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This position is located within the Department of Veterans Affairs, Veterans Health Administration (VHA), Veterans Transportation Services (VTS), Ambulance Service, VA Medical Center (VAMC) locations with an emergency room, acute or urgent care clinic, or other similar departments performing basic and advanced life support procedures in Ann Arbor, Michigan. 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. You must be proficient in basic written and spoken English in order to meet the requirements of this position. -AND- Selective Placement Factor (Screen-Out) - Selective Placement Factors (SPF) have been identified for this position. Selective Placement