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Summary The Battle Creek VA Medical Center is recruiting for a Health Technician (Ophthalmology). The selected Ophthalmology Technician will function under Optometry Service at the Muskegon (Michigan) VA Clinic within the Technology-based Eye Care Services (TECS) telehealth clinic. The ophthalmology technician in this role will support eye care providers (optometrist, ophthalmologists) in the diagnosis, treatment, prevention, follow-up care and patient counseling. Responsibilities The duties of this position include, but are not limited to: Responsibility for checking calibration of instruments prior to procedure. Obtaining patient history, to include chief complaint; reason for visit; pertinent signs/symptoms; past history of both ocular and general; family history of both ocular and general; social history. 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 eyeglasses 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 glasses prescription in the phoropter. Instills eye medications (i.e. drops or ointments, including anesthetic, dye, dilation, cycloplegic, or antibiotics). Responsible for measuring intraocular pressure of the eye utilizing techniques, including Goldmann applanation tonometry. May perform pachymetry to determine corneal thickness, and manual keratometry or automated topography to determine corneal curvature. May perform intra-ocular lens calculation using the IOL Master. May perform automated visual field testing using various perimetry machines. Performance of external photographs and fundus photography. May perform optical coherence tomography (OCT) of the anterior segment, retina, or optic nerve. Performs patient screening and triage and telephone triage to identify routine and emergent ophthalmic care. May assist during clinic-base procedures. Educates patients and legal authorized representatives in eye care. Ensures proper cleaning and disinfection; calibration, maintenance, backup, inventory, and ordering of instruments, supplies, and equipment. Reports needed repairs to biomedical engineering. Work Schedule: 8:00 a.m. to 4:00 p.m. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 93157-A, 93125-A, 93126-A, 93127-A Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Requirements 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 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). 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: A. Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with chapter 3, section A, paragraph 3g, this part.) B. 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: 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). Six months of experience in the health care field; and one year above high school; or 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 Six months of experience in the health care field and completion of an independent study course in Ophthalmic Medical Assisting. C. 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. D. 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). E. Foreign Education. To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs. F. Physical Requirements. See VA Directive and Handbook 5019. G. English Language Proficiency. Health Technicians (Ophthalmology) must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 38 U.S.C. 7407(d). Grade Determinations: Health Technician (Ophthalmology), GS- 5 (Entry Level) Experience or Education. None beyond the basic requirements. Health Technician (Ophthalmology), GS- 6 (Developmental Level I) 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; and 4. Knowledge of basic disinfection of non-critical reusable medical equipment. Health Technician (Ophthalmology), GS- 7 (Developmental Level II) 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; and 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; and 7. Knowledge of proper cleaning and maintenance of clinic equipment. Preferred Experience: One year of telehealth experience. 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. 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 or 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.