs automated visual field testing using various perimetry machines.
• Performs external photographs and fundus photography.
• Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve.
• Performs patient screening and triage of potentially urgent ocular conditions.
• Assists during clinic-based ophthalmic surgery, including revision of wounds, biopsies of the eyelid lesions, cultures of conjunctive, or cornea; reformation of anterior chamber, evacuation of hyphema, repositioning of corneal endothelial grafts, intra-vitreous injections, and laser surgical procedures.
• Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions.
• Assists in the education and training of medical students, residents and fellows in those facilities with medical school affiliations.
• Ensures proper cleaning and disinfection; calibration, maintenance, backup, and annual inventory and ordering of instruments, supplies and equipment; obtains quotes as needed; and reports needed repairs to biomedical engineering.

Work Schedule: Monday-Friday, 8:00am-4:30pm. Schedule may be subject to change based on the needs of the Agency.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 93754-; 93755A; 93756A; 93757A
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): 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)
Virtual: This is not a virtual position.

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.
• Loss of Credentials. A Health Technician (Ophthalmology) who fails to maintain the required certification must be removed from the occupation, which may also result in termination of employment.

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:
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. Candidates must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 38 U.S.C. 7407(d)
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
• 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
• 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).

• Exception. Non-certified applicants who otherwise meet the minimum qualification requirements may be appointed as a graduate Health Technician (Ophthalmology) under the authority of 38 U.S.C. 7405(c)(2)(B). The appointing official may waive the requirement of certification for a period not to exceed two years for a Health Technician (Ophthalmology) that provides care under the supervision of an Ophthalmologist. The exception only applies below the full performance level. For grade levels at or above the full performance level the candidate must be certified. Failure to obtain COA certification during that period is justification for termination of the temporary appointment and may result in termination of employment.
• Failure to Obtain Certification. In all cases, the Health Technician (Ophthalmology) must actively pursue meeting certification requirements starting from the date of appointment. At the time of appointment, the supervisor will provide the uncertified Health Technician (Ophthalmology) with the written requirement to obtain certification, the date by which the certification must be acquired, and the consequences for not becoming certified by the deadline. Failure to become certified within two years from date of appointment will result in removal from the Health Technician (Ophthalmology), GS-0640 series and may result in termination of employment.
• Loss of Credentials. A Health Technician (Ophthalmology) who fails to maintain the required certification must be removed from the occupation, which may also result in termination of employment.

Grandfathering Provision. 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:

Health Technician (Ophthalmology), GS-5 (Entry Level)
Experience or Education. None beyond the basic requirements.

Health Technician (Ophthalmology), GS-6 (Developmental Level 1)
Experience. One year of experience equivalent to the GS-5 grade level.
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
4. Knowledge of basic disinfection of non-critical reusable medical equipment

Health Technician (Ophthalmology), GS-7 (Developmental Level 2)
Experience. One year of experience equivalent to the GS-6 grade level.
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
5. Ability to provide eye care patient education.

Health Technician (Ophthalmology), GS-8 (Full Performance Level)
Experience. One year of experience equivalent to the GS-7 grade level.
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
7. Knowledge of proper cleaning and maintenance of clinic equipment

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-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-8.

Physical Requirements: The work is primarily sedentary but also requires some standing, walking, bending, lifting and carrying of light items. The work requires above average ability and dexterity. The work may require heavy lifting and carrying (45+ lbs); reaching above shoulder, use of fingers; both hands required; walking (5 hours); standing 92 hours); use of legs and arms; near vision correctable at 13' to 16' Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; specific visual requirement; both eyes required; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted). The incumbent in this position has the ability to ascertain details at close range (within a few feet of the observer), as well as the ability to listen to and understand the needs of others in a clinical environment. In this position he/she has ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small instrumentation. Associated with this is the ability to identify and manage essential patient information.

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.

Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position. You will be assessed on the following Competencies for this position:

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

Creditable Experience
Knowledge of Current Health Technician (Ophthalmology) Practice. To be creditable, the experience must have demonstrated the knowledge, skills, and abilities associated with a health care field or knowledge, skills, and abilities related to the current occupation. Experience satisfying this requirement may be paid or non-paid employment in the health care field.

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.

1. Resume must include the following information:

• Job Title
• Detailed
• Month and year start/end dates (e.g. June 2024 to April 2025)
• Full-time or part-time (include hours worked per week)

NOTE: Do not include a photograph or video of yourself, or any sensitive information (age, date of birth, marital status, protected health information, religious affiliation, social security number, etc.) on your resume or cover letter.

Additional guidance on resume building tools can be found at:

• https://help.usajobs.gov/faq/application/documents/resume/page-limit
• https://www.opm.gov/policy-data-oversight/hiring-information/merit-hiring-plan-resources/applicant-guidance-on-the-two-page-resume-limit/