Remote Rrt Jobs in Waco, TX (NOW HIRING)

Summary
Registered Respiratory Therapist (RRTs) work independently providing basic and advanced respiratory care in both inpatient and/or outpatient settings. The Registered Respiratory Therapist plans, implements and evaluates the effectiveness of respiratory care procedures. The specific assignments are dependent on facility structure and complexity levels.
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Duties
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Major duties include, but are not limited to:

• Will have a great deal of independence in the performance of their duties.
• Reviews, collects and evaluates relevant clinical data from the medical record and patient assessment to establish appropriate plan of care and determine if outcomes are being met. RRTs determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen and intubation.
• Performs both fundamental and advanced diagnostic and therapeutic procedures for adult and geriatric patients. Examples include but not limited to: Arterial puncture, blood gas analysis, pulmonary function testing, bronchoscopy assistance, pulmonary rehabilitation, endotracheal intubation, oxygen administration etc.
• Applies clinical expertise in such a manner as to upgrade patient care where indicated and assist the provider is formulating an appropriate respiratory care plan based upon patient assessment, history, lung auscultation, chest x-ray, pulse oximetry, etc.
• Manages and maintains the airway and ventilation of the patient using appropriate mechanical means by monitoring critical systems.
• Performs basic spirometry, pre/post bronchodilator spirometry, lung volumes, diffusion, plethysmography, and MIPs/MEPs in the lab or at bedside, including adequate coaching, recognition of improperly performed maneuvers, corrective actions, and interpretation of test results.
• Compares and evaluates indications and contraindications for advanced pulmonary function tests (plethysmography, diffusion capacity) and recognizes normal/abnormal results.
• Calculates, notes, and reports all pulmonary function parameters for physician interpretation.
• Collect, review, and evaluate relevant clinical data from the medical records, care team, patient, and patient's family to ensure appropriate care when indicated.
• Contributes ideas, plans, and information to improve outpatient respiratory services.
• Supports multiple Outpatient Programs such as home oxygen, home respiratory equipment, ALS clinic, bronchoscopy clinic and pulmonary procedure clinic.
• Communicate changes in the respiratory care plan and/or patient status to other health care team members as appropriate. Additionally, make recommendations to providers regarding changes in treatment based upon patient observation and diagnostic test values.
• Performs patient assessment for home oxygen determination, including, but not limited to thorough chart review and patient interview to determine age, smoking and pulmonary history and other pertinent information.
• Demonstrates proficiency performing routine tasks within the home oxygen clinic including, but not limited to qualification/determination of need for home oxygen for both new patient consults and renewal of prescriptions, pulse oximetry, initiation and downloading overnight pulse oximetry studies, initiation and titration of oxygen, patient and/or caregiver education regarding home oxygen equipment and supplies.

Work Schedule: 5:30pm - 6:00am;compressed tour night shift
Compressed/Flexible:Yes; six 12 hour shifts and one 8 hour shift in a pay period
Telework: Not available
Virtual: This is not a virtual position.
Functional Statement #: 53059F, 53060F, 53036F, 53037F/Registered Respiratory Therapist
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Requirements
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Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Education. Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successor.
• Licensure. Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a full, current and unrestricted license from a state to practice as an RRT.
• Credential. Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a valid, current, unrestricted credential of RRT.
• Physical Standards. See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
• English Language Proficiency. RTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f).

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Grade Determinations:
GS-05:

• Experience. None beyond the basic requirements.
• Education and Licensure. This level assignment is designated as temporary under the above paragraph for individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor, acquired the CRT credential, licensed by their state and are working towards obtaining RRT credential.

GS-07:

• Experience, Education, Licensure and Registration. In addition to the basic requirements, candidates must possess their RRT credential.
• Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs:
  
  1. Ability to perform therapeutic modalities related to respiratory care.
  2. Skill in analyzing physiological specimens obtained to include arterial blood gases, pulse oximetry, End tidal Co2 (ETCo2) monitoring, basic spirometry and other basic diagnostic procedures.
  3. Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes.
  4. Skill in assessing oxygenation and ventilation.
  5. Ability to perform basic airway management to include artificial airways and mechanical ventilation.

GS-09:

• Experience or Education, Licensure and Credential. Candidates must have:
  
  • One year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that level; OR
  • A Master of Science degree in respiratory care AND a license AND an RRT credential.
• Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs:
  
  1. Skill in performing therapeutic modalities related to respiratory care.
  2. Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes.
  3. Skill in assessing oxygenation and ventilation.
  4. Ability to perform airway management to include artificial airways and mechanical ventilation.

GS-11:

• Experience, Licensure and Credential. Candidates must have:
  
  • One year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that level.
  • Hold an active license and RRT credential.
• Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs:
  
  • Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes.
  • Skill in evaluating the efficacies of therapeutic modalities.
  • Skill in performing advanced airway and ventilation management.

Preferred Experience:

• 2-3 years experience
• Be able to meet full performance level GS11
• Problem solve/troubleshoot respiratory therapy diagnostic and therapeutic devices
• Registered Pulmonary Function Technologist (RPFT) Certification.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-11.
Physical Requirements: Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work. Work may also require walking/standing, in conjunctions with travel to and attendance at meetings and/or conferences away from the work site. Incumbent may carry and lift light items weighing less than 44 pounds.
Education
Accreditation Information: Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successor. https://coarc.com/
NOTE: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.
NOTE: If your school was accredited by CoARC at the time of graduation but is no longer listed on the website, you must provide documentation of accreditation with your application packet.
Additional information
Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
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