Medical Support Assistant (Advanced)
Veterans Health Administration
Posted: January 30, 2026 (6 days ago)
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Veterans Health Administration
Department of Veterans Affairs
Location
Iowa City, Iowa
Salary
$85,260 - $110,844
per year
Type
Full Time
More Healthcare & Medical jobs →Closes
Base salary range: $30,286 - $39,372
Typical requirements: 1 year general experience. 2 years college or associate degree.
Note: Actual salary includes locality pay (15-40%+ depending on location).
This job involves working as part of a cardiology team to use ultrasound equipment to create images and recordings of patients' hearts, helping diagnose heart conditions.
It's a hands-on role in a Veterans Affairs hospital in Iowa City, Iowa, where you'll perform tests like stress echoes and valve assessments.
A good fit would be someone with experience in medical imaging who enjoys patient interaction and has a steady hand for detailed procedures.
The Echocardiography (ECHO) Medical Instrument Technician (MIT) functions as a member of the Cardiology multidisciplinary team.
ECHO technicians operate diagnostic equipment to graphically record the position and motion of the heart walls, or the ultrasonic waves directed through the chest wall.
Echocardiography technicians at this level are competent, with specialized advanced knowledge and function expertly in all aspects of the Echocardiography Laboratory.
Basic Requirements: United States Citizenship: Citizenship of the United States.
(Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Education: There are no specific educational requirements for this occupation.
Education may be substituted for experience only at the GS-4 and GS-5 levels. See the grade requirements part of this standard for information regarding educational substitutions.
Licensure or Certification: Licensure or Certification is not required for this occupation; however, it is strongly desirable at GS-6 or above as evidence of possession of the essential knowledge, skills, and abilities.
For certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations".
For all specialties identified in this standard, Basic and Advanced Cardiac Life Support certifications are desirable.
Training which does not result in official certification does not meet this definition. Physical Requirements: See VA Directive and Handbook 5019.
English Language Proficiency: Medical Instrument Technicians 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).
Grade Determinations: GS-9: Medical Instrument Technician (Echocardiography) Experience: At least 1 year experience comparable to the next lower grade level, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level.
KSAs at the GS-8 next lower grade level listed below. This would be experience which demonstrates possession of the knowledge required in order to provide all aspects of echocardiography services.
Ability to produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and color flow Doppler imaging.
Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases.
Ability to perform complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc.
Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography.
Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings.
In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*) Demonstrated Knowledge, Skills, and Abilities: KSAs 1, 2, and 3 are appropriate for all positions at this level.
KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment.
Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols, that pertain to Echocardiography.
* Knowledge of JCAHO and other regulatory requirements. Ability to communicate effectively and professionally with employees at varying grade levels. * Ability to manage and supervise employees.
* Ability to provide, or provide for, staff development and training.
Certification: Registration by Cardiovascular Credentialing International (CCI) as a Registered Cardiac Sonographer (RCS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Diagnostic Cardiac Sonographer (RDCS) is highly desirable.
Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position.
Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. Major Duties:
All qualifying experience you possess must be clearly described in your application package. We will not make assumptions when reviewing applications.
Failure to clearly demonstrate your experience in your application package may result in disqualification.
All applicants are encouraged to submit responses to each Knowledge, Skill, and Ability (KSA) on a separate document.
Total Rewards of a Allied Health Professional Major duties include, but are not limited to the following: Knowledge of the anatomy and physiology of the heart and great vessels.
Knowledge of cardiac arrhythmias and their relationship to hemodynamic conditions of the cardiac cycle.
Knowledge of basic cardiac ultrasound physics and the acoustic mechanisms by which high quality cardiac images are obtained.
Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols, that pertain to Echocardiograph.
Ability to produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and colorflow Doppler imaging.
Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases.
Ability to perform more complex procedures such as cardiac studies of all four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc.
Knowledge of the set-up for transesophageal echocardiograms.
Ability to set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for more complex, but standardized procedures.
Ability to interact with patients explaining procedures and positioning the patient for the procedure.
Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography.
Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings.
Required to cover assigned tasks and responsibilities during off tour of duty, weekends, and holidays if needed. Ability to manage and supervise employees.
Ability to provide, or provide for, staff development and training.
Work Schedule: Monday - Friday; 7:30am - 4:00pm Recruitment Incentive (Sign-on Bonus): A recruitment incentive may be authorized for highly qualified candidates.
Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position.
Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized
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