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Stockton, California, California, The Medical Instrument Technician will perform as a Vascular Lab Technologists and will assist the vascular surgeons at the Veterans Affairs Medical Center in the diagnosis and treatment of a wide variety of disorders affecting the vascular system. 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. United States Citizenship: You must be a citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with 38 U.S.C. 7407(a). B. English Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. 7402(d). C. 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). D. Certifications: Registration by Cardiovascular Credentialing International (CCI) as a Registered Vascular Sonographer (RVS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Vascular Technologist (RVT) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. E. Grade Determinations: In addition to the basic requirements above, applicants must meet the following grade requirements. Medical Instrument Technician (Vascular) GS-9: Experience: At least 1 year of experience comparable to the next lower grade level, 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 the knowledge, skills, and abilities to fully perform all vascular ultrasound tests and examinations and to function as a technical director of the vascular laboratory and provide oversight and/or guidance to other technicians. The KSA's at the GS-8 level are: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenoses, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation. Ability to provide Doppler information of peripheral vessels; demonstrate characteristic differences related to the organs they supply; accurately quantify carotid artery stenoses; and identify and correlate specific waveform analysis, plethysmographic tracings, velocity changes, and pressure gradients characteristic of normal, obstructed, or occluded vessels or grafts. Ability to perform intracranial (transcranial) vascular examinations. Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter, and sample volume. Ability to provide objective data to document progression or regression of disease. Demonstrated Knowledge, Skills, and Abilities: In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): 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 vascular ultrasonography. *Knowledge of JCAHO and other regulatory requirements. Ability to communicate effectively and professionally with employees at varying grade levels. NOTE: all KSAs must be clearly displayed in resume - (assumptions will not be made) F. References: VA Handbook 5005/15 PART II APPENDIX G27, Medical Instrument Technician, dated March 17, 2006 The full performance level of this vacancy is GS-9. The actual grade at which an applicant may be selected for this vacancy is GS-9. G. Physical Requirements/Demands: See VA Directive and Handbook 5019. This position requires to be able to stand or walk for long periods of time period there is some bending and carrying of moderately heavy articles such as equipment or records. The technologist must be able to help lift and move patients to difficult positions on the radio graphic table. The incumbent will be using multiple computer systems using both mouse and keyboard input, stressing the hand or wrist. ["The vascular lab technicians provide carotid studies, consistent diagnosis criteria and quality control for venous duplex scans, venous reflux determinations, assess for stenosis or occlusion of the mesenteric and renal arteries, assess for DVT of the upper extremities, preoperative vein mapping, intraoperative assessment of carotid endarterectomies and lower extremity vein bypasses, surveillance of vein bypass grafts, and segmented arterial pressure and waveform analysis with formal interpretation. The vascular lab technologists are an integral part of the vascular surgery program. The incumbent will independently work in two difficult and complex modalities including Vascular Ultrasound and Vascular Surgery and will be responsible for clinical, research, and educational duties in these two modalities. The duties of this position include but are not limited to the following: Work closely with the vascular surgeon, radiologist, and other clinicians to assure optimum quality control, coordination of activities and that high quality diagnostic imaging results are achieved. Independently performs difficult to complex vascular ultrasound examinations and interventional radiology examinations. Responsible for clinical research and educational duties in both the vascular laboratory and vascular surgical service. Performs Vascular Ultrasound Imaging to evaluate the body's circulatory system. Obtains quality vascular images In order to locate and identify blockage (stenosis) and abnormalities like blood clots, plaque or emboli to help plan effective treatment to the patient. Performs Vascular Ultrasound Imaging of the body's veins and arteries, for the purpose of evaluating blockages, such as clots in veins and plaque in arteries by using pulse wave Doppler, color Doppler, power Doppler and duplex Doppler. Confers with Vascular Surgeon to determine requirements for non-standard exams. Determines technical factors, scanning techniques, etc. to satisfy requirements of vascular ultrasound imaging. Advises the Vascular Surgeons, radiologists or referring physicians of the examination results. Performs Vascular Surgery therapeutic treatments, which include: Dialysis graft studies. Assures that sterile supplies, catheters. Contrast media and other materials are set up and readily available prior to the procedure(s). Scrubs and assists the vascular surgeon during the procedure on a demand basis. Research and/or analyze problems, issues or program requirements supporting the functions of a PACS system. Determines pertinent issues and collects relevant information from a variety of sources. Reviews information and applies standard analytical techniques. Develops recommendations and a plan of action to solve problems. Serve as a liaison for OlT, Imaging, Surgery, Biomedical engineering, vendors and clinical users to ensure the PACS system is configured to optimize imaging and clinical operations as well as distribution capabilities in all areas of the NCHCS. Investigates system malfunctions to determine a cause. Defines and isolate the specific problem, using available diagnostic and error recovery techniques, and initiates corrective actions. Contacts vendor representatives to determine the cause of problems that do not respond to available problem solving techniques. Monitors equipment controlling environment and executes emergency procedures in case of natural or manmade disasters and security risk situations. Provides first line technical support for imaging transmissions or display errors related to modalities, VistA interface, display monitors and printers. Responsible for explaining the exams to the patient so that the patient understands what is to be done as well as what hazards, if any, are possible. Responsible for the cleanliness of the subsection and stocking adequate levels of supplies in assigned areas. Administrative accountability for departmental supplies and equipment in their area. Anticipates the needs for supplies and provides for them well in advance. Other duties as assigned by management. Work Schedule: Monday to Friday, 8:00am - 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #:000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

Fort Worth, Texas, JOB SUMMARY The Physician HTPN examines and treats patients with a wide range of conditions, take patient histories, request diagnostic tests, make diagnoses, prescribe treatment, administer vaccinations, perform follow-up examinations, as well as educate patients in disease prevention and health maintenance. The Physician HTPN will supervise the clinical activities of allied health professionals and advanced practice professionals. ESSENTIAL FUNCTIONS OF THE ROLE Examine, collect, record, and maintain patient information, such as medical history, reports, and examination results. Prescribe or administer treatment, therapy, medication, vaccination, and other medical care to treat or prevent illness, disease, or injury. Order, perform, and interpret tests and examine records, reports, and examination information to diagnose patients condition. Work as part of a clinical team of technicians, advanced practice professionals, and other physicians in conclusion making around tests, diagnoses and treatment options for patients with illnesses or diseases. Monitor patient conditions and progress and reevaluate treatments as necessary. Specialty: Diagnoses and treats conditions in area of specialty. May work in hospital, specialty clinic or outpatient surgical center. May perform surgical procedures, treatment or non-invasive procedures in area of specialty. May create post-operative care plans, recommend lifestyle changes involving diet, exercise and other matters. Supervise the clinical activities of a care team that may consist of other providers, and allied health professionals. BENEFITS Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% CME reimbursement and paid time off Excellent Relocation Assistance packages QUALIFICATIONS

Corpus Christi, Texas, Description CHRISTUS Spohn Hospital South is seeking a Vascular Surgeon to join CHRISUTS Trinity Clinic Thomas Spann in Corpus Christi, TX. Successful candidates must be board certified/eligible and a Texas Medical License will be required prior to beginning employment. CTC-Thomas Spann is a multi-specialty provider serving the Corpus Christi, Alice, Beeville, and Kingsville communities. The group consists of 25 primary care providers, 2 endocrinologists, 1 neurologist, and 4 hospitalists. Due to a community need we are adding Vascular Surgery to our clinic. CTC partners with a local vascular group that we will share call with. Benefits Include: Competitive salary guarantee Malpractice with tail coverage Retirement with employer match CME allowance Relocation & Sign-On Bonus Medical, Dental, & Vision Benefits Time away from practice Qualifications: Must possess an unrestricted Texas Medical License or be eligible to be licensed in the State of Texas. CHRISTUS Spohn Health System  is South Texas' largest hospital system, consisting of six hospital campuses and six family health centers throughout the Coastal bend. The health system is consistently ranked as a healthcare leader in the area and has received national recognition for several pioneering programs, including cardiac care, clinical excellence and oncology. For more than 100 years, CHRISTUS Spohn has been distinguished by its high caliber Associates and affiliated physicians, its comprehensive and innovative services, and its long history of responding to the needs of the community it serves. Recruiter Contact Information : Veronica Coley veronica.coley@christushealth.org