Licensed Practical Nurse (Telehealth Clinical Technician)

The Licensed Practical Nurse, Telehealth Clinical Technician (TCT) provides day-to-day operations under general supervision to ensure Telehealth services are delivered to Veterans within the Salisbury Veterans Health Care System. Locations include Salisbury VA Medical Center (SVAMC), Kernersville/Charlotte Health Care Centers (HCCs) and Community Based Outpatient Clinics (CBOCs).

NOTE: The 2-page Resume requirement does not apply to this position.

The Licensed Practical Nurse (LPN)/TCT) provides safe, timely and individualized nursing care to patients in the Ambulatory Care setting. Interacts and collaborates effectively with patients, families, other health care and supportive personnel. Demonstrates knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. The LPN/TCT provides day-to-day operations under general supervision (RN or MD) to ensure Telehealth services are delivered to the Veteran at the SVAMC, Kernersville HCC, Charlotte HCC and the Charlotte CBOC while providing a wide range of clinical/technical services to Veterans that demonstrates complex technical judgment. The complexity of duties includes serving as the site imager for Store and Forward Telehealth (SFT) applications, facilitator for real time Clinical Video Telehealth (CVT) encounters and VA Video Connect (VVC) encounters. The TCT is the video teleconferencing system expert at his/her location, assisting OIT with V-Tel equipment installations for clinical use. Other duties and responsibilities include, but are not limited to the following:

• Serves as a resource and trainer for CVT tele-providers and VVC providers. Be the video teleconferencing system expert, assisting with V-Tel and VVC equipment installations for clinical use. Provide technical support and other program support duties as assigned.
• Performs Telehealth imaging, including Tele-retinal screening. Conduct Tele- dermatology, Tele-ortho, and Tele-wound care as technology becomes available.
• Exercises independent technical and/or clinical judgment, possessing and applying comprehensive working knowledge of practical nursing principles.
• Responsible for oversight of day-to-day operation of clinical video conferencing, training, SFT, and Telehealth clinics. Implements, monitors, and facilitates feedback to the FTC on new clinical Telehealth technologies and programs. Contributes to the development and maintenance of standard operating procedures and facilitate their application at patient and provider locations. Receives all telephone calls and visitors to the clinics.
• Collaborates with the Registered Nurse (RN) and/or Health Care Provider (HCP). Demonstrates the ability to work independently without the need for immediate supervision.
• Demonstrates knowledge and skills to carry out a full range of practical nursing care and specialized patient care duties to patients with a variety of physical and/or behavioral problems in the outpatient setting.
• Assesses data reflective of the patient's status and interprets the information needed to identify each patient's requirements relative to their age specific needs and to provide care needed as described in the services' policies and procedures

Performs other related duties as listed in functional statement.

VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4

Total Rewards of a Allied Health Professional

Work Schedule: Full time, 7:30am - 4:00pm, Monday - Friday
Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized

Pay: Competitive salary and regular salary increases
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: No
Virtual: This is not a virtual position.
Functional Statement #: 000000
Permanent Change of Station (PCS): Not Authorized

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.
English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
Education - Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Exceptions include health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN.
Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico), of the United States or the District of Columbia.
Physical Standards. See VA Directive and Handbook 5019.

Preferred Experience and Certifications

• 2 -3 years nursing experience as a Telehealth Clinical Technician utilizing virtual care modalities/V-Tel equipment within a Telehealth Care setting.
• Demonstrated experience serving as the site imager for Store and Forward Telehealth (SFT) applications, facilitator for real time Clinical Video Telehealth (CVT) encounters and VA Video Connect (VVC) encounters.
• Basic Life Support (BLS)

Grade Determination: In addition to the basic requirements stated above, the following qualification criteria must be met. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.

GS-07: The GS-07 grade level is for select, complex LPN/LVN positions, as established by each health care facility. To be advanced, employees must meet all of the following standards, provided the standard is part of their assignment. Completion of at least one (1) year of additional qualifying experience at the GS-06 level or equivalent, fully meeting all of the performance requirements for the GS-06 LPN/LVN. The following Knowledge, Skills, and Abilities (KSAs) must be met:

• Knowledge and skills necessary to care out more specialized patient care duties, including assignments in more complex inpatient and/or outpatient care settings.
• Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery making astute observations of subtle, less obvious changes (both physical and emotional) in patient's conditions and taking the appropriate action.
• Ability to proactively assist the RN or MD/OD in addressing patient's needs for medication/treatments, accurately administering prescribed medications/treatments and appropriately recording patient's response to medications/treatments received.
• Knowledge and skill to promptly recognize potential urgent or emergent patient care situations.
• Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control, resistant or abusive behaviors, or impediments in their ability to understand or follow instructions.
• Skill, creativity, and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels.
• Comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care.
• Ability to support the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery.
• Work of considerable difficulty and responsibility is performed under general supervision. Individuals in these positions are, to a considerable extent, expected to exercise independent technical judgments and to possess and apply a comprehensive working knowledge of the principles, art and science of practical nursing. The staff mix is such that employees at this grade level are expected to perform practical nursing duties of considerable difficulty and responsibility under very general supervision.
• Actively seeks out educational opportunities to enhance nursing knowledge and skills, and providing leadership in assisting other staff improve and advance their nursing practice

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is 07. The actual grade at which an applicant may be selected for this vacancy is at the GS-07 level.

Physical Requirements: See VA Directive and Handbook 5019. This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling. Examples may include but are not limited to:

• Significant amounts of time standing assisting assigned patients
• Utilization of safe patient handling and mobility protocols

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/.

• 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 identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation/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.

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.