Lead Dental Assistant Job in San Antonio, TX

Vacancy No. CAZM-12778327-25-MRA Department Veterans Health Administration
Salary $50,694.00 to $65,906.00 Grade 7 to 7
Perm/Temp Permanent FT/PT Full-time
Open Date 8/5/2025 Close Date 8/13/2025
Job Link Apply Online Who may apply Status Candidates
Locations:
San Antonio, TX


Summary

The Lead Dental Assistant will be an instrumental part of the the STVHCS Dental Service. The position could rotate in the following locations Data Point Dental Clinic, Randolph Air Base Dental Clinic, or Audie L Murphy VA Hospital. The incumbent will work with the Dental Assistant Supervisor or Dental Service Chief to monitor and make work assignments provide input on performance, facilitate dental service's processes and assist the dentist in many aspects of direct patient care.




This job is open to

Clarification from the agency

This announcement is open only to current, permanent South Texas Veterans Health Care System (STVHCS) employees.

Duties

Duties include but are not limited to:

  • Provides guidance and technical direction necessary to accomplish the work
  • Serves as a work leader, assuring the work assignments are carried out
  • Coordinates daily work assignments at the start of the shift and throughout the day as the needed
  • Monitors the status and progress of work and makes adjustment
  • Obtains assistance from the supervisor as needed for major issues or problems which arise
  • Checks work in progress to see that the instructions have been met
  • Instructs employees in specific tasks and job techniques
  • Maintains current knowledge and answers questions from team members on procedures, policies, and directives
  • Provides input in developing Standard Operating Procedures (SOP) for Reusable Medical Equipment
  • Assure adequate stock levels and appropriate storage of dental supplies
  • Serves as a liaison between the scheduler and the dentist to maintain efficient and productive use of the dentists' patient care time and minimize missed opportunities
  • Reports to the supervisor on individual performance, progress, and training needs of employees, and on performance problems
  • Makes recommendations to supervisor concerning promotions, reassignments, recognitions of performance and personnel needs
  • Ensures dental team (assistants) maintain their work environment in a clean and operational condition
  • Ensures the dental treatment area is set up and shut down each work day in compliance with infection control and security policies and dental equipment maintenance manual
  • Enters and tracks work orders until completion
  • 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
  • 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
  • Exposes both 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
  • Ensures dental imaging safety techniques are utilized, and retakes are minimized
  • Shares comprehensive working knowledge of imaging techniques and provides instruction to others
  • Disinfects oral appliances to prevent cross contamination
  • Properly prepares instruments for transfer to SPD for sterilization
  • Follows all Standard Operating Procedures for Reusable Medical Equipment
  • Works closely with SPD to ensure availability of instruments so that clinical care is not delayed
  • Demonstrates proper infection control procedures in exposing images
  • Ensures dentist's approved clinic cancellation and opening requests are entered timely
  • Assists in filling gaps in the doctor's schedule due to late cancellations and failed appointments
  • Assists dentist in charting findings and treatment plans in patient records
  • Ensures CP imaging consults are entered and closed in a timely manner
  • Maintains accountability and upkeep for dental equipment assigned to treatment area
  • 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
  • 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 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
Work Schedule: Monday-Friday, 8:00a.m. to 4:30p.m.
Telework: Not Telework
Virtual: This is not a virtual position.
Functional Statement #: 54455-F
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.
  • You may be required to serve a trial period.
  • 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.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

Qualifications

Basic Requirements:
To qualify for appointment to this position, all applicants must possess the following:
  1. Citizenship - You must be a citizen of the United States. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  2. English Language Proficiency - Candidates must be proficient in spoken and written English in accordance with 38 U.S.C. 7403(f).
  3. Experience and Education - To fulfill this requirement, you must meet one of the following:
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.
4. Certification: Public Law 97-35 requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75. Essentially, they 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 their field.
a. Provisions for Certification of Radiologic Competence:
i. Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, Inc.
OR,
ii. 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,
iii. Successful completion of a radiation health and safety program or examination approved by a state board of dentistry or the Department of Defense (DoD).
OR,
iv. Non-certified applicants who otherwise meet the eligibility requirements for certification of radiologic competence may be given a temporary appointment as a graduate dental assistant. (This is applicable for grade levels 3/4/5/6 of this series)
b. Certification in basic life support methods is highly desirable.
c. Certification by the Dental Assisting National Board (DANB). DANB certification is not required, but highly desirable for the appointment of Dental Assistants up to and including the full performance level, and is required for all positions above the full performance level.

Grandfathering Provision. All Dental Assistants employed in VHA on the effective date of the qualification standard (04/19/2011) are considered to have met all qualification requirements for the title, series and grade held, including certification that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:
  1. Dental Assistants grandfathered under this provision may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. Such employees must meet the certification requirement before they can be promoted to those higher grade levels.
  2. Dental Assistants who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.
  3. Dental Assistants initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation.
  4. If a Dental Assistant who was retained under this provision leaves the occupation, they lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.
Grade Determinations:
Lead Dental Assistant, GS-07
  1. In addition to meeting the basic requirements, to qualify for the GS-07 you must possess one (1) year of experience at the next lower grade level (GS-06).
  2. Knowledge, Skills and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the following KSAs:
    1. Advanced knowledge of dental assisting across multiple areas of practice, and demonstrated ability to provide guidance to staff dental assistants.
    2. Skill in coordinating clinical work flow and assignments.
    3. Ability to assist in dental program development, outcome management, and strategic planning.
    4. Skill in acting as liaison between staff dental assistants and the supervisor.
    5. Ability to provide professional oversight and consultation for staff dental assistants.
Preferred Experience:
-3-5 years of experience in managing dental supplies
-Experience in scanning dental clinic equipment
-Experience in setting up dental kits for various procedures
-Experience in dealing with equipment and supply recalls
-Experience in coordinating daily schedules/filling in gaps in schedules
-Commitment to VHA organization goals

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 work is sedentary. Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work. Work may also require walking/standing, in conjunctions with travel to and attendance at meetings and/or conferences away from the work site. Incumbent may carry and lift light items weighing less than 15 pounds.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.

NOTE: Education must be accredited by the American Dental Association's Commission on Dental] Accreditation (CODA). Search for Dental Programs (ada.org)

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

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.

Benefits

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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.

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • Resume
  • SF-50/ Notification of Personnel Action


The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

  • Cover Letter
  • DD-214/ Statement of Service
  • Disability Letter (Schedule A)
  • Disability Letter (VA)
  • License
  • Certification by the Dental Assisting National Board (DANB)
  • Other (2)
  • Other (3)
  • PCS Orders
  • Performance Appraisal
  • Professional Certification
  • Resume
  • Separation Notice (RIF)
  • SF-15
  • SF-50/ Notification of Personnel Action
  • Transcript


Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Veterans' preference does not apply for internal or other current permanent Federal agency employees.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

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 08/13/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12778327.

  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.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Agency contact information

VISN 17 SSU USAS Group
Address
Audie L Murphy Memorial Veterans Hospital
7400 Merton Minter Boulevard
San Antonio, TX 78229
US

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.


Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.