Dental Assistant (Fee Basis) Job in San Antonio, TX

Summary

This job is open to

• The public

  U.S. Citizens, Nationals or those who owe allegiance to the U.S.

Duties

Total Rewards of a Allied Health Professional

Major Duties:

• Serves as staff dental assistant for routine patient care and performs a full range of duties with indirect supervision from the lead or supervisory dental assistant or the treating dentist. Performs assigned selected procedures with some independence. Some complex patient procedures are performed under indirect supervision of more experienced dental assistants or dental supervisor.
• Assists the dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision.

• Shows courtesy, respect, and a positive attitude for patients, co-workers and the public
• Provides assistance to customers with questions or concerns, provides service recovery

• Sets up operatory and/or surgery suite for planned dental procedure and cleans dental unit for timely turnover
• Passes instruments safely, accurately, and efficiently
• Keeps operative field clear of debris and retracts oral tissues effectively and comfortably
• Prepares dental medicaments and impression materials per manufacturer's instructions
• Accomplishes all intra-operative procedures within standard infection control protocols
• Assists in routine general dental procedures using concepts of four-handed dentistry
• Assists in specialized dental procedures, such as oral surgery, endodontics, periodontics, prosthodontics, implant placement and restoration
• Maintains routine and specialty dental equipment per manufacturer instructions and dental service standards
• Displays a working knowledge of dental materials.

• Demonstrates proper infection control procedures when exposing images
• Dental imaging safety techniques are utilized, and retakes are minimized
• Exposes standard and specialty dental imaging (i.e. TMJ, ceph, cone beam) in traditional and/or digital formats
• Modifies settings to achieve the images as requested by the provider
• Images are characterized by diagnostic quality, accurately oriented and exposed
• Imaging requests are accomplished within the desired time frame
• Obtains accurate information necessary for the radiology request and closes pending imaging consults timely

• Demonstrates proper infection control procedures in setting up and cleaning operatories
• Disinfects oral appliances, preventing cross contamination
• Prepares instruments for transfer for sterilization
• Follows all Standard Operating Procedures, i.e., Reusable Medical Equipment
• Works closely with Sterile Processing to ensure availability of instruments so that clinical care is not delayed

• Identifies scheduling gaps in the dentist's clinics and assists MAS with filling gaps
• Initiates computerized progress note
• Assists dentist in charting findings and treatment plans in patient records

• Follows HIPAA guidelines
• Follows computer security regulations

• Modifies care as necessitated by patient's age and abilities (patient transfer and position)
• Provides accurate and understandable instructions to patients
• Participates in patient identification and time out per Joint Commission requirements
• Monitors patient condition during treatment, being alert for signs of physical distress

• Complies with Employee Education requirements
• Completes mandatory annual safety training sessions

• Pours impressions and prepares study models
• Makes final denture impression trays and prepares bite rims
• Fabricates athletic mouth guards and bleaching trays
• Performs other dental laboratory functions as time and skill levels allow

• Monitors patient vital signs (BP, pulse, pulse oximeter) and condition during invasive treatment and during recovery period following procedure
• Applies topical anesthetic at the injection site
• Applies topical fluoride
• Makes impressions for diagnostic casts and preliminary impressions for prosthetic fabrication
• Removes plaque and soft debris from removable prostheses
• Provides patient preventative education and oral hygiene instruction
• Provides post-operative and other appropriate patient education
• Triage patient phone calls or walk-ins to determine the priority of a patient's treatment based on the severity of their condition; obtain and document enough information from the patient so dentist can prepare to treat patient accordingly

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.

• 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.

How You Will Be Evaluated

Required Documents

How to Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 10/14/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12811003.

1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
2. Click Submit My Answers to submit your application package.

Next steps

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.