Nuclear Medicine Technologist (Multi-Modality)

The Nuclear Medicine Technologists (Multi-Modality) must be able to function independently and operate as a member of a multi-leveled organization. Nuclear Medicine Technologists in this assignment perform fusion imaging such as PET/CT SPECT/CT and/or PET/MR procedures that include diagnostic nuclear medicine CT and/or MR fused images. Assignments may include injection of contrast and recognition of allergic reaction contraindications and medication interactions. Duties include but are not limited to:

• Possess excellent venipuncture techniques using a variety of equipment such as butterfly setups syringes with needles and IV catheters.
• The individual must be able to work without supervision and be able to set reasonable priorities.
• Verify the constancy accuracy and linearity of survey meters and dose calibrators or have them serviced to ensure a safe environment following radiation protection guidelines in accordance with ALARA (as low as reasonably achievable) principles. The individual of the different isotopes used.
• Recognize acceptable daily QC scans and be able to perform monthly and quarterly QC as required by the manufacturer.
• Must have practical knowledge and skill in the use of ancillary equipment with an understanding of how the results will affect the study outcome.
• Must be able to troubleshoot and make simple repairs to PET/CT and/or PET/MR imaging systems.
• The successful candidate will work collaboratively with staff Nuclear Medicine Physicians physician extenders and the Chief Technologist/Supervisor to optimize patient care and image quality.
• Ability to educate referring physicians toward study appropriateness and patient preparation as well as performing complex exams is desired.
• Must have the skill to be able to differentiate multi-modality protocols and adjust protocols according to patient needs body mass index or area of interest.
• Must have a high level of computer proficiency and the knowledge of unique scanning and processing parameters required of multi-modality imaging.
• Expectations center on the performance of high-quality imaging consistent with protocols for prescribed examination.
• Must be attentive to the needs of the patient and be able to care for patients during all stages of the procedure and provide emergency response care when necessary. Must be able to communicate and anticipate possible limitations in view of the capabilities of the imaging equipment.
• Must provide appropriate care while the patient is in their charge while simultaneously assessing for causes of potential artifact with the knowledge of physiological processes as they relate to altered radiopharmaceutical uptake and/or artifactual findings. This includes checking the patient for evidence of contamination or attenuating objects.
• Must have knowledge of CT and/or MR radiographic techniques utilized in quality control and acquisition parameters. The technologist must be able to evaluate modify and adapt procedures as necessary as well as develop/write new protocols for imaging procedures as part of a collaborative effort with the Radiology Director and Chief Technologist/Supervisor.
• Must be experienced and appropriately trained in ordering receipt recording and storage of incoming radioactive materials according to NRC/NHPP and when applicable DOT regulations.

Radiation Safety: Follows radiation safety practices to minimize exposure to patient staff and self. This is achieved by the use of shielding and appropriate PPE with understanding and practice of ALARA principles. Performs daily and weekly laboratory surveys to verify absence of radioactive contamination. Maintains records associated with receipt administration and disposal of radionuclides as mandated by the NHPP and NRC. Immediately reports to RSO any packages not compliant with regulations. Understands consequences of improper packaging. Understands and applies calculation of exposures from both X-Ray and photons emitted from the wide variety of isotopes used in nuclear medicine. Calculates exposure rates based on administered dose and published physiologic distribution of pharmaceuticals. Performs therapeutic nuclear medicine procedures and understands the significance of post therapy exposure levels and restrictions on patient release from the service commensurate with the home environment. Assists the RSO in establishing routine monitoring of rooms associated with the Nuclear Medicine service area to document excessive exposure rates. Performs other duties as required within the scope of a Nuclear medicine Technologist.


Work Schedule: Monday-Friday 8:00AM-4:30PM
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 24666-F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

• 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 ( Effective May 7 2025 drivers 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 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.

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.
• Certification. All applicants must be certified in nuclear medicine technology by the Nuclear Medicine Technology Certification Board (NMTCB) or the American Registry of Radiologic Technology (ARRT) (N). NMTCB or ARRT (N) certification eligibility requirements are normally satisfied by one of the following: (1) Completion of a NMTCB-recognized nuclear medicine technology program OR

• (2) Completion of a nuclear medicine technology program accredited by the Joint Review Committee on Educational Programs in Nuclear Medicine Technology (JRCNMT) or other accrediting agencies as recognized by the U.S. Department of Education (DOE) culminating in a certificate associate baccalaureate or masters degree. Educational programs must have structured clinical training sufficient to provide clinical competency in radiation safety instrumentation clinical procedures and radio-pharmacy as deemed acceptable by the NMTCB.

Multi-Modality Certification Requirement: Candidates must possess Nuclear Medicine certification (NMTCB) or ARRT(N) and additional certification in CT and/or MR (NMTCB(CT) ARRT(CT) and/or ARRT (MR)) to independently perform multi-modality duties.

English Language Proficiency. candidates must be proficient in spoken and written English in accordance with chapter 2 section D paragraph 5a of this part.

Grade Determinations: Nuclear Medicine Technologist (Multi-Modality Technologist) GS-11

Experience. For assignments above the journey level the candidate must have 1 year of creditable experience equivalent to the next lower grade level directly related to the position being filled and must fully meet the KSAs at that level.

Assignments. For all assignments above the journey level the higher-level duties must consist of significant scope complexity (difficulty) range of variety and be performed by the incumbent at least 25% of the time. NMTs at this level are fully functional as an advanced NMT and carry out their assigned tasks independently. NMTs in this assignment perform fusion imaging such as PET/CT SPECT/CT and/or PET/MR procedures that include diagnostic nuclear medicine CT and/or MR fused images. Multi-modality technologists must hold appropriate specific certifications in nuclear medicine (NMTCB or ARRT(N)) as well as CT (NMTCB(CT)) or ARRT (CT)) and/or MR (ARRT (MR)) applicable to independently perform the assignment duties. They carry out these complex assignments independently as part of nuclear medicine procedures. Assignments may include injection of contrast and recognition of allergic reaction contraindications and medication interactions. The work must be of sufficient scope and complexity to meet the knowledge skills and abilities to perform at this level.

Demonstrated Knowledge Skills and Abilities.
The candidate must demonstrate all of the following technical KSAs:
i. Knowledge of contrast media side effects medication allergic reactions drug interactions and extravasation assessment.
ii. Skill to differentiate multi-modality protocols and adjust protocols according to patient needs body mass index or area of interest.
iii. Knowledge of unique scanning and processing parameters required of multi-modality imaging.
iv. Ability to troubleshoot and make simple repairs to PET/CT and/or PET/MR imaging systems.
v. Ability to care for patients during all stages of the procedure and provide emergency response care when necessary.
vi. Knowledge of all contraindications for performing CT and/or MR scans.

Reference: For more information on this qualification standard please visit full performance level of this vacancy is GS-11.

Physical Requirements: See VA Directive and Handbook 5019