Health Technician (Optometry)

Summary

The Health Technician (Optometry) at the advanced level demonstrates knowledge of complex examinations and techniques, including advanced color vision testing, advanced perimetry, and advanced ophthalmic imaging and diagnostic testing. The Health Technician (Optometry) provides advanced triage of patients, as well as patient education and training for complex eye and vision conditions.

Duties

Duties include but are not limited to: Provide education and training to manage complex eye and vision conditions. Requires extensive knowledge of chronic eye conditions such as macular degeneration, glaucoma, etc, and will provide advanced patient education on managing conditions. Assists with advance triage of patients depending upon level of urgency or optometry needs. DMV forms, Lid lesion with w/u and consent, manage secure messages in a timely manner. Assist patients with eye anatomy and ocular symptoms and will determine the urgency of the patients need to be seen and how quickly in person and or over the phone. Ability to address and resolve patient complaints and/or concerns and addressing patient health technician(optometry) relationships Knowledge of complex, non-standard treatment and/or complex examinations and techniques. The incumbent determines what ancillary testing is needed before seeing the provider. Testing includes the following: Color vision Ishihara and D14 plates, Ophthalmic photography, Optical Coherence Tomography (OCT), A-scans, B-scans, Humphrey Visual Field testing, Goldmann Visual fields, Corneal Topography, FDT, Slit Lamp Imaging, Goldmann Tonometry. Ability to perform testing using multiple handheld instruments, Pachymetry, Perkins Tonometry, Tonopen, Icare, and Auto Refractors. Accurately enter into a phoropter the autorefractometry or habitual refractive prescription (i.e., eyeglasses prescription) or lensometer findings, including sphere, cylinder and axis. Perform patient spectacle fitting and dispensing, including selection of appropriate frame, ophthalmic lenses, interpupillary measurements (distance and near) and proper segment height determination, as well as the ability to transpose sphere, cylinder and axis. Knowledge of ocular pharmacology and systemic medications with ocular side effects. The Incumbent is responsible for educating the patients on how to instill glaucoma eye gtts, lubricating gtts, steroid gtts, eye vitamins and ointments. Knowledge and ability to apply appropriate eye medications as directed and under guidelines specified and follow eye clinic and patient care medical policies and procedures. Knowledge of ocular side effects from systemic medications. Oversee clinic reusable medical equipment (RME) disinfection activities, including research, ordering and updating SOP's. Work Schedule: Monday through Friday; 7:30am to 4:00pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 60297-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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. English Language Proficiency. Health Technician (Optometry) candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Experience and Education: Basic Experience: One (1) year of experience as a health technician or assistant in the health care field demonstrating the applicant's ability to perform the work or be demonstrating a basic understanding of work in the health care field.--OR-- Basic Education: Successful completion of two academic years above high school leading to an associate degree with a minimum of 12 semester hours related to health technician/assistant or health technician optometry/assistant or associate degree, or completion of an independent study course in an optometry related technician or assistant field. Transcripts Required.--OR-- Basic Combination Education and Experience: Equivalent combinations of experience and educations of experience and education are qualifying. Examples are listed below: Six months of experience comparable to the next lower level which demonstrates the knowledge of optometry assistant theory and practices and general understanding of the health technician/assistant duties and one (1) year above high school with a minimum of six semester hours of health technician/assistant or health technician optometry/assistant related courses. --OR-- Successful completion of a course for health care technicians or assistants, hospital corpsmen, medical service specialists, or hospital training in a program given by the U.S. Armed Forces, the U.S. Maritime Service, or the U.S. Public Health Service, may be substituted on a month-for-month basis. 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). They 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 journeyman level or placed in supervisory or managerial positions. Employees 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. Health Technicians (Optometry) who are converted to title 38 hybrid status under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of re-entry to the occupation. Grade Determinations: In addition to the basic requirements above the following is the amount of experience required to qualify for this position at the GS-8 grade level. Experience: One year of experience comparable to the next lower level (GS-07) which demonstrates the knowledge, skills and abilities related to the duties of the position to be filled. Demonstrated Knowledge, Skills and Abilities. In addition to meeting the experience or educational requirements for this grade level, the candidate must fully demonstrate the following KSAs: (a) Ability to provide patient education and training to manage complex eye and vision conditions. (b) Knowledge of advanced triage of patients depending upon level of urgency or optometry needs. (c) Knowledge of complex, non-standard treatment and/or complex examinations and techniques. (d) Knowledge of ocular pharmacology and systemic medications with ocular side effects. (Assignment. For all assignments above the full performance level, the higher level duties must be of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. At the advanced level, the Health Technicians (Optometry) perform difficult and responsible ophthalmic technology duties with considerable latitude for the exercise of independent judgment. The Health Technician (Optometry) perform duties such as advanced color vision testing, advanced perimetry including both automated and manual techniques, advanced ophthalmic imaging and diagnostic testing (e.g., anterior segment optical coherence tomography, advanced ultrasonography, confocal microscopy, electro-diagnostic testing, etc.), advanced patient education and training and vision rehabilitation services. Reference: For more information on this qualification standard, please visit https