Summary

The Telehealth Clinical Technician (TCT) LVN serves in a generalist role to support Telehealth clinical programs from the patient location and across the system. The TCT LVN provides a wide range of clinical and technical services that demonstrate complex technical judgment under the administrative supervision of the Connected Care Nurse Manager and/or Facility Telehealth Coordinator (FTC), and clinical supervision from the FTC/Nurse Manager.

Duties

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VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4

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Major Duties Include:

• Performs Store and Forward (SFT) imaging, to include; Tele-Eye screening; Tele-Dermatology; Tele Spirometry: Tele-Wound care; and any other required consultations.
• Appropriately prioritizes patient care needs for Telehealth clinics, including ensuring Telehealth clinics are adequately covered during staff shortages and/or staff call-outs for Connected Care and may assist with coverage for Telehealth clinics in Primary Care and Specialty Care services.
• Provides patient and clinical staff education regarding the SFT imaging process. Conducts quality control procedures on equipment and maintains proper records for quality control reports and workload reporting.
• Facilitates the clinical, business, scheduling, and technical aspects for real-time Telehealth applications.
• Uses specialized equipment and video-conferencing technologies. Coordinates and connects staff, resources, patients and providers to services, patient care, education, and training.
• Performs a range of direct care duties that may include testing or physical assessment of the patient within the scope of practice, such as neurological tests, palpitation, auscultation, collecting vital signs and other clinical components of the telehealth visit as directed by policy or clinic standards.
• Assists in head-to-toe assessment based on knowledge of anatomical sites for examination as appropriate.
• Administers medication accurately and promptly under the general supervision of a registered nurse. Demonstrates understanding of the effects and/or reactions caused by medications, treatments, and procedures. Records and reports these observations. Collects information from patients, provides care, completes clinical reminders, educates patients on pre- and postprocedural instructions as appropriate.
• Demonstrates nursing practice, the ability to plan and organize assignments independently.
• Guides and directs other staff in patient care with remote supervision.
• Identifies subtle changes in patient condition, both physical and emotional. Demonstrates practical knowledge of human behavior, motivation, and reactions to situations. Reports these in a timely manner and initiates appropriate action.
• Instructs patients and family members on principles of health, self-care, and protocols for treatments and /or medications. Utilizes teaching materials to promote self-reliance and independence including methods to prevent complications and facilitate recovery. Reinforces instruction provided by other health care professionals.
• Clearly and thoroughly records significant observations and actions on appropriate forms.
• Performs administrative duties as assigned including conducting needs assessments for proposed Telehealth clinics, developing Telehealth service agreements, submitting required documentation, and ordering equipment for the establishment of new clinics.
• Supports various clinical specialties in their daily telehealth operations, demonstrating strong customer service, independent problem solving, and attention to detail with patients and staff alike.

Work Schedule: Monday-Friday 8:00am-4:30pm or as determined by supervisor.

Recruitment/Relocation Incentives (Sign-on Bonus): Not authorized

Permanent Change of Station (Relocation Assistance): Not authorized

Pay: Competitive salary and regular salary increases.

Travel: Up to 75% may be required.

Virtual: This is not a virtual position.

Functional Statement #: 08625-F / 08626-F / 07451-F / 07452-F

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.
• 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;
• 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. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Education - Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Exceptions include health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN.
• Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia.

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 stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.

GS 3:

None beyond the basic requirements.

GS 4:

Six months of qualifying experience as an LPN/LVN

OR

Graduation from an approved school and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures

OR

Graduation from an approved school of at least 24 months in duration.

GS 5:

Completion of at least one year of qualifying experience at the GS-4 level or equivalent

AND

• Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems.
• Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel patient care.
• Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and/or intravenous medications as permitted by approved local facility policies and procedures.
• Knowledge and ability to recognize the need for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD/DO, and assist in resuscitation procedures in cardiac and/or pulmonary arrest.
• Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.
• Completed work is under the general supervision of an RN or MD/DO. Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures.

GS 6:

Completion of at least one year of qualifying experience at the GS-5 level or equivalent

AND

• Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.
• Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions and to use judgment in selecting the appropriate order and sequence of procedures and treatments.
• Ability to observe, identify and respond to the patient's needs for medication, equipment-assisted care and patient/family education.
• Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures.
• Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed.
• Knowledge and understanding of human behavior, patient motivations and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff.
• Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills.
• Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure.
• Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice.

Salary for this position ranges dependent upon applicant qualifications

GS-03: $58,187 - $75,650 annually

GS-04: $65,316 - $84,916 annually

GS-05: $73,078 - $95,002 annually

GS-06: $79,522 - $103,377 annually

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-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06.

Physical Requirements: See VA Directive and Handbook 5019.

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