This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2025 or until filled. Qualified applicants will be considered and referred as vacancies become available. The initial cut-off date for referral of eligible applications will be November 1, 2025, with subsequent cut-off date for referral on the 1st and 15th of each month. May close without prior notification. 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. English Language Proficiency: In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: Graduate of a school of practical or vocation