Health Technician (Ophthalmology)

Summary

The Health Technician (Ophthalmology) performs a range of standard, but complex, diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure. The incumbent will work with the patient's capabilities to obtain the best information from the patient including medical history or specific test results. Ensures proper cleaning, disinfection, calibration, maintenance, backup, annual inventory and ordering of instruments, supplies and equipment.

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Duties

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• Performs optical coherence tomography of the anterior segment, retina and optic nerve.
• Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder.
• Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect.
• Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter.
• Instills eye medications (i.e., drops or ointments, including anesthetic, dye, dilation, cycloplegic, or antibiotics), demonstrating proper technique and documenting the technician workup in the medical record.
• Measures intraocular pressure of the eye utilizing techniques, including Goldmann applanation tonometry.
• Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature.
• Performs intra-ocular lens (IOL) calculations using the IOL Master.
• Performs automated visual field testing using various perimetry machines.
• Performs external photographs and fundus photography.
• Performs advanced tonometry and pupil evaluation.
• Performs calculations for selection of intraocular lens.
• Assists during clinic-based ophthalmic surgery, including revision of wounds, biopsies of the eyelid lesions, cultures of conjunctiva, or cornea; reformation of anterior chamber, evacuation of hyphema, repositioning of corneal endothelial grafts, intra-vitreous injections, and laser surgical procedures.
• Performs records management on a consistent basis, writing patient notes in a timely manner and in the proper format according to agency policy.
• Follows universal precautions for employee protection during the performance of the heath technician's duties in relation to the cleaning and processing of reusable medical equipment and the performance of assisting with eye injections and oculoplastic procedures.
• Reports needed repairs to biomedical engineering.
• Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions.
• Performs patient screening and triage emergencies identifying ocular emergencies.

Work Schedule : Monday - Friday, Day Shift

Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized

Permanent Change of Station (Relocation Assistance): Not Authorized

Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).

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)

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: This position may be authorized for ad-hoc telework which occurs on an occasional, non-routine basis and is utilized to complete short-term special assignments or to accommodate special circumstances even though the telework arrangement may occur continuously for a limited and specific period of time. Telework eligibility will be discussed during the interview process.

Virtual: This is not a virtual position.

Functional Statement # :

• 523-F1063_Health_Technician_Ophthalmology_GS-0640-05 (Entry Level)
• 523-F1064_Health_Technician_Ophthalmology_GS-0640-06 (Developmental Level 1)
• 523-F1065_Health_Technician_Ophthalmology_GS-0640-07 (Developmental Level 2)
• 523-F1066_Health_Technician_Ophthalmology_GS-0640-08 (Full Performance Level)

Notifications:

• Due to a critical staffing shortage, 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement.
• This position is a AFGE Bargaining Unit position.
• This position is covered by a special rate.
• Narrative responses to the knowledge, skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment.
• Current and permanent Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.

Requirements

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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 ( 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.
• 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

BASIC REQUIREMENTS

a. Citizenship. Citizen of the United States.

b. Experience and Education

(1) Experience. One year of experience in a health care field, such as but not limited to nursing, medical assistant, or health technician.

OR

(2) Education. Two years above high school with a minimum of six semester hours directly related to a health care field or associate's degree in a health care related degree.

OR

(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. Examples are listed below:

(a) Six months of experience in the health care field; and one year above high school; or

(b) Six months of experience in the health care field and successful completion of a course for health care technicians, hospital corpsmen, medical service specialists, or ophthalmology technicians given by the U.S. Armed Forces; or

(c) Six months of experience in the health care field and completion of an independent study course in Ophthalmic Medical Assisting.

c. Certification. All applicants must be certified as a Certified Ophthalmic Assistant (COA) with the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). The COA certification is JCAHPO's entry-level certification examination for a Health Technician (Ophthalmology).

Grade Determinations. In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.

(1) Health Technician (Ophthalmology), GS-5 (Entry Level)

(a) Experience or Education. None beyond the basic requirements.

(b) Assignment. Employees at this grade level serve in an entry level position and are trainee in nature.

(2) Health Technician (Ophthalmology), GS-6 (Developmental Level 1)

(a) Experience. One year of experience equivalent to the GS-5 grade level.

(b) Assignment. The Health Technician (Ophthalmology) at this level operates and monitors commonly used equipment performing basic screening procedures. Assists ophthalmology staff by obtaining an accurate medical and ophthalmic history, measuring and recording visual acuity, administering anesthetic eye drops, performing basic tonometry, estimating the anterior chamber depth and recording a simple spectacle reading through automated lensometry.

(c) Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate all of the following KSAs:

1. Knowledge of general outpatient clinical policies and procedures in a healthcare environment;

2. Ability to obtain, document and record demographic and medical information from patients in order to develop an accurate medical record;

3. Ability to use basic ophthalmic equipment; and

4. Knowledge of basic disinfection of non-critical reusable medical equipment.

(3) Health Technician (Ophthalmology), GS-7 (Developmental Level 2)

(a) Experience. One year of experience equivalent to the GS-6 grade level.

(b) Assignment. At this level, the Health Technician (Ophthalmology) performs the following: triages patient phone calls or requests; ensures exam rooms are stocked with adequate supplies; instructs patients on administration of eye drops and post-operative instructions; accurately measures, compares, and evaluates pupillary responses; administers eye drops to dilate pupils; performs basic color vision screening; performs visual field testing (using Amsler grid or automated equipment). Performs basic imaging testing such as corneal topography; external photography; performs basic ocular testing such as pachymetry, tear production with test strips, glare testing, stereo acuity, contrast sensitivity, potential acuity meter, measuring spectacles using both automated and manual lensometry and transposing cylinders. The employee assists the ophthalmologist during minor ophthalmic surgical procedures and is adept at applying sterile technique and infection control procedures. Performs autorefractor to determine spectacle prescription.

(c) Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs:

1. Knowledge of anatomy and function of the eye and basic ocular pharmacology;

2. Knowledge of outpatient eye care policies and procedures in a health care environment;

3. Ability to use basic ophthalmic diagnostic equipment to perform preliminary ocular testing;

4. Ability to perform minor extraocular surgical assisting; and

5. Ability to provide eye care patient education.

(4) Health Technician (Ophthalmology), GS-8 (Full Performance Level)

(a) Experience. One year of experience equivalent to the GS-7 grade level.

(b) Assignment. This is considered to be the full performance level for this assignment. The Health Technician (Ophthalmology) at this level performs a range of standard, but complex, diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure. Responsible for obtaining patient physical history, to include chief complaint; reason for visit; pertinent signs/symptoms; past history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and non-prescription medications. Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole. Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder. Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect. Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter. Instills eye medications (i.e., drops or ointments, including anesthetic, dye, dilation, cycloplegic, or antibiotics. Responsible for measuring intraocular pressure of the eye utilizing techniques, including Goldmann applanation tonometry. Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature. Performs intra-ocular lens calculations using the IOL Master. Performs automated visual field testing using various perimetry machines. Performance of external photographs and fundus photography. Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve. Performs patient screening and triage emergencies identifying ocular emergencies. Performs patient screening and telephone triage for immediate care. Assists during clinic-based ophthalmic surgery, including revision of wounds, biopsies of the eyelid lesions, cultures of conjunctiva, or cornea; reformation of anterior chamber, evacuation of hyphema, repositioning of corneal endothelial grafts, intra-vitreous injections, and laser surgical procedures. Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions. Assists in the education and training of medical students, residents and fellows in those facilities with medical school affiliations. Ensures proper cleaning and disinfection; calibration, maintenance, backup, annual inventory and ordering of instruments, supplies and equipment; obtains quotes as needed; and reports needed repairs to biomedical engineering.

(c) Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs:

1. Ability to perform advanced tonometry and pupil evaluation;

2. Ability to perform calculations for selection of intraocular lens;

3. Knowledge of clinic based ophthalmic surgical assisting;

4. Knowledge of eye anatomy and physiology;

5. Knowledge of medication effects and proper instillation in the eye;

6. Knowledge of optics; and

7. Knowledge of proper cleaning and maintenance of clinic equipment.

Education

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: 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:

Foreign Education. To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs.

Additional information

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

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.

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.

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 full performance level of this vacancy is GS-8 . The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-8 .

Physical Requirements: The Health Technician-Ophthalmology should be able to lift and/or carry up to 45 pounds (intermittently). They will also straight pull/push up to 45 pounds (intermittently). They will stoop, squat and kneel (occasionally). The incumbent will have overhead work (intermittently). Position requires prolonged walking and standing (up to 4 hours per day) and sitting (up to 2 hours per day).

English Language Proficiency. Health Technicians (Ophthalmology) must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 38 U.S.C. 7407(d).

Reference: For more information on this qualification standard, please visit

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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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.