Occupational Therapist - Home Based Primary Care

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.

01Basic 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. Candidates must possess a current NBCOT certification as an OT. State Licensure. Candidates must possess] a full, current, and unrestricted state license [ ], to practice occupational therapy in a state, territory or Commonwealth of the United States (i.e., Puerto Rico), or in the District of Columbia. English Proficiency.

Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). The qualified individual will maintain a non- restricted driver's license. 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). Grandfathering Provision.

All persons employed in VHA in this occupational series or in another occupational series that are also performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the GS12 grade held including positive education and licensure/certification/registration that are part of the basic requirements of this occupation.

Employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) They may be reassigned, promoted up to and including the full performance level, or changed to lower grade within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial positions. (2) If an OT who was retained under this provision leaves the occupation, the employee 5 will lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. (3) OTs initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard, must maintain the required credentials as a condition of employment in the occupation. (4) OTs who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.

02Grade Determinations

Occupational Therapist, GS-12 (1) Education, Experience, and Licensure. Completion of one year of experience equivalent to at the GS-11 grade level and directly related to the position being filled. (2) Demonstrated KSAs. In addition to the [experience above, the candidate] must demonstrate all of the following KSAs: (a) Knowledge of occupational therapy principles and techniques consistent with current clinical standards based on OT theory and evidence based practice.

7 Knowledge is inclusive of physical, occupational, cognitive, and psychosocial functional deficits. (b) Ability to collaborate and communicate orally and in writing with all internal and external stakeholders. (c) Ability to use critical analysis, clinical reasoning, and creativity to independently solve complex problems related to adapting and modifying assessments, treatment plans, activities and procedures to meet the needs of patients. (d) Skill in procuring, fabricating, adjusting, adapting, and modifying orthoses, splints, and adaptive equipment for activities of daily living (inclusive of durable medical equipment). (e) Ability to conduct OT related in-service and clinical training. (3) Assignment.

OTs at this level practice independently and are responsible for comprehensive assessment of functional and occupational roles using standardized and non-standardized evaluation tools. OTs select and provide direct occupational therapy interventions and procedures with varying degrees of complexity to enhance safety, wellness, and performance in ADL, instrumental IADL, education, work, play, leisure, and social participation.

OTs demonstrate a full professional understanding of the theories of treatment in occupational therapy and their proper application through the use of activity analysis, behavioral intervention, frame of references, and therapeutic procedures. They are assigned to all program areas within VHA and provide professional, independent occupational therapy services.

OTs at this level may be given assignments in any area where advanced specialized knowledge is not required on a recurring basis due to the patient population served and complexity of the facility and/or treatment area. Individuals may perform ancillary assignments, including program management duties on an occasional basis, where the complexity and amount of work is not substantial (less than 25% of the duty time).

03Preferred Experience

Two years of successful therapy practice in the field of home health care or four years of inpatient medical experience Excellent interpersonal relationship skills Ability to work in an interdisciplinary setting. Ability to work independently and to make competent clinical decisions using critical thinking skills. Sound documentation, patient assessment skills, and interdisciplinary care planning Ability to be independent in the community. Ability to prioritize responsibilities.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-12. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-12.

04Physical Requirements

Incumbent must be able to physically perform heavy lifting, 45 pounds and over. Incumbent must have the use of: fingers, both hands required, both legs required (to include one prosthetic), vision as required for driver's license, hearing (aid permitted), and mental and emotional stability. Incumbent must be able to perform reaching above shoulder, walking (up to 8 hrs.), standing (up to 8 hrs.). Incumbent must be able to negotiate multiple flights of steps while carrying a treatment bag.

This position requires operation of a Government-owned or leased motor vehicle to properly carry out assigned duties. A valid state-issued driver license is required, along with medica clearance by Personnel Health.

Functions of the Occupational Therapist include but are not limited too: Assists the HBPC therapy supervisor in planning and developing various treatment programs to meet patient needs, as requested by HBPC therapy supervisor. Assists in the development, planning and implementation of monitors of quality of care with respect to HBPC as part of the comprehensive health care services delivered to the patients within the Cleveland VA Medical Center.

Assesses all patients who are consulted to HBPC for dysfunction using appropriate tests/measures, evaluates findings, and develops a plan of care with functional and measurable goals within appropriate timeframe that are based on assessment findings. Establishes and maintains contact with other health care providers involved in patient care via written, telephone and personal communication on a regular basis at the Cleveland VA Medical Center including CBOCs.

Completes all required patient care computerized documentation in a timely fashion, including initial evaluation, daily treatment, interdisciplinary care plans, progress notes, telephone contacts, consults, re-assessment and discharge notes in accordance with VA policy. Enters consults to Prosthetics department in accordance with HBPC service, national VA, and medical center policies. Provides expertise in planning for delivery of occupational therapy to patients.

Acts as a resource person to the staff, students, and other health care professionals Maintains professional licensure and completes all required annual continuing education for license renewal. Educates other facility personnel in the scope of HBPC services and programs involving a variety of health care specialties. Work Schedule: Monday - Friday 0800-1630 Telework: Not Available. Virtual: This is not a virtual position. Functional Statement #: 93732A Relocation/Recruitment Incentives: Not Authorized.

Permanent Change of Station (PCS): Not Authorized.