Clarification from the agency

Open to All US Citizens NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

Practice:
a) Performs diagnostic quality images and Doppler frequency shift recordings using M-mode, 2-D, pulsed and continuous wave Doppler spectral display and color flow Doppler imaging.
b) Performs complex procedures such as cardiac studies of the 4 chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion, thrombus and pressure gradients across obstructed valves. c. Performs transesophageal echocardiograms dobutamine and exercise stress and 3D echocardiograms.
c) Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic echocardiography, Bubble studies and contrast echocardiography (invasive), stress echocardiography, and transesophageal echocardiography.
d) Knowledge of normal echocardiography findings and deviations produced by a wide variety of cardiovascular diseases
e) Knowledge of JCAHO and other regulatory requirements.
f) Ability to interact with patients explaining procedures and positioning and prepping the patient for procedure
g) Ability to complete diagnostic studies ordered by and in collaboration with physician on all tours of duty with minimal or no direct supervision; coordinates appointments/ workload according to appropriateness of patients/ staffing.
h) Adapts transducer positioning, instrument controls and examination techniques to the individual patient and to the problem to be evaluated.
i) Monitors patient's condition during procedures.
j) Manages and Triages inpatient procedure consults on a daily basis. Ensures that inpatient exams are completed in a timely manner.
k) Accurately documents information in the medical record and any other clinical or administrative applications. i. Ability to manage Echocardiography images in Centricity and copy to CD.
l) Technical expert in the operation, calibration and maintenance of the specialized equipment in the ECHO lab.
i. Performs digital image management and acts as Super User for imaging storage system.
m) Assists billing and coding with interpretation of exams and follow-up on outstanding billing and coding issues.
n) Completes encounters on all ECHOs performed, using the correct CPT codes, diagnosis, Service connection status and other field as required and assists management in overall encounter practices in ECHO section.

Quality Management/Customer Service
a) Participates in faculty conferences, task forces, and committees as assigned.
b) Communicates effectively and professionally with employees at varying grade levels, patients and their families, and customers from outside facilities.

Training
a) Precepts new staff and cardiology trainees in their development of echocardiography imaging skills.
b) Serves as a consultant to other health care professionals related to ECHO procedures.
c) Develops, coordinates, or presents educational programs towards improving productivity, patient outcomes, and treatment modalities as needed and assigned.

Other Duties
a) Performs dys-synchrony evaluations and assist in the timing delays for Bi Ventricular Pacing.
b) Assists with the scheduling clerk in determining appropriateness of consults, triage, and priority when needed.
c) The Echocardiography technician will assist the charge nurse, supervisor, and RN's with other duties as assigned.


Work Schedule: 7:30am- 4:00pm
Telework: Not Eligible
Virtual: This is not a virtual position.
Functional Statement #: 91447-A
Relocation/Recruitment Incentives: Not Authorized

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.
• 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:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Education: There are no specific educational requirements for this occupation.
• Licensure or Certification: Licensure or Certification is not required for this occupation; however, it is strongly desirable at GS-6 or above as evidence of possession of the essential knowledge, skills, and abilities

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).

Medical Instrument Technician (Echocardiography) GS-9

Experience: . At least 1 year experience comparable to the next lower grade level GS-8, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would be experience which demonstrates possession of the knowledge required in order to provide all aspects of echocardiography services.

1. Ability to produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and colorflow Doppler imaging.

2. Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases.

3. Ability to perform complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc.

4. Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography.

5. Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings.


In addition to the above, the candidate must demonstrate the following technical KSAs:

1. Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols, that pertain to Echocardiography.

2.Knowledge of JCAHO and other regulatory requirements.

3. Ability to communicate effectively and professionally with employees at varying grade levels.

4. Ability to manage and supervise employees.

5.. Ability to provide, or provide for, staff development and training.

Certification: Registration by Cardiovascular Credentialing International (CCI) as a Registered Cardiac Sonographer (RCS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Diagnostic Cardiac Sonographer (RDCS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable.

Preferred Experience: 3 yrs of Echo scanning experience, Echo registry with either ARDMS or CCI, Accredited Echo focused education.

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 9

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.

NOTE: You must include qualifying specialized experience in mm/yyyy to mm/yyyy format on your resume and indicate Full-Time or Part-Time (if Part-time, must include # of hours worked per week). AND, if you have held a Government position, that position's grade level MUST be listed on your resume.

NOTE: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such 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.

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

• Resume

Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.

Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.

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
• Other (1)
• Other (2)
• Other (3)
• 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.

Although Hybrid Title 38 occupations follow Title 5 Veterans' preference rules, as required by the Merit Systems Protection Board (Graves v. A, 117 M.S.P.R. 697 (2012)), 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference to external applicants for appointments made during the fiscal year to hybrid title 38 occupations reported among the occupations with the largest staffing shortages. This announcement occupation is reported to be among the largest staffing shortages. Veterans preference does not apply to this job announcement per the Veterans Access, Choice and Accountability Act of 2014 (PL 113-146, dated August 7, 2014) Therefore, Veteran's Preference will not be applied to this posting's applicant scores and selection process.

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