Summary The VA South Texas Health Care System in San Antonio, TX is seeking a full-time Optometrist. Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until November 18, 2025, or until all positions are filled. The first cut-off date is December 03, 2024. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Applicants will remain active for 3 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period. ----- The Optometrist is responsible for patient care and education in the Eye Services section of Surgical Service. The majority of the provider's time should be devoted to patient care; teaching and administration when assigned, with the remaining time set aside for academic activities sufficient to maintain his/her "state of the art" proficiency. Duties will include, but are not limited to: Documents and maintain records pertaining to patients, Examines, diagnoses and performs specific optometric treatments for conditions of the vision system, Exercises independent professional judgment in diagnosing the full range of complex optometric conditions as well as planning and executing the necessary treatment programs to meet complex and frequent changes in the treatment objective, Utilizes various examination techniques of vision, eye and related structures to determine the presence of vision anomalies, diseases, and/or other abnormalities, treating eye conditions by prescribing and adapting spectacle lenses, optical aids, etc. and referring patients to other health professionals for further diagnosis and treatments, Orders and evaluates diagnostic tests as appropriate, recommending treatment and/or referral, Interprets diseases and conditions of the eye and adnexa and ocular manifestations of systemic disease, Orders, verifies, dispenses and adjusts optical aids for visually impaired patients, Refers patients to ophthalmology for diagnosis, treatment and management of systemic and ocular conditions revealed through optometric examinations, Provides emotional support and comfort to patients and their families during treatment interventions, Manages patient workload within available staffing, which may include support of health technicians, Coordinates care with VA's tertiary care facilities and VA sharing partners, Performs the usual administrative components of patient care management, such as: documentation of progress notes and consultation findings in an electronic medical record, electronic entry, and signature of all orders for inpatients and outpatients, etc., Performs other directly related duties as required. PREFERRED EXPERIENCE: Extensive experience in managing complex ocular conditions, particularly glaucoma, diabetic retinopathy, and macular degeneration. This includes proficiency in advanced diagnostic techniques, treatment planning, and long-term care for patients with these conditions. Familiarity with the latest technologies and evidence based practices in ocular disease management, as well as experience collaborating with interdisciplinary healthcare teams to provide comprehensive care to veterans, is highly preferred. Strong commitment to patient-centered care and the ability to communicate effectively with patients and colleagues Work Schedule: Monday - Friday, 0800 - 1630 Bargaining Unit Status: This position is part of the bargaining unit. Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized VA offers a comprehensive total rewards package. Requirements Conditions of Employment All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. 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. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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: Degree of doctor of optometry resulting from a course of education in optometry. The degree must have been obtained from one of the schools or colleges approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. Approved schools are: (1) United States and Canadian schools or colleges of optometry listed as accredited by the Council on Optometric Education of the American Optometric Association, in the list published for the year in which the course of study was completed. (2) Schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth of the United States, or in the District of Columbia as qualifying for full or unrestricted licensure. License or Registration: Licensed to practice optometry in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Optometrists are required to possess full and unrestricted licensure and to maintain a current registration in their State of licensure if this is a requirement of the particular State. The facility Director may waive this requirement if the optometrist is to serve in a country other than the United States and the optometrist has licensure in that country. Residents: Licensure in a State, Territory, or Commonwealth of the United States, or in the District of Columbia before completion of the first year of VA residency. Unlicensed residents must meet any registration or other equivalent requirements established for optometric residents of non-VA facilities or optometry clinics with which the VA facility is affiliated for training purposes during the first year of VA residency. Physical Standards: See VA Directive and Handbook 5019 and below paragraph GRADE DETERMINATIONS Associate Grade: None beyond the basic requirements. Full Grade: Two years of optometric practice or its equivalent. One year of approved residency training or its creditable equivalent acceptable to the Council on Optometric Education of the American Optometric Association is acceptable in lieu of the 2 years of practice. Candidate must have demonstrated the professional competence and performance necessary to provide independently the full range of clinical optometric diagnosis and treatment for all the most prevalent types of vision dysfunctions and the detection and referral of patients with ocular disease or ocular manifestations of systemic disease Intermediate Grade: Meets the requirements in paragraphs (1), (2), and (3) below: (1) Four years of optometric practice or its equivalent. One year of approved residency training or its creditable equivalent acceptable to the Council on Optometric Education of the American Optometric Association is acceptable in lieu of 2 years of practice. (2) The optometrist at this level has successfully passed the examinations of the National Board of Examiners in Optometry and has attained either of the following: (a) The stature that would warrant appointment at the clinical instructor or higher level at a school or college of optometry. (b) The professional ability and personal attributes which have merited significant recognition by a recognized professional organization, such as election to a Fellowship in the American Academy of Optometry. (3) Has achieved a high level of professional attainment as illustrated by one or more of the following examples: (a) Is a recognized expert in the diagnosis and treatment of unusual and complicated visual dysfunctions. Typically, in this capacity serves as a consultant to optometrist and other professionals in other health facilities or provides expert clinical services in such areas as the partially sighted or contact lenses for aphasics. (b) Has assumed responsibility for a multi-faceted optometric program including clinical research and/or training requiring a high degree of competence and skill in developing innovative and new and advanced instrumentation and treatment techniques. Typically, the program is in an educationally affiliated health care facility having an optometric training program of moderate scope involving liaison with other medical services and affiliated schools. (c) Has played a significant part in the conduct of vision research in a problem area of considerable scope and complexity which required novel approaches and which resulted in answers to important questions or important changes in existing methods and techniques. Publications authored by the optometrist are of considerable value to others in the individual's field. Typically, overall contributions are recognized by serving on important committees or other bodies in the profession. (d) Has had full responsibility for carrying out an optometric training program of significant size in which the optometrist has been responsible for maintaining liaison with the affiliated school and other educational institutions and professional or scientific organizations. Innovative approaches in development of curriculum and course content and in expanding and improving the educational program have been displayed by the individual. Senior Grade: Meets the requirements for Intermediate grade and the requirements in paragraphs (1) and (2) below: (1) The optometrist at this level possesses such academic stature as would warrant a faculty appointment of a professional level in an approved school or college of optometry. (2) Has demonstrated recognized superior professional attainment as evidenced by one or more of the following examples: (a) Has served as a team leader in attacking major optometric problems affecting the continued provision of quality care health services at a VISN, statewide, or national level. There is such confidence in the optometrist at this level that there is unusual support of the individual's recommendations and conclusions. (b) Has had responsibility for carrying out a major optometric program segment on a national level. (c) Has conducted high level studies in a difficult area of vision research which has contributed to a substantial advance in the health field, with important professional publications Chief Grade: Meets the requirements for Senior grade and must demonstrate a sustained very high level of professional performance with evidence of exceptional professional and/or administrative development by the following: Has assumed substantial professional and/or administrative responsibilities in which the individual is expected to fully advise and make professional clinical and educational recommendations as to courses of action on problems and considerations of national scope in all areas of optometry. Typically, the optometrist at this level has had responsibility for a major optometric program segment on a nationwide basis and has been consistently called upon to represent the organization in an authoritative manner in matters dealing with development of new and/or revised concepts and programs having a major impact upon the academic, medical, and optometric communities. Outstanding professional attainment. Examples of such attainment are: Achievement of outstanding results in research which are regarded as having a major impact on advancing the field. Significant number of noteworthy publications in professional journals. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: See Education section 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: 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/. Physical Requirements: Heavy lifting, 45 pounds and over; Moderate lifting, 15-44 pounds; Light lifting, under 15 pounds; Light carrying, under 15 pounds; Straight pulling (3 hours); Pushing (1 hour); Reaching above shoulder; Use of fingers; Both hands required; Walking (3 hours); Standing (2 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; DVA 20/40 Binoc; Both eyes required; Depth perception; Ability to distinguish basic colors; Hearing (aid may be permitted); Near visual correctable to Jaeger 1. Additional Information 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. 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.