Staffing and Career Development

Allergy Technician

Minimum Qualifications:

• Degree: High School Degree.
• Education: Graduate from a medical assistant training program accredited by Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) of the American Medical Technologists or a formal medical services training program of the United States Armed Forces.
• Certification: Successful completion of a didactic specialty course in Allergy & Immunology or possess three (3) years of Allergy/Immunology and Immunization experience within the last four (4) years in a specialty clinic.

Core Duties:

• Prepare examination rooms prior to patient’s arrival.
• Assist with patient check-ins, admissions, discharges, and transfers as directed.
• Check patient’s vital signs, to include temperature, respiration, pulse, weight and blood pressure.
• Obtain and document patient’s current medical history, drug history, chief complaints, allergies and vital signs on the correct form.
• Perform diagnostic procedures w hen ordered such as allergy tests, pulmonary function, and skin tests.
• Provide education on symptom management and allergy serum.
• Prepare and administer allergy serums and injections.
• Maintain examination room stock levels and perform routine maintenance of examination rooms.
• Complete lab and x-ray requisitions in accordance with clinic policies.
• Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.
• Identify signs and symptoms of anaphylaxis versus vasovagal reaction.
• Initiate and assist in acute anaphylaxis management.

Audiologist

Minimum Qualifications:

• Degree: Master’s degree in audiology.
• Education: Graduate from an educational program accredited by the American Speech-Language Hearing Association’s (ASHA) Council on Academic Accreditation in Audiology and Speech Pathology (CAA) or the Accreditation Commission for Audiology Education (ACAE).
• Certification: Possess a certificate of Clinical Competence (CCC) in the field of Audiology (CCC-A) from the American Speech-Language-Hearing Association (ASHA-CCCA) or certification from the American Board of Audiology of the American Academy of Audiology (AAA).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Must hold a full, current, and unrestricted license in a State, Territory, Commonwealth, or the District of Columbia.

Core Duties:

• Administer audiology tests to all types of patients.
• Identify, assess, and manage auditory, balance, and other neural systems. Provide comprehensive diagnostic and therapeutic procedures of the hearing and balance mechanisms including intraoperative monitoring of the cranial nerves, cerumen removal, cochlear implant assessment and management, posturography, and other advanced balance mechanism evaluations.
• Review accompanying consultation forms and records, independently determine appropriate tests, adapt test techniques, and utilize clinical judgment based on audiological and psychological precepts.
• Conduct routine tests, to include air conduction, bone conduction, speech reception thresholds and speech discrimination, including high intensity speech discrimination testing.
• Counsel beneficiaries as required regarding problem(s), interpret results and provide guidance and advice on educational and training needs. Provide narrative summary of each patient to referring physician and other interested agencies.

Cardiac Catheterization Technician

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from a cardiovascular technologist program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) through the Joint Review Committee in Cardiovascular Technology (JRC-CVT).
• Registration: Registered as a Cardiovascular Invasive Specialist (RCIS) as determined by the Cardiovascular Credentialing International (CCI).
• Experience: One year of experience as a Cardiovascular Technologist after graduation.

Core Duties:

• Perform duties within the scope of practice determined by didactic, laboratory, and clinical technological education and registration.
• Review and/or record pertinent patient history and supporting clinical data.
• Perform appropriate clinical procedures and obtain a record of anatomical, pathological, and/or physiological data for interpretation by a physician.
• Exercise discretion and judgment in the performance of cardiovascular diagnostic and therapeutic services.
• Participate in interventional cardiovascular catheterization and/or cardiac electrophysiology procedures, including balloon angioplasty, stent insertion, radiofrequency ablation, and pacemaker and/or implantable defibrillator insertion.
• Perform a full range of diagnostic ultrasound examinations.
• Operate equipment identified in the TO. Perform daily warm up and assigned quality control checks of the equipment
• Receive patients and explain procedures, providing humane and appropriate care and communication to alleviate fear of examination. Correctly position the patient for the examination and make adjustments necessary for the required examination.
• Input key test data and patient information into computer of equipment to maintain record of test results.
• Identify abnormalities during testing and determine the need for additional scans of affected area.
• Recognize anatomic variants and determine which other area(s) of the body should be scanned.
• Maintain and clean equipment on a regular basis in accordance with MTF policy. Stock and maintain an adequate level of supplies required for diagnostic procedures. Recommend necessary repairs when diagnostic quality is degraded.

Cardiovascular Technologist (Echocardiographer)

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from a cardiovascular technologist program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) through the Joint Review Committee in Cardiovascular Technology (JRC-CVT).
• Registration: Registered Cardiac Sonographer (RCS) as determined by the Cardiovascular Credentialing International (CCI).
• Experience: One year of experience as an Echocardiographer after graduation.

Core Duties:

• Perform duties within the scope of practice determined by didactic, laboratory, and clinical technological education and registration.
• Review and/or record pertinent patient history and supporting clinical data.
• Perform appropriate clinical procedures and obtain a record of anatomical, pathological, and/or physiological data for interpretation by a physician.
• Exercise discretion and judgment in the performance of cardiovascular diagnostic and therapeutic services.
• Perform a full range of cardiac diagnostic ultrasound examinations.
• Operate equipment identified in the TO. Perform daily warm up and assigned quality control checks of the equipment
• Receive patients and explain procedures, providing humane and appropriate care and communication to alleviate fear of examination. Correctly position the patient for the examination and make adjustments necessary for the required examination.
• Input key test data and patient information into computer of equipment to maintain record of test results.
• Identify abnormalities during testing and determine the need for additional scans of affected area.
• Recognize anatomic variants and determine which other area(s) of the body should be scanned.
• Maintain and clean equipment on a regular basis in accordance with MTF policy. Stock and maintain an adequate level of supplies required for diagnostic procedures. Recommend necessary repairs when diagnostic quality is degraded.

Central Sterile Supply Technician

Minimum Qualifications:

• Degree: Certificate.
• Education: Completion of a central sterile supply training course.
• Certification: Current certification by the International Association of Healthcare Central Services Materials Management or current certification by the National Institute of Health Care Sterile Processing and Distribution Personnel.
• Experience: As identified in the TO.

Core Duties:

• Receive, disassemble and inspect reusable medical devices and surgical instrumentation for damage.
• Receive and dispose of regulated medical waste, general waste and soiled linen.
• Comply with OSHA regulations governing the wearing of personal protective equipment at all times when working in the decontamination area.
• Determine the correct method of decontamination to include the following: removal of blood, tissue fragments, body fluids and other gross contaminants. Decontamination methods shall include wiping, soaking, rinsing, scrubbing and using ultrasonic and washer decontamination/sterilizer equipment.
• Examine all items after decontamination/pre-sterilization procedures to ensure that gross contaminants have been removed and that instruments function properly.
• Ensure that all medical devices and surgical instrumentation are properly labeled and identified.
• Assemble and prepare the full range of specialty trays and instrument sets. Select correct wrapping or packaging material for medical devices and surgical instrument sets, select sterilization process in accordance with standard MTF procedures to include: Ethylene Oxide (ETO) or Steam Sterilization. Correctly label, seal, wrap or place in rigid containers, items with appropriate chemical indicator tape, and aerate gas sterilized items for the correct period of time.
• Receive sterilized trays, sets, and equipment from the sterilizer; check for integrity of sterilization, (i.e., color changes on indicator tapes, external and internal indicators, and dampness of packages); stock and properly store sterile items in sterile storage room in accordance with MTF procedures.

Certified Addictions Counselor

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from a behavioral science program with specialized training in substance abuse and chemical dependency treatment.
• Certification: Maintain a national certification credential by the National Association of Alcohol and Drug Abuse Counselors or National Board of Certification Counselors or International Certification & Reciprocity Consortium/Alcohol and Other Drug Abuse.
• Experience: One year of experience as a Substance Abuse Counselor after graduation.
• License: Current, full, active, and unrestricted license to practice as a Certified Addictions Counselor.

Core Duties:

• Perform a full range of Certified Addiction Counselor duties, in accordance with assignment and consistent with the scope of practice for profession, including but not limited to, medical care treatment and patient education in a knowledgeable, skillful, consistent, and continuous manner.
• Obtain or provide relevant information that will facilitate treatment and assist in developing programs.
• Provide assessment of substance abuse and addiction.
• Identify and document medical consequences of alcohol and other substance use, including withdrawal and detoxification.
• Facilitate the placement and management of patients in appropriate levels of care within the continuum of care model of the treatment of addictive disorders

Certified Athletic Trainer

Minimum Qualifications:

• Degree: Bachelor’s Degree.
• Education: Graduate from a college or university accredited by the Commission on Accreditation of Athletic Training Education (CAATE).
• Certification: Possess and maintain a current Certification in Athletic Training through the National Athletic Trainers’ Association (NATA) Board of Certification (BOC)
• Experience: One year of experience as a Certified Athletic Trainer after graduation.

Core Duties:

• Perform a full range of Certified Athletic Trainer duties. All services performed shall fall within those guidelines established by the National Athletic Trainers Association, American College of Sports Medicine, and American Medical Society for Sports Medicine.
• Prevent, recognize, treat and rehabilitate injuries.
• Provide evaluation and treatment of musculoskeletal injuries incurred, including, but not limited to the following: progressive resistance exercise (PRE), open and closed chain kinetic exercises, proprioceptive neuromuscular facilitation (PNF), manual therapy and joint mobilization, hydrotherapy, hydrocollator, cryotherapy, ultrasound, phonophoresis, iontophoresis, and all varieties of muscle stimulation.
• Provide treatment for soft tissue damage, acute and chronic edema, post-surgical edema, muscle atrophy, pain, overuse injuries, decreased circulation and loss of strength due to injury or biomechanical imbalance.
• Provide emergency first aid, evaluation and treatment of injuries, and aid in preliminary diagnosis to include recognition of severity of injury, rendering initial treatment and performing initial examination.
• Design and fabricate protective pads, equipment and braces for the prevention and treatment of injuries including the use of proper taping techniques.

Certified Genetics Counselor

Minimum Qualifications:

• Degree: Master’s Degree.
• Education: Graduate from a program in genetics counseling as determined by the Accreditation Council for Genetics Counseling.
• Certification: Possess and maintain certification as a genetics counselor through the American Board of Genetic Counseling (ABGC).
• Experience: One year of experience as a Certified Genetic Counselor after graduation.

Core Duties:

• Perform a full range of genetics counseling, both independently and in association with Maternal-Fetal Specialists, for patients at risk of chromosomal, inheritable or acquired birth defects.
• Provide genetic counseling services for a variety of indications, including advanced maternal age, abnormal maternal serum-alpha-fetoprotein (MSAFP) screening, abnormal fetal ultrasound, significant family history of birth defect or inheritable disease or exposure to known teratogen.
• Serve as a resource for health care providers, providing information regarding prenatal testing as well as assessment of need for genetic counseling.
• Collaborate and coordinate with other departments such as Pediatrics to maintain continuity of care.

Certified Addictions Counselor

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from a behavioral science program with specialized training in substance abuse and chemical dependency treatment.
• Certification: Maintain a national certification credential by the National Association of Alcohol and Drug Abuse Counselors or National Board of Certification Counselors or International Certification & Reciprocity Consortium/Alcohol and Other Drug Abuse.
• Experience: One year of experience as a Substance Abuse Counselor after graduation.
• License: Current, full, active, and unrestricted license to practice as a Certified Addictions Counselor.

Core Duties:

• Perform a full range of Certified Addiction Counselor duties, in accordance with assignment and consistent with the scope of practice for profession, including but not limited to, medical care treatment and patient education in a knowledgeable, skillful, consistent, and continuous manner.
• Obtain or provide relevant information that will facilitate treatment and assist in developing programs.
• Provide assessment of substance abuse and addiction.
• Identify and document medical consequences of alcohol and other substance use, including withdrawal and detoxification.
• Facilitate the placement and management of patients in appropriate levels of care within the continuum of care model of the treatment of addictive disorders

Certified Medical Assistant

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from a medical assistant training program accredited by Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) of the American Medical Technologists or a formal medical services training program of the United States Armed Forces.
• Certification: Certified Medical Assistant Only: Current certification as a medical assistant by the American Association of Medical Assistants or Current registration by the American Medical Technologists or other formal program as specified in the TO.
• Experience: One year of experience as a Medical Assistant after graduation.

Core Duties:

• Prepare examination rooms prior to patient’s arrival.
• Assist with patient check-ins, admissions, discharges, and transfers as directed.
• Check patient’s vital signs, to include temperature, respiration, pulse, weight, blood pressure, and pulse oximeter reading.
• Obtain and document patient’s current medical history, drug history, chief complaints, allergies and vital signs on the correct form.
• Perform diagnostic procedures when ordered.
• Maintain examination room stock levels and perform routine maintenance of examination rooms.
• Complete lab and x-ray requisitions in accordance with clinic policies.
• Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.

Certified Medical Dosimetrist

Minimum Qualifications:

• Degree: Bachelor’s Degree.
• Education: Completion of a Medical Dosimetry program of at least 12 months that has been accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or completion of 36 months of clinical medical dosimetry experience under the direction of a certified medical dosimetrist or medical physicist and completion of 24 continuing education credits approved by the Medical Dosimetrist Certification Board (MDCB).
• Certification: Possess and maintain certification as a Medical Dosimetrist by MDCB.
• Experience: One year of experience as a Certified Medical Dosimetrist after graduation.

Core Duties:

• Perform routine quality control tests on linear accelerator, simulator, and associated equipment.
• Perform clinical dosimetry measurements.
• Check charts of patients under treatment for completeness and accuracy and verify treatment parameters.
• Maintain patient database for record and verify system.
• Assist in fabrication of treatment blocks and patient positioning devices.
• Maintain familiarity with the proper use of radiation therapy equipment and demonstrate capability and efficiency in the operation of required equipment.

Certified Nursing Assistant

Minimum Qualifications:

• Degree: Certificate.
• Education: Completion of a certified nursing assistant program.
• Certification: Possess and maintain certification as a certified nursing assistant.
• Experience: One year of experience as a certified nursing assistant after graduation.

Core Duties:

• Prepare examination rooms prior to patient’s arrival.
• Assist with patient check-ins, admissions, discharges, and transfers as directed.
• Check patient’s vital signs, to include temperature, respiration, pulse, weight and blood pressure.
• Obtain and document patient’s current medical history, drug history, chief complaints, allergies and vital signs on the correct form.
• Perform diagnostic procedures when ordered.
• Maintain examination room stock levels and perform routine maintenance of examination rooms.
• Complete lab and x-ray requisitions in accordance with clinic policies.
• Enter demographic data into the computer upon patient check-in; enter diagnosis and departing time when patient is released.

Chiropractic Assistant

Minimum Qualifications:

• Degree: Certificate.
• Education: Attend a formal training program as a chiropractic assistant, nursing assistant, physical therapy assistant, operating room technician or other similar medically related support type occupation.
• Experience: One year of experience as a Chiropractic Assistant, or similar position, after graduation.
• Licensure: Current, full, active, and unrestricted license to practice as a chiropractic assistant if required by the state as required in the TO

Core Duties:

• Prepare treatment areas for incoming patients.
• Administer complex, specialized supportive physiotherapy treatment in areas such as ultrasound, electrotherapy, and therapeutic hot/cold and therapeutic exercise in support of chiropractic treatments in the clinic in a safe and medically accepted manner as directed by the supervisor.
• Instruct and supervise patient exercise programs.
• Report unusual patient treatment response or hazardous or malfunctioning equipment to the supervisor immediately.
• Documents patient history, reported subjective symptoms, care interventions provided, response to interventions, observations, and patient education in the electronic health record as directed by the provider and according to established protocols. Reports any abnormalities to the provider immediately.

Chiropractor

Minimum Qualifications:

• Degree: Doctor of Chiropractic.
• Education: Graduate from a college or university accredited by the Council on Chiropractic Education.
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a doctor of chiropractic.

Core Duties:

• Perform a full range of clinical diagnosis and chiropractic treatment for commonly occurring neuro- musculoskeletal conditions including subluxation complex;
• Conduct a patent history and chiropractic physical examination as clinically indicated.
• Use the modalities of heat, cold, light, electricity, sound and exercises in patient treatment area.
• Provide patient instructions and recommendations in all matters pertaining to hygiene, nutrition, exercise, life style changes and ergonomic factors in the activities of daily living.
• Plan and conduct lectures and training programs on chiropractic related subjects for staff, students and patients.
• Order orthotics, lifts, collars, and lumbar sacral supports.
• Place active duty patients on limited duty status (profile) according to MTF policy.

Clinical Pharmacist

Includes, but not limited to: Ambulatory Care Pharmacy; Critical Care Pharmacy; Nuclear Pharmacy; Nutrition

Support Pharmacy; Oncology Pharmacy; Pediatric Pharmacy; Pharmacotherapy Pharmacy; Psychiatric Pharmacy

Minimum Qualifications:

• Degree: Doctor of Pharmacy (Pharm.D.).

Education: Graduate from a college or university accredited by the Accreditation Council on Pharmaceutical Education (ACPE).

Internship/Residency: Completion of a clinical pharmacy residency or fellowship accredited by the American Society of Health System Pharmacists or American College of Clinical Pharmacy or documentation of appropriate education, training, and/or CME in the practice of clinical pharmacy.

• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a pharmacist.

Core Duties:

• Assess patient’s response to drug therapy and planning drug therapy based on physician-established diagnoses.
• Order and evaluate laboratory tests necessary to evaluate drug therapy effects and outcomes.
• Initiate, modify, or discontinue medications for ongoing therapy of chronic disease states (e.g., hypertension, hyperlipidemia, anticoagulant, diabetes, asthma, refill clinics, etc.), in cooperation with the medical staff.
• Monitor and manage pharmacotherapy requiring periodic adjustment due to specific or changing pharmacokinetic characteristics (e.g., aminoglycosides, phenytoin, antithrombotic).
• Administer prescription or non-prescription drugs according to established agreements or MTF protocols.
• Assess metabolic needs and order therapeutic enteral or parenteral nutrition products in the inpatient setting.
• Evaluate medical and medication histories for drug-related problems and adjusting drug therapy accordingly.
• Consult with other healthcare providers (e.g., physicians, dietitians, nurses, physical therapists, etc.) about patient treatment needs or options.
• Perform a full range of pharmacist procedures.
• Review patient profiles at the time of dispensing in order to closely monitor medication therapy.
• Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients.
• Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.
• Provide medication and healthcare related in service training to clinical staff on new medications on the market; appropriate use of medications; comparison of current medication therapies; and other topics as deemed appropriate by the department head.
• Consult with other specialty practitioners to provide optimal patient pharmaceutical care.
• Document significant medication interactions, and pharmacy interactions with prescribers. Conduct Adverse Drug Reaction (ADR) reporting in accordance with The Joint Commission (TJC) or the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) standards as appropriate.
• Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.

Cytotechnologists

(American Society of Clinical Pathologists)

Includes, but not limited to: Cytotechnology (CT)

Minimum Qualifications:

• Degree: Bachelor’s degree.
• Education: Have graduated from a school of cytotechnology accredited by the Committee on Allied Health Education and Accreditation or other organization approved by HHS.
• Certification: Current certification/registration as determined by the American Society of Clinical Pathology (ASCP) or possess a current license as a cytotechnologist issued by the State in which the laboratory is located.
• Experience: One year of experience as specified in the TO.

Core Duties:

• Perform slide interpretation and provide diagnostic results of gynecologic and non-gynecologic cytology samples.
• Evaluates and interprets cytological specimens for disease processes as manifested in cytopathology preparations. The diagnostic interpretation of these specimens directs the clinician in the treatment of patients.
• Issues the final diagnosis for those gynecological cases rendered negative these diagnoses include hormonal aberrations, microbiological findings, and inflammatory related changes.
• Determine the suitability of specimens for analysis. Prepare specimens for analysis and ensure that the cellular structures and features of diagnostic material is maintained.
• Prepare reagents and primary reference materials as necessary. Calibrate, standardize, adjust, and maintain instruments. Verify correct instrument operation using established procedures and quality control checks. Identify the cause of common problems and make simple repairs.
• Participates in the collection and preparation of specimens. This includes, but is not limited to, fine needle aspiration, bronchoscopy, touch preparations, and endoscopy.
• Determines the adequacy of such specimens and if appropriate recommends repetition of procedure. Instructs clinician on the proper method for obtaining cytologic specimens for optimal diagnoses
• Conduct quality control procedures on equipment, reagents and products and maintain proper records for quality control and quality assurance reports.

Emergency Medical Technician (EMT)/Paramedic

Includes, but not limited to: Nationally Registered Emergency Medical Technician (NREMT); Nationally

Registered Advanced Emergency Medical Technician (NRAEMT); Nationally Registered Paramedic (NRP)

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from an accredited NREMT program.
• Certification: Possess and maintain certification as an NREMT, NRAEMT, NRP from the National Registry of Emergency Medical Technicians (NREMT) or applicable state EMT certification.
• Experience: One year of experience as an EMT, NREMT, NRAEMT or NRP after graduation.

Core Duties:

• Provide a full range of EMT services within the MTF and supported geographical area.
• Maintain proficiency in the operation of the ambulance radio equipment.
• Monitor and operate ambulance radio equipment as required by the circumstances.
• Provide the patient with the necessary and appropriate medical care, consistent with ambulance equipment and supplies, and personnel certification, training, and experience during transport.
• Control and properly dispose of all medical waste incurred during transport.
• Conduct routine restocking, cleaning, and disinfection of the vehicle, equipment, and supplies. Ensure the ambulances are safe to operate, sanitary, and properly functioning.
• Document all treatment provided to the patient during the patient transport.
• Rapidly stabilizing the patient, according to Advance Life Support (ALS) protocol and EMS written protocols.
• Lift, place, and deliver patients to the receiving destinations for medical care. Place patients on monitors, administer needles, IVs, oxygen, or dressings. Carry patient records or baggage/belongings to the destination for patient care. Redress patient’s wounds.

Dietitian

Minimum Qualifications:

• Degree: Bachelor’s degree.
• Education: Graduate from a college or university accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or completion of a Didactic Program in Dietetics (DPD) accredited by the ACEND or completion of a post- Baccalaureate degree Dietetic Internship Program of supervised practice (for a minimum of 1200 hours) accredited by ACEND.
• Registration: Possess current registration as a Registered Dietitian from the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics.
• Experience: One year of specialized experience in diet therapy after graduation.
• Licensure: Current, full, active, and unrestricted dietetics license or certification as required in the TO.

Core Duties:

• Plan and organize work of considerable difficulty and responsibility under minimal supervision.
• Participate in research and performance improvement studies.
• Conduct nutrition assessment/evaluation which includes nutrient intake, activity level, appetite, intake of vitamins, minerals, nutritional supplements, and other complimentary alternative medicine usage, weight history, taste changes, feeding problems, food intolerance, food-drug interactions, unhealthy diet behaviors, socioeconomic and ethnic background, documented medical history, current diagnoses and medical treatment modalities, current drug therapy, and clinical signs and symptoms of nutritional deficiencies.
• Apply the basic principles of enteral and parenteral nutrition support.
• Apply principles and practices of clinical dietetics and medical nutrition therapy in order to plan, develop, and independently coordinate medical nutrition therapy intervention, interdisciplinary care plans, and nutrition education activities.
• Conduct studies, analysis, and document findings to evaluate staff, food, nutrition supplements/feeding or meal alternatives and therapies, supplies, equipment, and service in order to improve the efficiency of the operation.
• Apply current food service systems management, principles, and practices within a healthcare environment.

Dietitian Technician

Minimum Qualifications:

• Degree: Associates Degree.
• Education: Graduate from a U.S. accredited college or university or foreign equivalent and successful completion, of a minimum of 450 supervised clinical practice hours, through a dietetic technician program as accredited by the Accreditation Council for Education and Dietetics of the Academy of Nutrition and Dietetics (ACEND).
• Registration: Possess and maintain a current registration as a Dietetic Technician, Registered (DTR) from the Commission on Dietetic Registration of the Academy of Nutrition of Dietetics.
• Experience: One year of experience as a Dietetic Technician after graduation.

Core Duties:

• Collect nutritionally relevant data, e.g., medication, clinical symptoms, laboratory values, dietary history, anthropometrics, etc., from the medical record consistent with screening and assessment guidelines for all age specific groups from infants to geriatrics. Complete nutritional assessments of the nutritional status/needs of not- at-risk patients. Document care provided in Electronic Health Record (EHR) in accordance with MTF local standards and requirements.
• Calculate nutrient and energy intake values and assisting in evaluating data from patient’s dietary history.
• Maintain all required records, reports and statistics in accordance with MTF policy. Assist in implementing and evaluating Nutrition Management Department functions.
• Assist in the care and maintenance of equipment and supplies used in the performance of duties. Document maintenance on equipment. Requisition supplies and educational materials as required.

Early Childhood Educator

Minimum Qualifications:

• Degree: Bachelor’s Degree.
• Education: Complete formal program in special education from an accredited college or university.
• Certification: Current unrestricted state certification or licensure.
• Experience: At least three (3) years as an Early Childhood Educator in the last five (5) years.

Core Duties:

• Provide a full range of Early Childhood Special Educator and Service Coordination services targeting the patient population of infants and toddlers from birth to 36 months old inclusive of pediatric patients who have developmental delays or disabilities or are at-risk for developmental delay.
• Services provided are required by the Individuals with Disabilities Education Act.
• Assist in the coordination of services such as physical therapy, occupational therapy, speech therapy, education and counseling intervention to eligible infants and toddlers with disabilities, ages 0-36 months inclusive, and their families. The emphasis is on family centered care (i.e., emphasis on the patient [child] within the family unit, rather than on the patient alone).
• Participate in the following: implementation of child find activities, development, evaluation, implementation, and modification of Individualized Family Service Plans, consultation regarding integration of patients into child care settings with typically developing children, evaluation, fitting, procurement, and instruction in use of assistive technology devices, identification of family values, beliefs, goals, concerns, and priorities within cultural context which impact patient development, conducting patient/family screenings to determine the need for additional early intervention assessment and treatment, assessing and recommending modification of family and/or day care environment to enhance patient’s development, modifying intervention and treatment plan in accordance with patient’s and family’s changing needs, and treatment planning, family conference, and discharge planning sessions as required.

Electroencephalographic Technologist

Includes, but not limited to: Electroencephalographic Technologist (EEG); Evoked Potentials Technologist (EP);

Neurophysiologic Intraoperative Monitoring Technologist (CNIM); Long Term Monitoring Technologists (CLTM);

Autonomic Testing Professionals (CAP)

Minimum Qualifications:

• Degree: Certificate.
• Education: Complete certification in the specialty area identified in the TO.
• Certification: Certified by the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET) in the specialty identified in the TO.
• Experience: One year of experience in the specialty area identified in the TO.

Core Duties:

• Perform routine diagnostic studies and services.
• Adhere to safety policies and procedures in accordance with the MTF policies.
• Determine if any special patient preparation is required.
• Modify or adjust the recording strategy and/or instrument parameters based on the technologist’s evaluation of recorded data to ensure a complete, comprehensive and technically satisfactory study
• Process studies and submit to the requesting physician.
• Document all procedures and maintain records in accordance with the established policy at the place of performance.
• As directed, perform system calibrations and quality control tasks according to the manufacturer and MTF policies.
• Recognize the need for and institute the necessary emergency measures for situations where a person requires resuscitation procedures due to cardiac or respiratory arrest.

Electroencephalographic Technologist

Includes, but not limited to: Electroencephalographic Technologist (EEG); Evoked Potentials Technologist (EP);

Neurophysiologic Intraoperative Monitoring Technologist (CNIM); Long Term Monitoring Technologists (CLTM);

Autonomic Testing Professionals (CAP)

Minimum Qualifications:

• Degree: Certificate.
• Education: Complete certification in the specialty area identified in the TO.
• Certification: Certified by the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET) in the specialty identified in the TO.
• Experience: One year of experience in the specialty area identified in the TO.

Core Duties:

• Perform routine diagnostic studies and services.
• Adhere to safety policies and procedures in accordance with the MTF policies.
• Determine if any special patient preparation is required.
• Modify or adjust the recording strategy and/or instrument parameters based on the technologist’s evaluation of recorded data to ensure a complete, comprehensive and technically satisfactory study
• Process studies and submit to the requesting physician.
• Document all procedures and maintain records in accordance with the established policy at the place of performance.
• As directed, perform system calibrations and quality control tasks according to the manufacturer and MTF policies.
• Recognize the need for and institute the necessary emergency measures for situations where a person requires resuscitation procedures due to cardiac or respiratory arrest.

Exercise Physiologist

Minimum Qualifications:

• Degree: Bachelor’s Degree.

• Education: Graduate from a program in exercise physiology, exercise science, kinesiology, sports medicine or wellness accredited by the American Society of Exercise Physiologists (ASEP).
• Certification: Certified Exercise Physiologist from the American College of Sports Medicine (ACSM); Automated Eternal Defibrillator (AED) certification.
• Experience: One year of experience as an Exercise Physiologist after graduation.

Core Duties:

• Assess the fitness level of the population as defined in the TO using sound epidemiological principals. Use evidenced based exercise and behavior change theories to develop, coordinate, implement, conduct, track and evaluate a comprehensive fitness program aimed at fitness improvement and disease intervention and prevention.
• Administer fitness assessments, counseling, prescriptions and, medical exercise/post rehabilitation fitness programs, functional screenings, disease management, preventative services and various other health and fitness programs and activities that meet the community needs.
• Design, develop and establish appropriate administrative and management systems, procedures and policies to ensure the highest professional level of fitness programming within the community.
• Provide health education expertise, consultancy and advocacy to support a comprehensive fitness program.
• Perform unit fitness quality checks and/or staff assistant visits as needed.
• Use assessment results and evidenced-based exercise and behavior change theories to plan comprehensive, integrated and effective fitness programs.
• Schedule beneficiaries for appointments and conduct associated administrative functions as required.
• Plan and conduct submaximal assessments of estimated aerobic capacity by means of cycle ergometry/heart rate monitor and computer.
• Accurately retrieve and file beneficiary information IAW local guidance.

Health Educator

Minimum Qualifications:

• Degree: Bachelor’s degree in Health Education, Community Health, Public Health or a human services related field.
• Education: Graduate from an accredited college or university.
• Experience: One year of specialized experience as a Health Educator after graduation.

Core Duties:

• Provide health promotion and education opportunities including, but not limited to, tobacco awareness; tobacco cessation classes or appointments consistent with the MTF tobacco cessation program; and nutrition education and weight management.
• Develop population-based programs targeting high-risk groups and individuals, implementing programs through group and individual counseling and education.
• Plan and implement health education programs as specified in the TO.
• Perform limited administrative duties, which include maintaining statistical records of workload and data entry and analysis of patient outcomes.
• Maintain educational materials to support health promotion and education.

Licensed Practical/Vocational Nurse

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from an accredited community college, junior college, college, university or vocational nursing program approved by the appropriate State agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
• Experience: One year of practical or vocational nurse experience after graduation.

• Licensure: Current, full, active and unrestricted license as a practical or vocational nurse.

Core Duties:

• Initiate, perform and complete assigned duties in providing care to variable patient populations.
• Complete assigned patient care based on the patients’ conditions, use judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognize, report and record relevant patient information.
• Observe, identify and respond to the patient’s needs for care, including medication, equipment-assisted care and patient/family education.
• Prepare and administer prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and perform treatments according to established policies/procedures.
• Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed.
• Perform support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient’s condition before, during, and following the procedure.
• Orient peers and ancillary personnel to unit policies and procedures, skills, and standards of practice.
• Integrate healthy work environment principles that result in improved patient healthcare delivery, education of patients and their families and employee satisfaction.

Marriage and Family Counselor

Minimum Qualifications:

• Degree: Master’s Degree.
• Education: Graduation from a marriage and family therapy accredited by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) or a qualifying degree in an allied mental health field from a regionally accredited education institution in conjunction with a program of marriage and family therapy study that is equivalent to the COAMFTE standards, as defined by the American Association of Marriage and Family Therapy (AAMFT).
• Certification: Possess and maintain a current Clinical Membership as a Marriage and Family Therapist from the American Association of Marriage and Family Therapy (AAMFT).
• Experience: One year experience after graduation.
• Licensure: Possess and maintain a current, valid, unrestricted license or certification to practice as a Marriage and Family Therapist.

Core Duties:

• Perform assessment, counseling, psychotherapy, education, and referral services to individuals, couples and families. With the patient, conducts a relevant social, developmental and historical assessment to develop a treatment plan that encompasses relevant information for family education, counseling and referrals. The education services would include workshops on family dynamics and the impact of substance abuse disorders on families.
• As a member of the inter-disciplinary treatment team, provide effective interface with team members regarding identification of treatment concerns, appropriate interventions and referrals as related to family dynamics and past/current history of abuse.
• Integrate, initiate and effectively introduce patient and family members (as indicated) into an education/counseling process. Individual, couples and family dynamics are identified as related to their treatment process and entry into early recovery, from a systems perspective (except where contraindicated such as psychological stability or history of violence).
• Assess for and report spouse, child and elder abuse where indicated by state and federal laws while accessing appropriate services.
• Use family program assessments to develop individualized treatment plans for families and make recommendations for services for after care in coordination with the clinical (civilian and military) community and patient family.
• Serve as a Licensed Independent Practitioner and engage in the peer review process. Seek consultation for clinical issues outside the scope of practice.
• Facilitate couple and/or spouse education workshops for patients and their spouses where alcohol/drug dependency may impact the family through the use of films, communication exercises and didactic presentations, facilitates discussions and education of patients and their families.

Medical Physicist

Minimum Qualifications:

• Degree: Master’s Degree.
• Education: Graduate from a college in medical physics, radiological physics, health physics, or physics accredited by the Commission on Accreditation of Medical Physics Education Programs, Inc (CAMPEP).
• Certification: Board eligible or board certified in diagnostic medical physics or nuclear medical physics or therapeutic medical physics from the American Board of Radiology of medical health physics from the American Board of Medical Physics (ABMP).
• Experience: Three (3) years of experience as a Medical Physicist after graduation.

Core Duties:

• Maintain calibration of all treatment machines and radiation sources according to accepted protocols.
• Provide clinical expertise with regards to the purchase of new radiation therapy treatment related equipment and upgrades of existing equipment.
• Provide clinical expertise for acceptance testing, commissioning, calibration, and periodic quality assurance of radiation therapy equipment.
• Measure and analyze beam data for the treatment machines and assure that beam and source data are correctly entered into the treatment planning system and that beam data is tabulated in a form that is usable by the radiation therapists, dosimetrists, and radiation oncologists.
• Work with other members of the treatment planning team to establish treatment planning and delivery procedures.
• Perform and direct the determination of radiation dose distributions for patients undergoing treatment. Ensure accuracy of the plans, dosimetry calculations, dose totals, and their documentation in patient’s charts. This includes 3-Dimensional conformal radiotherapy planning and delivery.
• Ensure the function and the operation of the following technologies; Virtual Wedge, Electronic Portal Imaging Devices (EPID), Digital Reconstructed Radiographs, Virtual Simulation, and Multileaf Collimation, Tomotherapy, Stereotactic Radiation therapy and High Dose Rate Brachytherapy.
• Meet radiation monitoring, quality assurance, and safety requirements to ensure compliance with licensure requirements, hospital radiation safety regulations, and national standards of performance.

Medical Laboratory Technician

Includes, but not limited to: Histotechnician (HT); Medical Laboratory Technician (MLT); and Certified Medical

Laboratory Assistant (CMLA)

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from a medical laboratory technician training program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or the Accrediting Bureau of Health Education Schools (ABHES) or educational program acceptable to the American Medical Technologist (AMT).
• Certification: Certification/registration as determined by the American Society for Clinical Pathology (ASCP) or AMT as specified in the TO.
• Experience: One year of experience as specified in the TO.

Core Duties

• Perform a full range of clinical laboratory tests in any one or a combination of the following sections of the laboratory: hematology, chemistry, cytology, histotechnology, urinalysis, serology, microbiology and blood bank as outlined in the TO.
• Determine the suitability of specimens for analysis. Prepare specimens for analysis and ensure that the physiologic state of the properties is maintained.
• Prepare reagents and primary reference materials as necessary. Calibrate, standardize, adjust, and maintain instruments. Verify correct instrument operation using established procedures and quality control checks. Identify the cause of common problems and make simple repairs.
• Recognize and react to indicators of malfunction. Locate and implement corrections. Obtain analytical data, convert to a prescribed unit of reporting, as necessary, and correlate data to verify results.
• Conduct quality control procedures on equipment, reagents and products and maintain proper records for quality control and quality assurance reports.
• Prepare specimens for transport to MTF laboratory or for mail out.
• Prepare biological waste for proper disposal.

Medical Laboratory Technologist

(American Society of Clinical Pathologists/American Medical Technologist)

Includes, but not limited to: Blood Banking (BB); Chemistry (C); Cytogenetics (CG); Hemotology (H);

Histotechnology (HTL); Medical Laboratory Scientist (MLS); Microbiology (M); Molecular Biology (MB)

Minimum Qualifications:

• Degree: Bachelor’s degree.
• Education: Graduate from a medical technology program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or the Accrediting Bureau of Health Education Schools (ABHES) or educational program acceptable to the American Medical Technologist (AMT).
• Certification: Current certification/registration as determined by the American Society of Clinical Pathology (ASCP) or AMT as specified in the TO.
• Experience: One year of experience as specified in the TO.

Core Duties:

• Perform a full range of automated and non-automated laboratory procedures in the areas of chemistry, urinalysis, hematology, serology, bacteriology, and immunohematology according to established protocols.
• Determine the suitability of specimens for analysis. Prepare specimens for analysis and ensure that the physiologic state of the properties is maintained.
• Prepare reagents and primary reference materials as necessary. Calibrate, standardize, adjust, and maintain instruments. Verify correct instrument operation using established procedures and quality control checks. Identify the cause of common problems and make simple repairs.
• Recognize and react to indicators of malfunction. Locate and implement corrections. Obtain analytical data, convert to a prescribed unit of reporting, as necessary, and correlate data to verify results.
• Conduct quality control procedures on equipment, reagents and products and maintain proper records for quality control and quality assurance reports.

Nuclear Medicine Technologist

Includes, but not limited to: Nuclear Medicine technologist, computed tomography technologist (CT), nuclear

cardiology technologist (NCT), positron emission tomography (PET) technologist, nuclear medicine advanced

associate (NMAA), radiography technologist, magnetic resonance imaging (MRI) technologist, and sonographer.

Minimum Qualifications:

• Degree: Bachelor’s degree.
• Education: Graduate from an academic program that includes major study, or at least 24 semester hours, in scientific subjects such as radiation biology, anatomy, physiology, nuclear medicine physics, radiation physics, nuclear instrumentation, medical technology, nuclear medicine, radio-nuclide chemistry, radiopharmacology or statistics.
• Certification: Certified in nuclear medicine technology by the Nuclear Medicine Technology Certification Board (NMTCB) or American Registry of Radiologic Technology (ARRT), or national certification by the Canadian Association of Medical Radiation Technologist (CAMRT).
• Experience: One year of Nuclear Medicine Technician experience after graduation.

Core Duties:

• Uses specialized equipment to perform nuclear medicine imaging.
• Selects imaging protocols and required accessories, and makes adjustments based on the specific examination requirements.
• Records and processes the image. Manipulates the recorded image using computer applications.
• Cleans and inspects equipment and performs preventive maintenance.
• Receives patients, schedules appointments, prepares and processes examination requests and related records, and files images and reports.
• Reviews images to ensure quality standards are met.
• Performs equipment quality control checks.

Nurse Practitioner

Includes, but not limited to: Nurse Practitioner in the following areas: Acute Care; Adult; Adult-Gerontology- Acute

Care; Adult-Gerontology-Primary Care; Family Practice; Flight Medicine; Gerontology; Neonatal; Pediatric;

Psychiatric-Mental Health; Psychiatric Primary Care; Women’s Health

Minimum Qualifications:

• Degree: Master’s degree in nursing.
• Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
• Certification: Certified in the specialty required by the TO as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate (for example, National Certification Board of Pediatric Nurse Practitioners and Nurses, American Nurses Association, National Certification Corporation for the Obstetric, Gynecologic and Neonatal Specialties).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license as a Registered Nurse.

Core Duties:

• Provide a full range of outcome-based nurse practitioner services in accordance with privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).
• Technically direct and teach other staff, provide evidenced-based educational lectures and participate in inservice training to staff members.
• Diagnose and treat patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician.
• Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.
• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
• Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.
• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety.

Occupational Therapist

Minimum Qualifications:

• Degree: Master’s degree in occupational therapy.
• Education: Graduate from a program in occupational therapy accredited at the time of graduation by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organization, to include an internship prescribed by the education institution.
• Certification: Certified in occupational therapy through the National Board for Certification in Occupational Therapy (NBCoT).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice occupational therapy as required in the TO.

Core Duties:

• Provide full spectrum of occupational therapy services in accordance with the scope of clinical privileges granted by the MTF.
• Evaluate and treat deficits in occupational performance components that include motor, neuro- musculoskeletal, cognitive, social, and psychological dysfunction. Treatment includes individual and group-based purposeful activity, exercise, physical agent modalities, fabrication and training in the use of temporary functional orthotics, splints and adaptive devices, counseling, and education.
• Provide assessment, education, and training in the areas of health promotion and disease/injury prevention, to include prevention of psychological dysfunction and stress management.
• Administer and interpret occupational therapy assessment and evaluation tools.
• Interpret evaluation findings to develop and coordinate intervention plans, including goals and methods to achieve stated goals.
• Implement the intervention plans directly or in collaboration with others.
• Monitor the individual’s response to interventions and modify treatment plan and reevaluate as necessary.
• Communicate and/or collaborate with the patients, family members, caregivers, interdisciplinary professionals or other individuals verbally and in writing.
• Provide supervision to Occupational Therapy Assistants and Certified Occupational Therapy Assistants.

Occupational Therapy Assistant

Minimum Qualifications:

• Degree: Associates Degree for Occupational Therapy Assistant.

Education: Graduate from a college or university accredited at the time of graduation by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA).

• Certification: Certified through the National Board of Certified Occupational Therapy (NBCOT).
• Experience: One year of experience as an Occupational Therapy Assistant after graduation.
• License: Current, full, active, and unrestricted license to practice as an occupational therapy assistant.

Core Duties:

• Provide full spectrum of occupational rehabilitative services under the plan of care of a credentialed provider.
• Use assessment tools, intervention techniques and treatment modalities under the plan of care of a credentialed provider.
• Use complex/multi-step instructions with patients, caregivers, and other health care professionals and adapt those instructions according to the learning styles of the trainees or individuals receiving the instructions.
• Identify, recommend and fabricate, as needed, complex adaptive and assistive devices, durable medical equipment and complex dynamic splinting, after consultation with the occupational therapist.

Ophthalmology Technician/Technologist

Minimum Qualifications:

• Degree: Certificate.
• Education: Complete an ophthalmology technician or an optometric technician course
• Certification: Possess and maintain current certification as a Certified Ophthalmic Assistant (COA) or Certified Ophthalmic Technician (COT)or Certified Ophthalmic Medical Technologist (COMT) by the Joint Commission on Allied Health Personnel in Ophthalmology or a completed a formal ophthalmic training program of the United Stated Armed Forces.
• Experience: One year of experience as an Ophthalmic Technician/Technologist after graduation.

Core Duties:

• Provide a wide variety of duties to assist the optometrist/ophthalmologist as appropriate to the level of certification (i.e., COA, COT, or COMT).
• Obtain patient histories, perform prescription verification, and maintain patient records.
• Assist in testing patient vision. Test far and near acuity, peripheral vision, depth perception, and color perception.
• Examine the eye, using slit lamp, for abnormalities of cornea, and anterior and posterior chambers.
• Apply drops to anesthetize, dilate, or medicate eyes.
• Measure intraocular pressure of eyes (glaucoma test).
• Test field of vision, including central and peripheral vision, for defects, and chart test results on graph paper.
• Measure axial length of eye, using ultrasound equipment.
• Instruct patients concerning eye care and contact lens handling.

Optometrist

Minimum Qualifications:

• Degree: Doctor of Optometry.

Education: Graduate from a school or college approved by the Accreditation Council on Optometric Education (ACOE) of the American Optometric Association.

• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as an optometrist.

Core Duties:

• Examine, diagnose, treat or prescribe courses of treatment for those suffering from diseases, injuries, or disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions.
• Promote prevention and wellness, vision conservation, education and training activities, vision screenings, and positive eye and vision health behaviors.
• Conduct vision research in a problem area of considerable scope and complexity which requires novel approaches and which results in answers to important questions or important changes in existing methods and techniques.
• Advise and make professional clinical recommendations as to courses of action on problems and considerations of national scope in all areas of optometry.
• Provide full spectrum of clinical services to treat the most complex optometric related patient conditions.

Orthopedic Technician

Minimum Qualifications:

• Degree: Certificate.
• Education: High school diploma or equivalent with additional training or education; supplemented with one (1) year of related experience in an accredited health care hospital which results in familiarity with and knowledge of hospital or clinic routines and procedures in orthopedics, including orthopedic trauma service, pediatrics, hand, foot and ankle, sports, and/or spine.
• Certification: Maintain a national certification by American Society Of Orthopedic Professionals (ASOP) or National Board for Certification of Orthopedic Technologists. (NBCOT)
• Experience: one year of related experience in an accredited health care hospital

Core Duties:

• Assists physicians with patient care; properly fits and applies pre-operative braces, crutches, and other soft goods; assists in preparation for and application of casts and orthopedic appliances; changes dressings; removes sutures, casts, and splints.
• Assists physicians and nurses with orthopedic procedures, including wound care, aspirations, minor surgical procedures, fracture reductions, etc; instructs patients in cast and traction care and the use of orthopedic appliances.
• Maintains clean and well-stocked cast and soft goods room; orders special supplies and/or equipment.
• Coordinates data collection resources for the clinic information systems.
• Remains current with orthopedic trends, care and supplies; performs other duties as assigned.

Orthotist/Prosthetist

Notes:

• Orthotist. This position specializes primarily in providing care to patients with disabling conditions of the limbs and spine by fitting them with orthotic devices (orthopedic shoes or braces).
• Prosthetist. This position specializes primarily in providing care to patients with partial or total absence of a limb by fitting them with prosthetic devices (artificial limbs).

Minimum Qualifications:

• Degree: Bachelor’s degree.

Education: Graduate from an accredited program with a major study in prosthetics and orthotics approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and completion of a National Commission on Orthotic and Prosthetic Education (NCOPE) accredited residency program.

• Certification: Certified by the American Board for Certification in Orthotics and Prosthetics or the Board for Orthotist/Prosthetist Certification.
• Experience: One year of specialized experience in orthotics or prosthetics after graduation.

Core Duties:

• Attend clinic and participate as a fully participating member of the treatment team with considerable influence in the development of the treatment plan.
• Conduct clinical patient analyses such as gait, range of motion, and life style for patients with a wide range of complex medical conditions which include unusual problems or complications and to design unique or innovative devices to accommodate those conditions.
• Apply materials such as plastics, composites, metals, and leather used in fabrication in order to design and fabricate prescribed devices considering new and emerging technologies.
• Recognize physical abnormalities, deviations, and complicating conditions with potentially life threatening implications.
• Provide patient evaluation, prosthesis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis.

Perfusionist

Minimum Qualifications:

• Degree: Bachelor’s Degree.
• Education: Graduate from an accredited cardiovascular perfusion education program approved by the American Board of Cardiovascular Perfusion (ABCP).
• Certification: Certified by the ABCP.
• Experience: Three (3) years’ experience within the preceding four (4) years which maintains skills and knowledge as a perfusionist.

Core Duties:

• Prepare and assemble the heart-lung machine, intra-aortic balloon pumps and other related extracorporeal apparatus with the appropriate modifications and adaptations thereof so as to be compatible with each patient, pathology and type of case.
• Maintain and operate the extracorporeal circulation apparatus (heart-lung machine), provide oxygenated blood, anesthetics, blood chemical and base equilibrium, (specifically normal heart and lung functioning) to the patient during heart surgery.
• Follow the rigid surgical aseptic techniques required to institute and maintain total body perfusion of the patient during open-heart surgery using extra-corporeal circulation.
• Ensure that all systems function perfectly and in coordination with each other, as well as with the physiological status of the patient and the successive phases of the surgical procedure.
• Prepare and assemble the extra-corporeal apparatus with appropriate modifications and adaptations compatible with the size of the patient, cardiac pathology, physiological status of the patient’s cardiovascular system, degree of illness of the patient and the surgical technical problems that may be encountered.
• Control the technical operation and coordinate the maneuvers by which extra-corporeal circulation is instituted, sustained, and discontinued so that the heart and lungs resume normal function.
• Induce hypothermia when prescribed by the surgeon.
• Operate the cardioplegia delivery system for infusion of cardioplegia to the coronaries for myocardial preservation.
• Initiate, operate, and monitor the membrane respiratory or cardiac assist device for critically ill patients.
• Operate intra-aortic balloon assist devices when necessary.
• Adjust balloon inflation and deflation.
• Detect arrhythmias and insure the balloon’s proper functioning.
• Maintain constant surveillance of overall performance of extra-corporeal apparatus in relation to the physical and chemical changes produced in the blood by obtaining samples during various phases of perfusion for the purpose of making the following determinations: pH, PC02 P02, acid base equilibrium, potassium and sodium content, and by interpretation of electrocardiographic and electroencephalographic recordings during perfusion.
• Initiate and operate (as directed by the cardiothoracic surgeon) haemonetics cell saver machine, facilitating the salvaging and washing of blood cells, and returning these viable blood products to the patient.
• Ascertain the proper sterilization of all supplies, components of the heart-lung machine and all equipment used for extra-corporeal circulation.
• Provide post-operative perfusion services as required for ventricular assist patients.
• Participate with cardiothoracic surgeons and other disciplines in clinical investigation and research conducted in connection with open-heart surgery by suggesting modifications and/or improvements based on technical knowledge of equipment.
• Provide standby services for Percutaneous Transluminal Coronary Angioplasty (PTCA) procedures.

Pharmacist

Minimum Qualifications:

• Degree: Bachelor’s degree in pharmacy.

Education: Graduate from a college or university accredited by the Accreditation Council on Pharmaceutical Education (ACPE).

• Experience: One year of professional pharmacy experience after graduation.
• Licensure: Current, full, active, and unrestricted license to practice as a pharmacist.

Core Duties:

• Perform a full range of pharmacist procedures.
• Deliver comprehensive pharmaceutical services within the personnel, supply, and equipment capabilities of the facility.
• Counsel patients regarding appropriate use of medications.
• Review patient profiles at the time of dispensing in order to closely monitor medication therapy.
• Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients. Intervention with providers shall be made for noted discrepancy of above listed items.
• Compound medications as required.
• Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.
• Supervise inventory control of all pharmaceuticals in the pharmacy, especially scheduled pharmaceuticals, and ensure pharmacy security. Maintain appropriate records and security of all scheduled controlled substances according to applicable regulations.

Pharmacy Technician

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from a formal pharmacy technician program accredited by the American Society of Health-System Pharmacists (ASHP) or a formal pharmacy technician program (i.e., technical, hospital, or retail-based program)or a formal medical services training program of the United States Military.
• Certification: Certified by the Pharmacy Technician Certification Board (PTCB).

Experience: One year of experience as a pharmacy technician after graduation.

Core Duties:

• Perform a full range of pharmacy technician procedures.
• Perform pharmaceutical dispensing duties including filling new outpatient prescriptions, refilling prescriptions, and entering orders into databases.
• Perform information consultation duties including supporting new and refill prescriptions, supporting patient requests, supporting physician’s requests, monitoring for drug interactions, and reporting adverse drug reactions.
• Perform quality improvement duties including performing drug storage inspection, reviewing expired supplies, and producing error and workload reports and documentation.
• Perform supply process duties including placing new orders, stocking/restocking shelves, inventory maintenance, producing not in stock reports.

Phlebotomy Technician (PBT)

Minimum Qualifications:

• Degree: Certificate.
• Education: High school equivalent and completion of NAACLS or two part Phlebotomy program.
• Certification: Primarily none required but State dependent.
• Experience: Must have performed 40 hours of classroom training, 100 hours of clinical training and 100 successful venipuncture (including skin punctures).

Core Duties

• Collect blood samples from patients
• Practice proper patient identification, especially when working on hospital floors
• Label vials with patient names and dates
• Decipher the best method for drawing blood depending on the specific patient
• Transport all specimen samples to a nearby laboratory
• Centrifuge blood samples, depending on if this is allowed in the state you are working in
• Expect to work with a large number of patients varying in age and health status
• Practice infection control and Personal Protective Equipment standards
• Complete extensive standardized training and demonstrate competency to perform each job function and commit to perform only those tasks for which documented training has been completed.
• Provide instruction and training as requested following designation of Preceptor/Instructor status.

• Perform other related duties as necessary

Phlebotomy Technician (Donor)

Minimum Qualifications:

• Degree: Certificate.
• Education: high school equivalent and completion of a donor Phlebotomy program accredited by The Joint Commission or CAP.
• Certification: Certification/registration as determined by the American Society for Clinical Pathology (ASCP) or AMT as specified in the TO.
• Experience: Must have performed 50 successful donor collections with an accredited laboratory with in last two years.

Core Duties

• Comply with all CFR, Blood Services Directives, Blood Services Letters, Local Operating Procedures and Exposure Control Plan policies and procedures as well as all Red Cross philosophies, structures, policies and procedures.
• Perform some phases of whole blood collection and donor care according to directives, the Code of Federal Regulations and local policies and procedures to ensure safe product and optimum donor experience.
• Recruit donors for future donations.

Phlebotomy Technician (Registered/Certified)

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from an academic course of phlebotomy that includes 120 didactic hours (or required by state law).
• Certification: Certification/registration as determined by the American Society for Clinical Pathology (ASCP) or AMT as specified in the TO.
• Experience: Completed 1040 hours as a Phlebotomy Technician within past 3 years. Must have performed 50 successful venipuncture and 10 successful skin punctures.

Core Duties

• Collect blood samples from patients
• Practice proper patient identification, especially when working on hospital floors
• Label vials with patient names and dates
• Decipher the best method for drawing blood depending on the specific patient
• Transport all specimen samples to a nearby laboratory
• Centrifuge blood samples, depending on if this is allowed in the state you are working in
• Expect to work with a large number of patients varying in age and health status
• Practice infection control standards at all times when working with patients and equipment

Physical Therapist

Minimum Qualifications:

• Degree: Master’s degree in physical therapy or Baccalaureate degree in physical therapy for graduates prior to January 1, 2002.
• Education: Graduate from a college or university approved by the Commission on Accreditation in Physical Therapy Education (CAPTE).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a physical therapist.

Core Duties:

• Perform a full range of physical therapist services in accordance with the scope of clinical privileges granted by the MTF.
• Plan and prepare written treatment programs based on an evaluation of the patient.
• Administer manual exercises to improve and maintain function.
• Instruct, motivate, and assist patients in performing various physical activities, such as non-manual exercises, ambulatory functional activities, daily-living activities, and in use of assistive and supportive devices, such as crutches, canes, and prostheses.
• Administer soft tissue mobilization, applying knowledge of mobilization techniques and body physiology.
• Administer traction to relieve pain, using traction equipment.
• Record treatment, response, and progress in patient’s chart and/or automated systems.
• Coordinate treatment with physician and other staff members to obtain additional patient information, suggest revisions in treatment program and integrate physical therapy treatment with other aspects of the patient’s health care. Contact referring physicians regarding patient care concerns, as required.
• Perform prevention and wellness activities, education, screening, and promote positive health behaviors.

Physical Therapy Assistant

Minimum Qualifications:

• Degree: Associates Degree.
• Education: Graduate from a college or university accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE).
• Experience: One year of experience as a Physical Therapy Assistant after graduation.
• License: Current, full, active, and unrestricted license to practice as a physical therapy assistant or possess current certification as a physical therapy assistant/technician as determined by the American Physical Therapy Association (APTA).

Core Duties:

• Carry out a program of corrective exercise and treatment for assigned patients, as directed by the physical therapist. Under supervision, administer such treatment as exercise, gait training, massage, whirlpool, hot packs, diathermy, ultrasound, paraffin, ice packs and traction. Instruct patients on segments of the program including proper use of wheelchairs, crutches, braces, and prosthetic appliances and devices.
• Administer traction to relieve neck and back pain, using intermittent and static traction equipment. Instruct, motivate, and assist patients to learn and improve functional activities.
• Observe patients during treatments and compile and evaluate data on patients’ responses to treatments and progress and report orally or in writing to the physical therapist.
• Fit patients for, adjust, and train patients in the use and care of orthopedic braces, prostheses, and supportive devices, such as crutches, canes, walkers, and wheelchairs.
• Confer with members of the physical therapy staff and other health team members, individually and in conference, to exchange, discuss, and evaluate patient information for planning, modifying, and coordinating treatment programs. Coordinate with other departments and the clinic staff to provide complete care to patients.

Occupational Therapist

Minimum Qualifications:

• Degree: Master’s degree in occupational therapy.
• Education: Graduate from a program in occupational therapy accredited at the time of graduation by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organization, to include an internship prescribed by the education institution.
• Certification: Certified in occupational therapy through the National Board for Certification in Occupational Therapy (NBCoT).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice occupational therapy as required in the TO.

Core Duties:

• Provide full spectrum of occupational therapy services in accordance with the scope of clinical privileges granted by the MTF.
• Evaluate and treat deficits in occupational performance components that include motor, neuro- musculoskeletal, cognitive, social, and psychological dysfunction. Treatment includes individual and group-based purposeful activity, exercise, physical agent modalities, fabrication and training in the use of temporary functional orthotics, splints and adaptive devices, counseling, and education.
• Provide assessment, education, and training in the areas of health promotion and disease/injury prevention, to include prevention of psychological dysfunction and stress management.
• Administer and interpret occupational therapy assessment and evaluation tools.
• Interpret evaluation findings to develop and coordinate intervention plans, including goals and methods to achieve stated goals.
• Implement the intervention plans directly or in collaboration with others.
• Monitor the individual’s response to interventions and modify treatment plan and reevaluate as necessary.
• Communicate and/or collaborate with the patients, family members, caregivers, interdisciplinary professionals or other individuals verbally and in writing.
• Provide supervision to Occupational Therapy Assistants and Certified Occupational Therapy Assistants.

Physician Assistant

Includes, but not limited to: Aviation Medicine; Cardiac Perfusion; Cardiovascular and Thoracic Surgery; Emergency Medicine; Family Medicine; General Surgery; Hospital Medicine; Nephrology; Occupational Health; Orthopedic Surgery; Pediatrics; Psychiatry

Minimum Qualifications:

• Degree: Bachelor’s degree.
• Education: Graduate from an accredited college or university certified by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA).
• Certification: Certified by the National Commission on Certification of Physician’s Assistants (NCCPA).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a Physician Assistant as required in the TO.

Core Duties:

• Provide a full range of Physician Assistant services in primary and specialty medical care within the limits of their training and privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).
• Technically direct and provide care for a variety of diseases and types of injuries (i.e., acute, chronic and minor trauma), and the skills to recognize emergency conditions in order to diagnose, prescribe for and treat diseases, disorders and injuries, and refer the more complex cases and serious conditions to qualified medical personnel and perform designated treatment.
• Technically direct and teach other staff, provide educational lectures and participate in in-service training to staff members.
• Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.
• Prescribe in accordance with approved treatment protocols and the Pharmacy and Therapeutics Committee approved medications and immunizations.
• Identify a medical problem and determine appropriate action to meet the problem, including referral to a physician.
• Perform specific diagnostic and therapeutic practices and procedures in accordance with scope of practice.
• Establish collaborative rapport with physician, nursing and others in order to promote and facilitate primary care services.
• Teach patients and family member’s healthy regimen and responsibility for achieving wellness.
• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement.

Podiatrist

Minimum Qualifications:

• Degree: Doctorate of Podiatric Medicine (DPM).
• Education: Graduate from a school of podiatric medicine accredited by the Council on Podiatric Medical Education (CPME) under the authority of American Podiatric Medical Association (APMA).
• Certification: Board certified by the American Board of Podiatric Surgery (ABPS) or the American Board of Podiatric Medicine (ABPM).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a podiatrist.

Core Duties:

• Perform a full range of podiatry services in accordance with training and privileges.
• Treat bone, muscle, and joint disorders affecting the feet.
• Provide comprehensive joint and gait analysis as related to foot and ankle.
• Order x-rays of foot and ankle.
• Order and interpret appropriate laboratory studies in the practice of podiatric medicine and surgery.

Psychiatric Technician

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduation from an accredited Psychiatric Technician Program; or completion of an equivalent education and experience that meets the requirement of the American Association of Psychiatric

Technicians or completion of education and experience as a behavioral science specialist/technician in the United States military and proof of having completed an Armed Forces course involving psychiatric technician training or civilian course from an accredited school in the care of behavioral health patients.

• Experience: One year of experience as a Psychiatric Technician after graduation.

Core Duties:

• Conduct or assist in treatment and rehabilitation of patients. Perform initial basic assessment procedures including standardized psychological testing, clinical interviewing, mental status examinations, substance abuse evaluations, and psychological and nursing assessment.
• Identify mental health and nursing diagnoses, and provide patient education.
• Observe, monitor, record, and report patient’s progress.
• Conduct or assist in conducting group and individual counseling, therapeutic community, and other related milieu activities.
• Institute precautionary measures to prevent patient injury or suicide.
• Assist patients with nutritional, hygiene, and comfort measures.
• Obtain and record vital signs.
• Coordinate with other agencies regarding specified care, treatment, prevention, rehabilitation, and administrative functions. Contact military and community agencies to obtain collateral information.
• Explain and interpret mental health services to patients or others.
• Assist in, or arrange patient referral to public, private, and military community agencies.
• Prepare and maintain records and reports pertaining to specialty services.
• Assist with care of individuals experiencing acute and post-traumatic stress reactions.
• Prepare and maintain treatment records.

Psychologist

Minimum Qualifications:

• Degree: Doctor of Philosophy (PhD) or Doctor of Psychology (PsyD).
• Education: Graduate from an American Psychology Association accredited college or university with a doctoral degree in clinical or counseling psychology.
• Internship/Residency: Successful completion from an internship in psychology accredited by the American Psychological Association.
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a psychologist in any State, the District of Columbia, Guam, Puerto Rico or US Virgin Islands.

Core Duties:

• Practice within the guidelines of their state licensing board, American Psychological Association Ethical Principles and Code of Conduct, and MTF privileges.
• Conduct psychological evaluations utilizing information from clinical interviews, psychological testing, and collateral sources, as appropriate.
• Establish psychiatric diagnoses according to the American Psychiatric Association Diagnostic and Statistical Manual of Disorders.
• Provide psychological treatment for individuals and groups; help medical and surgical patients deal with illnesses or injuries.
• Assist in rehabilitation of patients.

Psychometrist

Minimum Qualifications:

• Degree: Bachelor’s Degree.
• Education: Graduate from a formal program in Psychology, Sociology, or in a behavioral science related field from an accredited college or university
• Certification: Certified by Board of Certified Psychometrists (BCP).
• Experience: One year of full-time experience during the preceding three (3) years in the performance of psychological and/or neuropsychological testing and test scoring.

Core Duties:

• Perform assigned assessment procedures under the direct supervision of a credentialed privileged psychologist or neuropsychologist.
• Utilize therapeutic assessment and interview skills to elicit accurate and concise account of the patient’s condition.
• Screen patients to determine presenting problems and priority of appointment. Perform basic assessment procedures, including initial screening evaluation and standardized neuropsychological testing. Assist credentialed providers with identifying mental health diagnosis and treatment strategies, as well as providing patient education.
• Assist in providing specialized treatment and rehabilitation of brain injured and mental health patients. Observe, monitor, report, and record patient interaction during assessment sessions.
• Institute precautionary measures to prevent patient injuries due to suicide, homicide, or elopement.
• Coordinate with other military agencies and MTFs regarding specialized care, treatment, and administrative functions. Contact military or community agencies to obtain collateral information.
• Explain and interpret neuropsychological services and procedures to access care to patients and commands. Assist in or arrange for patient referral to other facilities for alternate level of care.

Radiologic Technologist
(American Registry of Radiologic Technology)

Includes, but not limited to: Bone Densitometry Technologist; Breast Sonographer; Cardiac-Interventional

Radiographer; Computed Tomography Technologist; Mammography; MRI Technologist; Radiation Therapy

Technologist; Radiologic Technologist; Sonographer

Vascular-Interventional Radiographer; Vascular Sonographer

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from an academic program accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT).
• Certification: Certified by the American Registry of Radiologic Technology (ARRT) in the specialty identified in the TO.
• Experience: One year of experience as a radiologic technologist or in the specialty area identified in the TO.

Core Duties:

• Perform routine diagnostic radiological procedures/services as appropriate to the TO.
• Adhere to radiation safety policies and procedures in accordance with Radiology Department policies and procedures.
• Send appropriate image series to the radiologist for reading according to MTF protocol.
• Correctly position the patient for the examination and make technical adjustments necessary for the required examination. Determine if any special patient preparation is required.
• Process digital images and submit for interpretation by radiologists.
• Document all procedures and maintain records in accordance with MTF policy.
• As directed, perform system calibrations and quality control tasks according to the manufacturer and MTF policy. Recognize artifacts and equipment errors and notify designated Government personnel of outlying values.
• Initiate repair call procedures for equipment malfunctions by notifying designated Government personnel. Report problems to the Biomedical Repair Section and record the problem condition in the trouble call log book.

• Observe and report to the radiologist any symptoms which have direct bearing on the patient’s condition as a result of adverse reaction to contrast media and inform the radiologist of any condition requiring his/her attention. Recognize the need for and institute the necessary emergency measures for situations where a person requires resuscitation procedures due to cardiac or respiratory arrest.

Recreational Therapist

Minimum Qualifications:

• Degree: Bachelor’s Degree.
• Education: Graduate in therapeutic recreation or recreational therapy from an accredited college or university.
• Certification: Current certification as a Recreational Therapist from the National Council for Therapeutic Recreation Certification (NCTRC).
• Experience: One year of experience as a Recreational Therapist after graduation.

Core Duties:

• Develop treatment plans designed to restore, remediate and rehabilitate a person’s level of functioning and independence in life activities, to promote health and wellness as well as reduce or eliminate activity limitations and restrictions to participate in life situations caused by an illness or disabling condition.
• Develop and implement individual recreation programs based on assessment results.
• Teach, coach, and support as required.
• Work with multidisciplinary treatment teams to evaluate and review the care provided to patients.
• Provide individual consultation to staff as requested.
• Develop presentations to staff on recreational opportunities.

Registered Art Therapist

Minimum Qualifications:

• Degree: Master’s Degree.
• Education: Graduate from an Art Therapy program accredited by the American Art Therapy Association (AATA).
• Certification: Current certification as a Registered Art Therapist from the Art Therapy Credentials Board (ATCB).
• Experience: One year of experience as a Registered Art Therapist after graduation.

Core Duties:

• Organize groups according to the patients’ capabilities, needs, and interest.
• Be familiar with standard concepts, practices, and procedures within the field of art therapy.
• Analyze data to determine effectiveness of treatments or therapy approaches.
• Analyze or synthesize client data to draw conclusions or make recommendations for art therapy.
• Assess client needs or disorders, using drawing, painting, sculpting, or other artistic processes.
• Conduct art therapy sessions providing guided self-expression experiences to help clients recover from or cope with cognitive, emotional, or physical impairments.
• Confer with other professionals on client’s treatment team to develop, coordinate, or integrate treatment plans.

Respiratory Therapist, Certified

Minimum Qualifications:

• Degree: Associates Degree.
• Education: Graduate from a program accredited by the Commission on Accreditation for Respiratory Care (CoARC) or Commission on Accreditation of Allied Health Education Programs (CAAHEP).
• Certification: Possess certification as Certified Respiratory Therapist (CRT) by the National Board for Respiratory Care (NBRC).
• Experience: One year of experience as a Respiratory Therapist after graduation.

Core Duties:

• Perform complex respiratory procedures with minimal supervision.
• Participate with physicians, nurses and other staff in planning respiratory treatment, with great reliance on the individual’s knowledge of the equipment.
• Provide emergency or critical respiratory care.

Social Worker

Includes, but not limited to: Licensed Clinical Social Worker; Medical Social Worker

Minimum Qualifications:

• Degree: Master’s degree in Social Work (MSW).
• Education: Graduate from a School of Social Work fully accredited by the Council on Social Work Education (CSWE).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a Licensed Clinical Social Worker.

Core Duties:

• Coordinate appropriate referrals to community and other Government agencies for services.
• Independently assess the psychosocial functioning and needs of patients and their family members and formulate and implement a treatment plan, identifying the patient’s problems, strengths, weaknesses, coping skills and assistance needed, in collaboration with the patient, family and interdisciplinary treatment team.
• Independently conduct psychosocial assessments and provide psychosocial treatment to a wide variety of individuals from various socio-economic, cultural, ethnic, educational and other diverse backgrounds.
• Use medical and mental health diagnoses, disabilities and treatment procedures. This includes acute, chronic and traumatic illnesses/injuries, common medications and their effects/side effects, and medical terminology.
• Implement treatment modalities in working with individuals, families and groups who are experiencing a variety of psychiatric, medical and social problems to achieve treatment goals.
• Independently provide counseling and/or psychotherapy services to individuals, groups, couples, and families. Must practice within the bounds of the license or certification.
• Provide consultation services to other staff about the psychosocial needs of patients and the impact of psychosocial problems on health care and compliance with treatment.
• Participate in professional peer review case conferences, research studies, or other organizations required at the MTF.

Social Worker, Case Manager

Minimum Qualifications:

• Degree: Master’s degree in Social Work (MSW).
• Education: Graduate from a School of Social Work fully accredited by the Council on Social Work Education (CSWE).
• Certification: Possess certification as a Certified Advanced Social Work Case Manager (C-ASWCM) by the National Association of Social Workers or a minimum of three (3) years’ experience within the preceding five (5) 5 years as a social work case manager in a hospital-based setting performing medical crisis counseling and discharge planning.
• Experience: As required to meet clinical competency requirements as specified in the service-specific credentialing instruction.
• Licensure: Current, full, active, and unrestricted license to practice as a Licensed Clinical Social Worker.

Core Duties:

• Participate in Utilization Management/Case Management meetings to review and identify opportunities to improve treatment provided and recommend corrective action when problems exist.
• Participate in the provision of monthly in-service training for non-healthcare-practitioner members of the clinical and administrative staff on subjects germane to social work and social work CM services.
• Provide patient referrals.
• Interface with the MTF RN Case Manager(s) in the development and implementation of the Case Management Program (CMP).
• Develop local strategies that use the strength and disciplines of both nursing and social work to accomplish case management.
• Provide assistance in the development and implementation of educational programs.
• Additionally, the social work case manager may be required to provide those services identified under Licensed Clinical Social Worker.

Speech Pathologist

Minimum Qualifications:

• Degree: Master’s degree in speech pathology or communication disorders.

Education: Graduate from a college or university that includes at least 18 semester hours in the field of speech pathology by a regional accreditation organization and a speech pathology academic program accredited by the Council on Academic Accreditation of the American Speech-Language Pathology (CAA) of the American Speech-Language-Hearing Association (ASHA).

• Certification: Maintain current certification of Clinical Competency in speech-language pathology (CCC- SLP) from ASHA.
• Experience: As required to meet clinical competency requirements as specified in the service-specific credentialing instruction.
• Licensure: Current, full, active, and unrestricted license to practice as a speech pathologist as required in the TO.

Core Duties:

• Develop coherent treatment strategies.
• Incorporate new clinical procedures sufficient to perform clinical services independently.
• Conduct patient assessments; provide treatment interventions and consultation to other health care professionals.
• Use instrumentation (e.g., videofluoroscopy, nasendoscopy, stroboscopy, computer technology) to observe, collect data, and measure parameters of communication and swallowing, or other upper aero-digestive functions in accordance with the principles of evidence-based practice.
• Provide prevention, screening, consultation, assessment and diagnostic, treatment, intervention, management, counseling, and follow-up services for disorders of speech and language, including comprehension and expression in oral, written, graphic, and manual modalities.

Speech Pathologist

Minimum Qualifications:

• Degree: Master’s degree in speech pathology or communication disorders.

Education: Graduate from a college or university that includes at least 18 semester hours in the field of speech pathology by a regional accreditation organization and a speech pathology academic program accredited by the Council on Academic Accreditation of the American Speech-Language Pathology (CAA) of the American Speech-Language-Hearing Association (ASHA).

• Certification: Maintain current certification of Clinical Competency in speech-language pathology (CCC- SLP) from ASHA.
• Experience: As required to meet clinical competency requirements as specified in the service-specific credentialing instruction.
• Licensure: Current, full, active, and unrestricted license to practice as a speech pathologist as required in the TO.

Core Duties:

• Develop coherent treatment strategies.
• Incorporate new clinical procedures sufficient to perform clinical services independently.
• Conduct patient assessments; provide treatment interventions and consultation to other health care professionals.
• Use instrumentation (e.g., videofluoroscopy, nasendoscopy, stroboscopy, computer technology) to observe, collect data, and measure parameters of communication and swallowing, or other upper aero-digestive functions in accordance with the principles of evidence-based practice.
• Provide prevention, screening, consultation, assessment and diagnostic, treatment, intervention, management, counseling, and follow-up services for disorders of speech and language, including comprehension and expression in oral, written, graphic, and manual modalities.

Telemetry Technician

Minimum Qualifications:

• Degree: Certificate.
• Education: Completion of a cardiovascular technology program accredited by the Commission on Accreditation of Allied Health Professionals or completion of a formal military program that trains telemetry technicians.
• Certification: Certification by the American Board of Cardiovascular Medicine in basic EKG Level IA.
• Experience: One year of experience as a Telemetry Technician after graduation.

Core Duties:

• Monitor, analyze, evaluate, interpret, document, and report cardiac rhythms, alarm parameters, waveforms, and trends on a central telemetry monitoring system. Immediately and accurately identify cardiac dysrhythmias and aberrancies, and immediately report events to the registered nurse or officer in charge and document notification.
• Obtain a baseline strip on all monitored patients, documenting and analyzing EKG rhythms of patients on telemetry.
• Replace electrode pads, wires and batteries as needed.
• Obtain EKGs as necessary.
• Keep accurate records of EKG changes, update charting, and maintain active and accurate communication between physicians, staff nurses, charge nurses, or other designated professional staff.

Dental Assistant

Minimum Qualifications:

• Degree: Certificate or Associate Degree.

Education: Successful completion of a one of the following:

• Certificate or Associate Degree as a dental assistant/technician from a program accredited by the Commission on Dental Accreditation (CODA) of the American Dental Association (ADA) and 12 months experience within the preceding 36 months.

o Certification from a military dental technician or dental assistant school and 12 months experience within the preceding 36 months.

o Certification from a Red Cross Dental Assistant course and 12 months experience within the preceding 36 months.

o 36 months experience within the preceding 60 months as a dental assistant in a private practice or a military clinic.

o Membership in good standing with the American Association of Dental Assistants with required continuing education and 12 months experience within the preceding 36 months.

o Graduation from a state accredited program for dental assistants or dental technology within the preceding 12 months.

• All training must have included a course in radiation physics; radiation biology; radiation health, safety,

and protection; X-ray films and radiographic film quality; radiographic techniques; darkroom and processing

techniques; film mounting; and, digital radiographic processing techniques.

• Certification: Certified in radiography as required by 42 CFR Part 75.
• Experience: Six months of experience as a Dental Assistant after graduation.

Core Duties:

• Performs duties in providing assistance in one or more phases of complex/difficult restorative, prosthodontic, oral surgical, endodontic, or periodontal treatment. Receives and schedules patients for treatment.
• Obtains and records related medical history of patient. Charts examination and treatment information. Records information on prescriptions.
• Sterilizes instruments, materials, and equipment; prepares surgical trays. Maintains dental equipment in a clean and operative condition.
• Assists dentist at chair side. Performs intra-oral procedures as directed by dentist. Takes preliminary impressions for study models, removes sutures, places and removes rubber dams, perio-packs, matrix bands, and wedges.
• Relays dentist’s instructions to patient for post-treatment care. Instructs patient in proper dental techniques, care of appliances, and causes of dental decay.
• Operates dental X-ray equipment to take intra and extra oral radiographs. Maintains, cleans, and performs minor repairs on X-ray equipment and materials.
• Pours and trims models from impressions, and constructs custom impression trays. Maintains a variety of recurring reports related to dental activities.

Dental Hygienist

Minimum Qualifications:

• Degree: Associates Degree or Bachelor’s Degree depending on the program.
• Education: Successful completion of a dental hygiene program accredited by the Commission on Dental Accreditation (CODA) of the American Dental Association (ADA).
• Certification: Certified in radiography as required by 42 CFR Part 75.
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• License: Current, full, active, and unrestricted license as a Dental Hygienist.

Core Duties:

• Examine patient’s oral cavity to include mouth, throat, and pharynx, and record conditions of teeth and surrounding tissues. Refer patients to dentist who have abnormalities to include cavities, defective fillings, suspicious growths, or periodontal disease.
• Apply desensitizing and other topical agents to treat abnormalities to include caries prevention, gingivitis and oral ulceration.
• Instruct patients, individually and in groups, in proper oral hygiene care using materials to include teeth models, displays, slides, toothbrushes, dental floss, disclosing tablets and mirrors. Demonstrate proper techniques of brushing, flossing, and use of necessary periodontal aids. Explain the common causes of tooth decay and its relationship to general diet.
• Take impressions and construct sports/safety mouth guards and soft night guards for vital bleaching.
• Polish restorations and apply pit and fissure sealants.
• Chair side dental assisting when directed by the Officer-In-Charge of the dental clinic.
• Record patients treated. Check and maintain instruments to insure working condition. Clean, sharpen, and sterilize instruments.
• Patient Workload, Readiness, and Scheduling. Utilizes the Corporate Dental Application to enter patient specific workload and readiness status and also for patient scheduling.

Dental Laboratory Technician

Minimum Qualifications:

• Degree: Associates Degree or Certificate depending on the program – or – Certificate from Army, Air Force, or Navy Dental Laboratory Training (METC), or evidence of 2 or more years as a lab technician accompanied by a letter of recommendation from a licensed dentist or previous dental laboratory employer.
• Education: Successful completion of a 2-year program of study and training in dental lab techniques approved by the Commission on Dental Accreditation (CODA) of the American Dental Association (ADA) – or – High School diploma if certified through an Army, Air Force, or Navy Dental Laboratory Training (METC) program.
• Experience: Shall have at least two years dental laboratory experience in the section for which they are applying. Dental Laboratory Sections include General Laboratory, Removable Prosthodontics, Porcelain application (ceramist), Prosthesis finishing (metal and ceramic), and CAD-CAM (Computer Assisted Design/Computer Assisted Manufacturing) Design and Milling.

Core Duties:

• All laboratory technicians shall read, interpret, and apply requirements prescribed and described in a dental prosthetic prescription (DD Form 2322). The work performed by the technician shall be at the quality level described by his/her quality control inspector. Since these inspectors evaluate the work under microscopic magnification, the technician shall fabricate their units under provided microscopes with fiber optic light source. All technicians are responsible for the maintenance of their work environment. Three monthly correction rates in excess of 5% annually shall not be exceeded.
• A general laboratory technician will be able to pour or cast all types of impressions; trim, mount and articulate casts with or without a face bow and jaw relation records to include orthodontic models; duplicate casts; fabricate impression trays, bleaching trays, athletic mouth guards and orthodontic retainers from thermoplastic materials; fabricate fixed and removable prosthodontic templates from thermoplastic or silicone materials; and fabricate surgical stents or guides from thermoplastic or light-cured materials. This technician will also be responsible for maintaining the cleanliness of the plaster bench and associated areas.
• A removable prosthodontic laboratory technician will be able to fabricate custom trays, base plates and occlusion rims, set denture teeth according to prescription (to include balanced set-ups), invest or flask complete and partial removable prostheses (to include flexible RPDs), finish and ready for insertion. This technician will be able to do relines, rebases, repairs, orthodontic retainers, and any other work prescribed for the use of acrylic resin; fabricate TAP appliances, surgical guides, athletic mouth guards, occlusal orthotics, and occlusal guards; and wax and design bars for implant supported restorations.
• A porcelain application laboratory technician (ceramist) will be able to apply colorants and porcelain to fabricate tooth or implant supported crowns, fixed partial dentures, fixed complete dentures from metal, milled or pressed ceramic and refractory models in accordance with instructions, written or photographic, from the prescribing dentist. The technician will use recommended stones, diamond burs, wheels, and disks to cut, carve, shape, contour, and polish units to simulate natural dentition. Technician shall use stains and modifiers as required to characterize porcelain to match natural tooth shade and imperfections as prescribed. The technician will also be able to modify metal or ceramic frameworks in order to optimize the biomechanical, functional and esthetic outcome of the prosthesis.
• A prosthesis finishing laboratory technician will be able to apply and sculpt wax to proper anatomical form and design or modify a metal-ceramic framework for support of porcelain. It may be necessary in some situations to diagnostically wax to full contour and cutback the design. Framework designs may include survey crowns, non-rigid connectors and attachments that are inclusive to the units. This technician will sprue and invest, cast or press, wax-ups properly to minimize miscasts, cut and solder frameworks to correct fit discrepancies and finish all types of frameworks with recommended stones, diamond burs, wheel, and disks to cut, carve, shape, contour, and surface framework to a point that it is ready, without further modification, to apply porcelain.
• A CAD-CAM milling and designing technician will be able to fabricate crowns and bridges from pressed or milled ceramic, which includes the ability to use software and hardware to upload digital impressions and/or designs, scan casts, and design and mill restorations from software manipulation.

Dentist

Includes, but not limited to: General and Specialty Dentists

Minimum Qualifications:

• Degree: Doctor of Medical in Dentistry (DMD) or Doctor of Dental Surgery (DDS).
• Education: Graduate from an accredited dental school approved by the Commission on Dental Accreditation (CODA) of the American Dental Association (ADA). Specialty Dentist must be a graduate of a dental specialty training program that is accredited by the CODA of the ADA or an accepted equivalent program.
• Certification: Board eligible or board certified as required in the TO.
• Internship/Residency: Specialty Dentist: Completed a clinical post-doctoral program approved by the ADA in the specialty identified in the TO.
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions. Shall have been employed for at least one (1) year on a full time basis in the practice of dentistry, or be a recent (1-year) graduate of an accredited, post-graduate dentistry training program. Dental specialists shall have a certificate of training in their specialty area from an ADA- accredited residency training program.
• Licensure: Current, full, active, and unrestricted license to practice as a dentist.

Core Duties:

• General Dentist. Performs a full range of professional dental tasks including treatment of commonly encountered dental diseases or dental health problems requiring standard corrective, restorative or preventive measures such as single and multiple teeth extractions, restoration of simple and compound cavities with standard and prescribed material, taking mouth impressions for crowns, jackets, dentures and bridges and fitting and inserting the finished appliances. Ensures correct patient identification through the use of at least two unique patient identifiers and perform site verification, as required. Enters workload production data into reporting system.
• Comprehensive Dentist. Performs corrective and restorative measures on difficult cases, using extensive professional knowledge of dentistry; possesses a thorough knowledge and skill level sufficient to diagnose and treat difficult cases with an understanding and knowledge of the relationships and applications of the basic sciences; exhibits advanced skill in handling patients with behavioral problems. Manages a dento- alveolar surgery practice, which would include: exodontia, biopsy of intraoral lesions, pre-prosthetic surgery, evaluation and management of oral surgery complications to include treatment of dental infections, treatment of cellulitis secondary to varying dental etiologies, and evaluation, treatment, and/or referral of oral and maxillofacial trauma cases. Performs endodontic procedures to include, but not limited to: diagnosis of difficult endodontic cases, treatment of the majority of teeth presenting for endodontic treatment, evaluation and retreatment of selected endodontic cases, and management of endodontic complications. Performs a full spectrum of complex restorative procedures to include: operative dentistry plus fixed and removable prosthodontic care inclusive of fabrication of complete and partial dentures, crowns, and bridges.
• Periodontist. Perform diagnoses and treatments for the full range of cases and problems encountered in periodontics and implant dentistry, including the most difficult. Experienced in working in consultation and guidance with other dental specialists in the treatment planning and surgical phases of complex, multidisciplinary therapy. Deliver periodontics beyond the scope of general dentistry core privileges including: non-surgical and surgical care of periodontal disease from osseous surgery to guided tissue regeneration; mucogingival therapies for root coverage and augmentation to include connective tissue grafts, allografts, pedicle grafts, and free epithelialized soft tissue grafts; occlusal adjustments; minor splinting; site development (guided bone regeneration and sinus augmentation); and placement of endosseous dental implants.
• Endodontist. Examines, and provides differential diagnosis and treatment of oral pains of pulpal and/or periraducular origin. Performs vital pulp therapy, such as pulp capping and pulpotomy; nonsurgical treatment of root canal systems with or without periradicular pathosis of pulpal origin and the obturation of these root canal systems. Performs selective surgical removal of pathologic tissues resulting from pulpal pathosis. Performs repair procedures related to such surgical removal of pathologic tissues; Performs intentional replantation and replantation of avulsed teeth. Performs surgical removal of tooth structure, such as root-end resection, bicuspidization and root resection. Places root-end fillings. Performs bleaching of discolored dentin and enamel; nonsurgical and surgical retreatment of teeth previously treated endodontically; and, treatment procedures related to coronal restorations by means of post and/or cores involving the root canal space.
• Prosthodontist. Diagnoses, treatment plans, and rehabilitates the oral function, comfort, appearance, and health of patients with clinical conditions associated with missing teeth, severely worn dentitions, malocclusions, unesthetic oral conditions, complete or partial edentulism, and/or loss of contiguous oral structures associated with traumatic, acquired, and congentital defects. Treatment of these conditions can be accomplished with fixed, removable, and/or implant supported /retained dental prostheses. Treatment may range from single tooth replacement to full mouth reconstruction. TMD therapy as well as sleep disorders are supported with various modalities to include removable appliances.
• Public Health. Monitors status to identify oral health problems within a community. Diagnoses and investigates problems and hazards. Mobilizes partnerships to identify and solve oral health problems. Develops policies and plans that support individual and community oral health efforts. Enforces laws and regulations that protect oral health and/or ensures safety. Links people to needed services and assures the provision of care when otherwise unavailable. Promotes the development and sustainment of a competent oral health workforce. Evaluates the effectiveness, accessibility, and quality of oral health services. Researches new insights and innovative solutions to oral health problems. Serves as an oral health consultant to other dentists.
• Pediatric Dentist. Applies knowledge of child psychology, oral pathology, pharmacology, radiology, pediatric specific restorative and surgical techniques, interceptive orthodontic diagnosis and procedures, and child development to provide comprehensive treatment and therapeutic oral health care for infants and children through adolescence. Performs advanced diagnostic and surgical procedures to include appropriate restorative techniques such as stainless steel crowns, pulp therapy to include pulpotomy, pulpectomy, and apexigenesis, fixed and removeable space maintainer design, fabrication, and insertion, early interceptive orthodontic appliance design, fabrication, and insertion of appliances such as TPA’s, RPE’s, LLA’s, W appliances, and Quad-Helix, appliance treatment for habits such as digit sucking and tongue thrusting, and frenectomy and mucocoele surgical treatment Manages oral/facial trauma. Cares for patients with special needs to include mental, physical, and emotional handicaps. Administers oral conscious sedation, inhalation analgesia, and provides dental care with general anesthesia administered by qualified personnel. Provide dental services for child patients undergoing medical procedures such as chemotherapy or bone marrow transplant that require dental involvement in the multidisciplinary medical care of the patient. Provides dental expertise to multidisciplinary medical treatment teams, and provides appliance design, fabrication, and insertion for craniofacial anomaly patients to include cleft palate patients.
• Orthodontist. Responsible for the diagnoses, prevention and treatment of dental and facial irregularities. Diagnoses, prevents, intercepts and corrects malocclusion and neuromuscular/skeletal abnormalities of the developing or mature orofacial structures. Applies knowledge of orthodontics and dentofacial orthopedics to straighten teeth and align jaws.
• Oral Surgeon. Performs dentoalveolar surgery (surgery to remove impacted teeth, difficult tooth extractions, dental extractions on medically compromised patients, bone grafting and preprosthetic surgery for the placement of implants, dentures, or other dental prostheses). Treats disorders of the craniomaxillofacial complex (mouth, jaws, neck, face, skull) to include benign pathology (cysts, tumors etc.), cutaneous malignancy (skin cancer), lip reconstruction, congenital craniofacial malformations (cleft lip and palate), cranial vault malformations, chronic facial pain disorders, temporomandibular joint (TMJ) disorders, dysgnathia (incorrect bite), surgical correction of facial asymmetry, soft and hard tissue trauma of the oral and maxillofacial region (jaw fractures, cheek bone fractures, nasal fractures, LeFort fracture, and eye socket fractures). Performs surgical treatment of sleep apnea, maxillomandibular advancement, and genioplasty. Conducts surgery to insert dental implants and maxillofacial implants to support craniofacial prostheses. Services will be rendered in the clinic, the hospital emergency room, and operating room. Surgeries will be performed under local, moderate/deep sedation, and general anesthesia.
• Oral Pathologist. Investigates the causes, processes and effects of oral and maxillfacial diseases. Researches diseases using clinical, radiographic, microscopic, biochemical or other examinations. Provide biopsy and radiograph consultation services for dental professionals. Perform histopathologic diagnosis, compose surgical pathology reports and prepare tissues/slides for analysis. When necessary, consults with appropriate specialists. Serves as the responsible officer and primary point of contact for planning, organizing, and executing forensic dentistry support within the DENTAC’s, geographic area of responsibility.

Certified Nurse Midwife

Minimum Qualifications:

• Degree: Master’s degree in nursing.
• Education: Graduate from a certified nurse midwife education program accredited by the American College of Nurse Midwives.
• Certification: Certified by the American Midwifery Certification Board. Current Neonatal Resuscitation Program (NRP) certification.
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a registered nurse as required in the TO.

Core Duties:

• Provide comprehensive primary care to women from menarche through menopause. Plan and manage prenatal, postpartum, well woman gynecologic, family planning and pre-conceptual care.
• Participate in the care of women with medical complications.
• Consultation, collaboration and referral with Obstetricians-Gynecologists.
• Manage the care of normal antepartum women to include teaching, counseling and support.
• Take a health history and perform and record the obstetrical physical evaluation. Collect, document, and evaluate patient data.
• Assess patient needs, formulate, and implement a plan of care for each patient consistent with established guidelines.
• Manage antepartum, intrapartum and postpartum care.
• Perform the following: manage and control normal spontaneous deliveries; record the labor and delivery.
• Perform and record physical evaluation of newborns.
• Manage the care of normal newborn including nutrition, elimination and activity.
• Maintain all required patient records and report pertinent information.
• Prescribe medications, as required, in accordance with MTF privileges.

Certified Registered Nurse Anesthetist (CRNA)

Minimum Qualifications:

• Degree: Master’s degree in nursing.
• Education: Graduate from an academic program, approved by the Council on Accreditation of Nurse Anesthesia Programs (COA).
• Certification: Certified as a Registered Nurse Anesthetist from the American Association of Nurse Anesthetists (AANA) or the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice as a registered nurse anesthetist as required in the TO.

Core Duties:

• Manage patient anesthesia experience, perform preoperative evaluations and preparations, administer monitored anesthesia care, regional and general anesthesia, monitor and manage patient reactions to anesthesia and surgery, manage fluid therapy, perform and manage invasive monitoring, and perform post-operative evaluations as privileged by the MTF Credentials Committee.
• Perform a pre-anesthetic assessment and evaluation of the patient. This includes obtaining an informed consent from the patient, requesting consultations and/or diagnostic studies and ordering pre-anesthetic medications.
• Develop and implement an anesthetic plan of care.
• Perform an assessment immediately prior to induction of anesthesia of the patient. This shall include a review of the medical record with regard to completeness, pertinent laboratory data, time of administration and dosage of pre-anesthesia medication, together with an appraisal of any changes in the patient’s condition from that noted on previous visits. This note shall include any previous anesthetic experiences and complications thereof noted in the medical record.
• Maintain the patient’s physiologic homeostasis and corrects abnormal responses to the anesthesia and/or surgery.
• Collect and interpret patient physiological data by selecting, applying or inserting noninvasive monitoring modalities.
• Manage the patient’s airway and pulmonary status.
• Manage the patient’s emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects and preventing and managing complications through selecting, obtaining, ordering and administrating medications, fluids or ventilator support.
• Record all pertinent events taking place during the introduction of, maintenance of and emergence from anesthesia, including the dosage and duration of all anesthetic agents, other drugs, intravenous fluids and blood or blood components on all patients that have received anesthesia care.
• Record post-anesthetic visits, including at least one note describing the presence or absence of anesthesia related complications of the procedure.

Clinical Nurse Specialist

Includes, but not limited to: Certified Clinical Nurse Specialist in the following areas: Adult Health; Adult-

Gerontology; Adult Psychiatric-Mental Health; Advanced Diabetes Management; Gerontology; Home Health;

Pediatric; Public/Community Health

Minimum Qualifications:

• Degree: Master’s degree in nursing.
• Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
• Certification: Certified in the specialty required by the TO as a Clinical Nurse Specialist by the American Nurses Credentialing Center (ANCC) or the recognized national nursing certification organization for the specialty (for example, oncology, psychiatric, cardiovascular, pulmonary).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license as a Registered Nurse.

Core Duties:

• Practice independently and collaboratively with other members of the health care team to ensure a comprehensive plan of care for the patient. Technically direct and teach other staff, provide educational lectures and participate in in-service training to staff members.
• Perform developmental assessments and screenings; conducting diagnostic and screening tests; initiating and evaluating treatment regimens that may include prescribing and dispensing medication appropriate to the privileged scope of care.
• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
• Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.
• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement.

Licensed Practical/Vocational Nurse

Minimum Qualifications:

• Degree: Certificate.
• Education: Graduate from an accredited community college, junior college, college, university or vocational nursing program approved by the appropriate State agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
• Experience: One year of practical or vocational nurse experience after graduation.
• Licensure: Current, full, active and unrestricted license as a practical or vocational nurse.

Core Duties:

• Initiate, perform and complete assigned duties in providing care to variable patient populations.
• Complete assigned patient care based on the patients’ conditions, use judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognize, report and record relevant patient information.
• Observe, identify and respond to the patient’s needs for care, including medication, equipment-assisted care and patient/family education.
• Prepare and administer prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and perform treatments according to established policies/procedures.
• Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed.
• Perform support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient’s condition before, during, and following the procedure.
• Orient peers and ancillary personnel to unit policies and procedures, skills, and standards of practice.
• Integrate healthy work environment principles that result in improved patient healthcare delivery, education of patients and their families and employee satisfaction.

Nurse Practitioner

Includes, but not limited to: Nurse Practitioner in the following areas: Acute Care; Adult; Adult-Gerontology- Acute

Care; Adult-Gerontology-Primary Care; Family Practice; Flight Medicine; Gerontology; Neonatal; Pediatric;

Psychiatric-Mental Health; Psychiatric Primary Care; Women’s Health

Minimum Qualifications:

• Degree: Master’s degree in nursing.
• Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
• Certification: Certified in the specialty required by the TO as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate (for example, National Certification Board of Pediatric Nurse Practitioners and Nurses, American Nurses Association, National Certification Corporation for the Obstetric, Gynecologic and Neonatal Specialties).
• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.

• Licensure: Current, full, active, and unrestricted license as a Registered Nurse.

Core Duties:

• Provide a full range of outcome-based nurse practitioner services in accordance with privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).
• Technically direct and teach other staff, provide evidenced-based educational lectures and participate in inservice training to staff members.
• Diagnose and treat patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician.
• Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.
• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
• Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.
• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety.

Registered Nurse

Includes, but not limited to: Ambulatory Care; Apheresis; Behavioral Health; Burn Unit; Cardiac Rehabilitation; Charge Nurse; Critical Care; Discharge Planning; Disease Management; Emergency Medicine; Endoscopy; Family Practice; General Surgery; Health Promotion; Hemodialysis; Nephrology; Intensive Care; Inpatient; Internal Medicine; Lactation Consultant; Labor and Delivery (L&D); Maternal Child; Medical/Surgical; Neonatal Intensive Care; OB/GYN; Occupational Medicine; Operating Room; Post Anesthesia Care Unit (PACU); Pediatrics; Pulmonary; Psychiatric/Mental Health; Radiology; Special Needs; Urgent Care; Vascular; Women’s Health

Minimum Qualifications:

• Degree: Bachelors of Science in Nursing.
• Education: Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
• Experience: One year of experience in nursing as identified in the TO after graduation.
• Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the TO.

Core Duties:

• Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
• Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
• Perform physical exam and health histories.
• Provide health promotions, counseling, and education.
• Administer medications, wound care, and numerous other personalized interventions.
• Direct and supervise care provide by other healthcare professionals.
• Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.
• Recognize adverse signs and symptoms and quickly react in emergency situations.
• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
• Make referral appointments and arrange specialty care as appropriate.
• Perform nursing services identified in the TO.
• Conduct research in support of improved practice and patient outcomes.

Physician

Includes, but not limited to: Primary care and Specialty care Physicians Minimum Qualifications:

• Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).
• Education: Graduate from an accredited medical school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association; Association of American Medical Colleges; Liaison Committee on Medical Education; Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body

recognized by the U.S. Department of Education and the Accreditation Council for Graduate Medical Education (ACGME) at the time the degree was obtained (e.g. Royal College of Physicians and Surgeons of Canada (RCPSC), College of Family Physicians of Canada (CFPC). A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge substantially equivalent to accredited schools in the United States. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.

• Certification: Board eligible or board certified as required in the TO.
• Internship/Residency: Successful completion of an internship and residency program (corresponding to the specialty required in the TO) which has been approved by the Accreditation Council for Graduate Medical Education or the Committee on Postdoctoral Training of the American Osteopathic Association.

Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathy degree, a candidate must have had at least 1 year of supervised experience providing direct service in a clinical setting (i.e., a 1-year internship or the first year of a residency program in a hospital or an institution accredited for such training). For purposes of this requirement, graduate training programs include only those internship, residency, and fellowship programs that are approved by accrediting bodies recognized within the United States or Canada. Descriptions of such programs are described below.

o An internship program involves broadly based clinical practice in which physicians acquire experience in treating a variety of medical problems under supervision (e.g., internal medicine, surgery, general practice, obstetrics-gynecology, and pediatrics). Such programs are in hospitals or other institutions accredited for internship training an appropriate accrediting body. o A residency program involves training in a specialized field of medicine in a hospital or an institution accredited for training in the specialty by an appropriate accrediting body. o A fellowship program involves advanced training (beyond residency training) in a given medical specialty in either a clinical or research setting in a hospital or an institution accredited in the United States for such training.

• Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.
• Licensure: Current, full, active, and unrestricted license to practice medicine as required in the TO.

Core Duties:

• Perform a full range of physician services in accordance with privileges granted by the MTF.
• Direct, perform, or assist in the instruction of other health care professionals within the scope of the clinical privileges or responsibilities.
• Examine, diagnose, treat or prescribe courses of treatment within the scope of training, experience, and privileges.
• Provide preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling.
• Order diagnostic tests as applicable as well as request consultation or referral with appropriate physicians, clinics, or other health resources as indicated.
• Technically proficient in directing and teaching other medical staff, providing educational lectures and participating in the provision of in-service training to clinic staff members. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.

Registered Nurse, Case Manager

Minimum Qualifications:

• Degree: Bachelors of Science in Nursing.
• Education: Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
• Certification: Possess one of the following certifications:

o Commission for Case Manager Certification Certified Case Manager (CCM) o Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS)

o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S). o National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC)

o Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of Certified Care Managers: Care Manager Certified (CMC)

• Experience: One year of experience in nursing as identified in the TO after graduation.
• Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the TO.

Core Duties:

• Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care.
• Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes.
• Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM
• Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
• Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
• Maintain liaison with appropriate community agencies and organizations.
• Accurately collect and document patient care data.
• Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
• Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
• Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.