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 Registered Respiratory Therapist (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. English Language Proficiency. Respiratory Therapist (RT)/RRTs appointed to direct patient-care positions must be proficient in spoken and written English. 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). The following is the standard grandfathering policy for all hybrid title 38 qualification standards. Some of these provisions may not apply to this occupation. Please carefully review the qualification standard to determine the specific education, credential or certification requirements that apply to this occupation. All persons employed in VHA in this occupational series or in another occupational series and performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held, including positive education, credential or certification 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) Employees in an occupation that does not require a licensure, certification or registration, may be reassigned, promoted or demoted within the occupation. (2) Employees in an occupation that requires a licensure, certification or registration, may be reassigned, promoted up to and including the full performance level or demoted within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial positions. (3) Employees in an occupation that requires a licensure, certification or registration only at higher grade levels must meet the licensure, certification or registration requirement before they can be promoted to those higher- grade levels. (4) 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. (5) Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure, certification or registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (6) If an employee who was retained in an occupation listed in38 U.S.C. § 7401(3) under this provision leaves that occupation or employment with the VA, the employee loses protected status and must meet the full VA qualification standard Grade Determinations: GS-13 Supervisory Registered Respiratory Therapist. Experience, Licensure and Credential. Candidates must have: Have one year of creditable experience equivalent to the GS-12 grade level demonstrating the clinical competencies described at that level. It is highly desirable that the candidate possess certification in one or more functional specialties. 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 supervise employees. Ability to assist in establishing a completely integrated program. Skill in recommending improvements to operations, including new and emerging procedures based on evaluation of data. Ability to forecast resource needs and to manage fiscal matters. Skill in problem solving including conflict resolution. Ability to communicate effectively and professionally with employees at varying levels of background. Knowledge of complex and non-standard examinations, treatments, procedures and techniques. Assignment. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity and range of variety and must be performed by the incumbent at least 25% of the time. This assignment is designated as an RRT Assistant Chief. They serve as full assistant to a Service Chief in complexity level 1 and 2 facilities. These facilities may offer specialty care and services and may be affiliated with academic institutions. Individuals are typically assigned to this position at moderately to highly complex respiratory care services within the organization. Supervisory RRTs share the full scope of delegated managerial responsibilities and serve as the Acting Service Chief in the absence of the Chief. They support department functions at the direction of the Chief. They make decisions affecting staff and other resources with wide latitude of control and independent judgment. They independently provide respiratory services at all levels of complexity. They supervise staff members of different levels of assignments and/or occupation. They provide direction of the program services assigned to them including utilization of resources and budget. They may develop and initiate new programs, develop policies, protocols and procedures, assure compliance with regulatory requirements and monitor staff performance. They assist in determining quality assurance and performance data to be collected. Supervisory RRTs maintain established policies, procedures, protocols and quality assurance programs. They participate in the development of a department level plan for financial and personnel resources. They encourage professional development, resolve conflicts which might interfere with the delivery of services, identify continuing education and training needs, create an environment of learning and serve as a mentor to staff. They attend professional meetings and take responsibility for professional development. They collaborate with other healthcare team members to generate new ideas for quality improvement with regards to administration and overall function of the department, patient care and accomplishment of facility goals. They represent the department at interdisciplinary meetings and on facility level committees. 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. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.