The Lead Dental Assistant will be assigned to Dental Service at the Fayetteville VA Health Care System, Wilmington HCC. This position primarily involves supervisory, managerial and practical responsibilities within the Dental Service. The incumbent is a consultant to the Dental Assistant Supervisor, Chief and Assistant Chiefs in all administrative matters, and provides viable options to management in various managerial matters as appropriate. 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. Experience. Six months experience that demonstrates the applicant's ability to perform the work, or provides familiarity with the work. OR, Education: Successful completion of a 1-year dental assistant program accredited by the American Dental Association's Commission on [Dental] Accreditation [(CODA)]. OR, Experience/Education Combination. Equivalent combinations of experience and education are qualifying. Certification: Public Law 97-35 requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75. Essentially, they must have successfully completed an educational program that meets or exceeds the standards described in that regulation, and is accredited by an organization recognized by the Department of Education, and be certified as radiographers in their field. (1) Provisions for Certification of Radiologic Competence (a) Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, Inc.; OR, (b)]Successful completion of the Principles and Practice of Dental Radiology and Radiographic Safety courses and examinations developed by the Assistant Under Secretary for Health for Dentistry. OR, (c) Successful completion of a radiation health and safety program or examination approved by a state board of dentistry or the Department of Defense (DoD). Non-certified applicants who otherwise meet the eligibility requirements for certification of radiologic competence may be given a temporary appointment as a graduate dental assistant under the authority of 38 U.S.C. § 7405 (a) (1) (D). Failure to obtain certification during that period is justification for termination of the temporary appointment. This will result in removal from the GS-681 series and may result in termination of employment. Certification by the Dental Assisting National Board (DANB). The American Dental Association (ADA) recognizes DANB as the national certification for Dental Assistants. DANB certification is not required, but highly desirable for the appointment of Dental Assistants up to and including the full performance level, and is required for all positions above the full performance level. Loss of Credential. An employee in this occupation who fails to obtain licensure/certification/registration within the required time frame, or who fails to maintain the required licensure/certification/registration must be removed from the occupation, which may also result in termination of employment. Grandfather Provisions: All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including certification(for positions above the full performance level) that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:(1) Such employees may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. Such employees MUST meet the certification requirement before they can be promoted to those higher grade levels.(2) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.(3) Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. English Language Proficiency. Dental assistants must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. 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). IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Grade Determinations: GS-7 Lead Dental Assistant Experience. At least 1 year of experience at the next lower grade level that demonstrates the core competencies described at that level. 1. Ability to identify normal oral anatomy. 2. Advanced knowledge of instruments, materials, and standardized dental procedures used in all phases of restorative, surgical, endodontic and periodontal care and procedures. 3. Ability to monitor and perform basic interpretation of vital signs. 4. Ability to independently provide procedure-specific patient education and appropriate referral of patient concerns to treating dentist. 5. Ability to capture standard and special dental images of good diagnostic quality in traditional or digital formats. 6. Ability to perform maintenance on dental equipment used for routine and specialty dentistry. 7. Ability to enter and retrieve data utilizing electronic dental records. 8. Ability to perform dental assistant-appropriate laboratory procedures] In addition, the candidate must demonstrate the following technical KSAs: Demonstrated Knowledge, Skills, and Abilities a. Advanced knowledge of dental assisting across multiple areas of practice, and demonstrated ability to provide guidance to staff dental assistants. b. Skill in coordinating clinical work flow and assignments. c. Ability to assist in dental program development, outcome management, and strategic planning. d. Skill in acting as liaison between staff dental assistants and the supervisor. e. Ability to provide professional oversight and consultation for staff dental assistants References: VA HANDBOOK 5005/46 PART II APPENDIX G36 Physical Requirements: See VA Directive and Handbook 5019. Stand for long periods of time, use hands to handle, control, or feel objects, tools, or controls. ["Duties are performed on a daily basis, with little or no supervision. Chairside assistance duties are in restorative dentistry, as well as in the special areas of Prosthodontics, Oral & Maxillofacial Surgery, Endodontics, Periodontics and lmplantology under the direct supervision of the Staff Dentists. Promotes and administers a variety of management programs for the clinics such as safety, cost reduction, incentive awards, beneficial suggestions, and quality assurance within policies and procedures established by higher authority. The Lead Dental Assistant works with the Dental Assistant Supervisor, Chief/Assistants Chief of Dental Service to monitor and make work assignments, provide input on performance, resolve daily workplace issues, and maintain efficient flow of patient care: may approve brief periods of leave, provide training to staff dental assistants, students and/or trainees; may recommend special advancements and promotions, disciplinary actions, etc. Duties at this level includes but is not limited to: provides instruction to other assistants in achieving diagnostic quality radiographs, provides instruction on maintenance of all dental service equipment, provides primary support to the Dental Assistant Supervisor and Chief of the Dental Clinic for the daily delivery of department programs, reporting, staffing and scheduling, coordinates the patients care plan to reduce redundancies and delay in patient treatment. Individual may perform ancillary assignments, including program management duties on an occasional basis. The incumbent also assists the Chief of Service and other dentists in the delivery of patient care. Clinical duties are the same as those of the other dental assistants, as specified in the Functional Statement for Dental Assistant. Work Schedule: Monday - Friday; Hours 8:00a - 4:30p Compressed Schedule: Available Financial Disclosure Report: Not required"]

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