
Lead Registered Respiratory Therapist
Veterans Affairs, Veterans Health Administration
San Francisco, CAJobSeen 3 days agoSeen in employer's feed 3 days ago
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Job overview
The Lead Registered Respiratory Therapist oversees staff, training, quality assurance, and daily respiratory care operations while providing direct patient care in inpatient and outpatient settings. The role includes complex respiratory procedures, pulmonary diagnostics, sleep-related breathing disorder management, and consultation with physicians and other healthcare professionals. The therapist develops and evaluates care plans, maintains patient airways and ventilation, and supports staff competency and professional development.
Skills & qualifications
Skills
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Full job description
Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Lead Registered Respiratory Therapist (Lead RRT) will oversee work of lower graded associates to achieve department and facility goals. He/she will also oversee staff development and learning including competency training. The incumbent must have demonstrated expert knowledge of respiratory therapy methods, equipment, and procedures in regards to the treatment of patients, and proper knowledge of PFT's, Sleep Medicine, Home O2 and Bronchoscopy. They must have the ability to assume responsibility, plan, organize, direct, coordinate and evaluate programs involving Respiratory Care. The Incumbent is assigned to serve as Lead Therapist and is administratively responsible for the quality assurance activities, coordination of all educational and competency training as well as the day-to day operations. Will provide direct patient care across all clinical functions of the respiratory therapy department. Using patient assessment and clinical data, the Lead RRT develops appropriate care plans and evaluates whether expected outcomes are met. This role involves ongoing consultation with physicians and other healthcare professionals to ensure high-quality patient care. Major duties include but are not limited to: The Lead Registered Respiratory Therapist (Lead RRT) provides direct patient care across all clinical functions of the respiratory therapy department. Using patient assessment and clinical data, the Lead RRT develops appropriate care plans and evaluates whether expected outcomes are met. The role requires ongoing consultation with physicians and other healthcare professionals to ensure high-quality patient care. A core responsibility of the Lead RRT is managing and maintaining patient airways and ventilation through appropriate mechanical and therapeutic methods. Lead RRT performs complex respiratory care procedures, including implementing respiratory protocols, administering respiratory modalities and medications, and providing supplemental oxygen therapy. Responsibilities include monitoring critical systems, utilizing advanced mechanical ventilation modes,. Based on patient response and clinical assessment, the Lead RRT recommends alternative treatment options when appropriate. At the advanced performance level, the Lead RRT independently performs therapeutic modalities in inpatient and outpatient settings and demonstrates expert knowledge of respiratory therapy techniques, equipment, and procedures. The role includes knowledge of Pulmonary Function Testing (PFT), including spirometry, lung volumes, bronchoscopy, Sleep Medicine and Home O2. The Lead RRT functions as a lead in pulmonary diagnostics, overseeing the work of lower-graded staff and providing training, competency assessments, and professional development. Duties include coordinating daily operations, ensuring adherence to quality assurance standards, maintaining laboratory records, and performing equipment quality control. In addition to pulmonary diagnostics, the Lead RRT serves as a PAP and sleep technician, performing assessments, physiologic monitoring, testing, and management of sleep-related breathing disorders in PAP clinics, sleep clinics, and sleep laboratories. The therapist assists with bronchoscopy, thoracentesis, and induced sputum collection, and performs arterial blood gas sampling and analysis. The Lead RRT maintains comprehensive knowledge of cardiopulmonary diseases such as asthma, COPD, chronic bronchitis, emphysema, lung cancer, cystic fibrosis/bronchiectasis, pneumonia, and pleural effusion, along with strong skills in patient assessment, equipment operation, troubleshooting, infection control, and safety. Work Schedule: 12 hour shifts Telework: Not Authorized Virtual: This is not a virtual position. Functional Statement #: 662-10880F Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact [email protected], the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Requirements 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 examination. 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. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Candidates must possess and maintain a full, current, and unrestricted license to practice as a Registered Respiratory Therapist (RRT) in a State, Territory or Commonwealth of the United States, or the District of Columbia. You must possess and maintain a valid, current, unrestricted credential of Registered Respiratory Therapist (RRT) by the National Board for Respiratory Care (NBRC). You must have successfully completed a respiratory care program accredited by the Commission on Accreditation for Respiratory Care (CoARC) or its successor. 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-12: Experience, Licensure and Credential. Candidates must: i. Have one year of creditable experience equivalent to the GS-11 grade level demonstrating the clinical competencies described at that level. RRTs at this grade level in this assignment have experience demonstrating advanced practice skills and clinical judgment across many areas of respiratory care both inpatient and outpatient. ii. 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 assign personnel and tasks to be accomplished in a manner that assures completion of the workload. Ability to oversee and direct clinical guidance in a manner that assures completion of the workload. Ability to communicate with individuals of varying backgrounds to solve problems and provide conflict resolution. Ability to recommend uncommon or atypical interventions. Ability to recommend ways to improve patient care and operations through independent research and evaluation of new equipment and therapies. Preferred Experience: Registered Respiratory Therapist (RRT) credential, issued by the National Board for Respiratory Care (NBRC) Preferred License Respiratory Care Practitioner from the Respiratory Care Board Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Work is primarily performed in patient care areas, in-patient and outpatient. Extensive interaction with patients, staff, physicians, family members, and visitors is involved. Moving equipment and supplies, lifting, bending, stooping, and possible exposure to body fluid is involved. This position has been evaluated as a Level 1 in accordance with the Occupational Safety and Health Administration (OSHA) definition of occupational exposure to blood borne pathogens. Level 1 Positions in this category require the performance of tasks that are exposed to blood and potentially infectious body fluid. Education 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/. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
How this job compares
Set against the 4,125 open Respiratory Therapist jobs on Olive Jobs, counted November 4, 2026.
- Pay
- This postingNot listed
- US median$83–106K/yr84 salary ranges
- California median$45–60/hr73 hourly ranges
- Openings
- Olive Jobs lists 95 open Respiratory Therapist jobs in California and 4,125 across the US. Under 1% of them nationwide are listed as remote or flexible.
- Hiring the most in California
- Sutter Health14 open
- Dignity Health13 open
- Health Advocates Network10 open
- Experience
- This posting asks for at least 1 year of experience; Respiratory Therapist postings that state a minimum ask for 1 year at the median (1,256 postings).
- Education
- 104 of the 4,125 open Respiratory Therapist jobs (3%) ask for a bachelor's degree or higher.
Counted across the open, public US postings on Olive Jobs on November 4, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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