Lead Registered Respiratory Therapist Job in San Antonio, TX

Vacancy No. CAZM-12747067-25-MRA Department Veterans Health Administration
Salary $89,924.00 to $116,906.00 Grade 12 to 12
Perm/Temp Permanent FT/PT Full-time
Open Date 6/9/2025 Close Date 6/17/2025
Job Link Apply Online Who may apply Status Candidates
Locations:
San Antonio, TX


Summary

The Lead Registered Respiratory Therapist (RRT) position serves as a member of the Inpatient Respiratory Therapy Section within Specialty Care Service and is located at the Audie L. Murphy VAMC, in San Antonio, Texas. The Respiratory Therapy Section is responsible for providing the full range of clinical procedures related to respiratory therapy.

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

Services are rendered in collaboration with the ordering provider, either by specific orders, policy, or established protocol. These functions and responsibilities are supported by education and administrative oversight. Periodically, specific functions may change. The primary services include, but are not limited to:
-Make recommendations in the absence of the Chief or Assistant Chief and will have full responsibility to modify the workload to accomplish the assigned duties.
-Responsible for selecting and adapting equipment and techniques to individual patients to comply with the physician's instructions.
-Works independently and is expected to resolve staffing problems using appropriate guidelines for staffing. Additionally, is expected to resolve problems with equipment failure and make substitutions for equipment when necessary.
-Reviews work performed on the units by conducting daily rounds to ensure compliance with established policies and procedures and to ensure technical accuracy and compliance with physician's instructions. May review the overall quality of work through personal observations and assessing input received from physicians, nurses, and others with whom the therapist has contact with.
-Have frequent interaction with patients and their families to explain the operation and use of respiratory equipment including treatment procedures and providing reassurance and comfort.
-Many of the patients are acutely ill and under considerable stress requiring the therapist to be tactful in establishing and maintaining communication. Contacts with physicians, nurses, and other medical personnel are to resolve complications in patient care and problems with equipment, treatment results, and patient workload.
-Monitor Leave and Attendance for assigned team, taking special note of excessive leave and/or tardiness of team members and will report these to supervisor for review.
-Ensure work is distributed among employees in accordance with established workflow or job specialization.
-Prepare work assignments for oncoming shift.
-Collect, review, and evaluate relevant clinical data from the medical records, care team, patient, and patient's family to ensure appropriate care when indicated, reporting to the supervisor any discrepancies noted.
-Capable of performing both basic and complex therapeutic procedures for adults and geriatric patients. May assist with bronchoscopy and percutaneous tracheotomies.
-Apply clinical expertise in such a manner as to upgrade patient care were indicated and assist the provider in formulating an appropriate respiratory care plan based upon patient assessment, history, lung auscultation, chest x-ray, pulse oximetry, etc.
-Communicate changes in the respiratory therapy plan and/or patient status to other health care team members as appropriate.
-Provide effective and relevant education to the patient, family, students, and facility staff when appropriate.
-Perform both fundamental and advanced diagnostic procedures.
-Perform emergency and acute respiratory therapy procedures in accordance with departmental guidelines and industry standards.
-Actively participate in departmental quality assurance and hospital organizational performance improvement. Comply with all medical center policies and procedures regarding safety practices and will demonstrate adequate working knowledge of the appropriate safety protocols.
-Maintain clinical and professional competencies based upon established standards of practice.
-Assembles, checks, and corrects malfunctions and performs quality controls on all respiratory care equipment.
-Participate with the in-service education pertaining to respiratory therapy; maintaining a close relationship with other disciplines and students who may rotate through the health care facility.
-Responsible to perform chart audits and monthly documentation submission, to include monthly encounters for assigned team. Participate in daily tracking of mechanical ventilator data.
-Attend and represent Respiratory Therapy at meetings, such as, Critical Care Committee, Patient Safety, and other meetings where presence and expertise of Respiratory Therapy is expected, or when supervisor is unable to attend.
-May assist in transport of patients on mechanical ventilation for procedures.
-Help monitor supplies within the department and orders supplies as needed. Utilize VA systems to request repair and replacement of equipment through Information technology and Biomedical departments to ensure proper and timely replacement of supplies and/or repair of broken equipment and devices.

Work Schedule: 6:30a.m. to 7:00p.m. may include nights, weekends, and holidays
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 53067-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 probationary 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:
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Education. Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successor.
Licensure. Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a full, current and unrestricted license from a state to practice as an RRT.
Credential. Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a valid, current, unrestricted credential of RRT.
Physical Standards. See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
English Language Proficiency. RTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f).
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:
Lead Registered Respiratory Therapist, GS-12.
Experience, Licensure and Credential. Candidates must:
i. Have one year of creditable experience equivalent to the GS-11 grade level demonstrating the clinical competencies described at that level. RRTs at this grade level in this assignment have experience demonstrating advanced practice skills and clinical judgment across many areas of respiratory care both inpatient and outpatient.
ii. Hold an active license and RRT credential.
Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs:
i. Ability to assign personnel and tasks to be accomplished in a manner that assures completion of theworkload.
ii. Ability to oversee and direct clinical guidance in a manner that assures completion of the workload.
iii. Ability to communicate with individuals of varying backgrounds to solve problems and provide conflict resolution.
iv. Ability to recommend uncommon or atypical interventions.
v. Ability to recommend ways to improve patient care and operations through independent research and evaluation of new equipment and therapies

Preferred Experience:
-Basic Life Support (BLS) certification and Advanced Cardiac Life Support (ACLS) certification
-Basic understanding and application of computer use to include Word, Excel, and medical charting software.
-Minimum 5 Years of clinical experience in application of all oxygen modalities including low flow and high flow systems, aerosol and nebulizer delivery systems, airway clearance modalities and proficiency in collection and interpretation of arterial blood gases.
-Registered Respiratory Therapist-Adult Critical Care Specialty (RRT-ACCS) credential
-Minimum 3 Years clinical experience in intensive care units. Able to safely and competently initiate and monitor various mechanical ventilators, portable transport ventilators, and must possess knowledge and experience in delivery of inhaled nitric oxide. Able to initiate application of CPAP and Noninvasive Positive Pressure Ventilation (NPPV) devices.
-Crew member in ground or critical care transport team or team member of hospital acute care rapid response team.
-Previous experience in team leader capacity with ability to lead and provide resolution to clinical issues from assigned staff. Able to distribute workload assignments appropriately and can work with minimal supervision.
-3 Years of emergency department clinical experience
-5 Years of clinical experience in care and management of artificial airways to include ability to perform complete tracheostomy care as well as knowledge with application of speaking valve on tracheostomy tube.

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-12.

Physical Requirements: The essential functions of the Lead position requires standing and walking for prolonged periods of time. The therapist must frequently bend, reach, stoop, and stretch to set-up and disassemble respiratory equipment, perform CPR, Rapid Responses, push/pull moderately heavy objects such as ventilator equipment. The work requires above average dexterity and agility to perform intricate respiratory therapy procedure in confined areas of the intensive care units and patient care units. Considerable walking/standing may be required. Frequent lifting, positioning, pushing/pulling may be required when moving equipment or supplies or other needs. Frequent, prolonged extensive or considerable sitting is often required. Manual dexterity and mobility are required. The work may require specific physical characteristics and abilities such as above-average dexterity to perform intricate respiratory therapy procedures. Frequent reaching, stooping, bending, kneeling, or crouching may be necessary. Moderate physical effort (ability to lift/carry up to 50 pounds) may be occasionally required. Intermittent exertion is possible. Subject to interruptions and stress from multiple calls, patient needs and/or inquiries from others, whether in-person, on the telephone or via computer. Sound judgement and ability to function under stress is required. Inappropriate actions/judgment, especially those during emergency or crisis situations, may result in injury or death.

Education

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

Accreditation Information: The degree must be fully accredited by the Commission on Accreditation for Respiratory Care (CoARC). Verification of accreditation may be made obtained from CoARC Website. Find an Accredited Program - CoARC - Commission on Accreditation for Respiratory Care

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

NOTE: If your school was accredited by the Commission on Accreditation for Respiratory Care (CoARC) at the time of graduation but is no longer listed on the CoARC Website. Find an Accredited Program - CoARC - Commission on Accreditation for Respiratory Care, you must provide documentation of accreditation with your application packet.

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.

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
  • Registered Respiratory Therapist (RRT) credential issued by National Board for Respiratory Care (NBRC)
  • Registered Respiratory Therapist (RRT) state license
  • Other (3)
  • PCS Orders
  • Performance Appraisal
  • Professional Certification
  • Proof of Enrollment
  • Proof of Marriage Status
  • 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 06/17/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12747067.

  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.