Summary
This Occupational Therapist is an outpatient provider for Physical Medicine & Rehabilitation Service. Responsibilities include general outpatient assessment & treatment for veterans with physical dysfunction – neurological, mental health, cognitive and orthopedic or musculoskeletal diagnoses. This position carries responsibility & requires a high level of independence & problem‑solving ability – and integral knowledge for appropriate referrals & service within the outpatient clinic.
Qualifications
Applicants pending 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.
- Education and/or Experience: The individual must meet at least one of the following requirements: Bachelor's degree in occupational therapy and two (2) years of experience as an occupational therapist.
- NOTE: The baccalaureate degree must be from an approved program prior to the AOTA January 1 – 2005 decision that the Accreditation Council for Occupational Therapy Education (ACOTE) would only accredit master or doctoral degree programs in occupational therapy.
- OR Bachelor's degree in occupational therapy and two (2) full years of graduate education in a related field.
- NOTE: The baccalaureate degree must be from an approved program prior to the AOTA January 1 – 2005 decision that ACOTE would only accredit master or doctoral degree programs in occupational therapy.
- OR Master's Degree or higher in occupational therapy.
- Individuals must be a graduate of a degree program in occupational therapy approved by the ACOTE or predecessor organizations.
- This is inclusive of an internship (supervised fieldwork experience required by the educational institution).
- ACOTE is the only accreditation agency recognized by the United States Department of Education and the Council for Higher Education Accreditation.
- Degree programs may be verified by contacting the American Occupational Therapy Association website or at their office address: American Occupational Therapy Association – P.O. Box 31220 – Bethesda – MD 20824‑1220.
- 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.
- Grade Determinations: GS‑9: Education – Experience – or Licensure: None beyond the basic requirements.
- GS‑11 Education – Experience – or Licensure: Completion of one year of experience equivalent to at least the GS‑9 grade level and directly related to the position being filled.
- OR Three years of progressively higher level graduate education leading to a degree in occupational therapy or a directly related field.
- OR Doctorate in occupational therapy.
- Demonstrated Knowledge – Skills – and Abilities (KSAs).
- In addition to the experience or education above, the candidate must demonstrate all of the following KSAs: Knowledge of occupational therapy practice.
- Ability to administer/interpret evaluation findings to develop and coordinate intervention plans – including goals and methods of treatment.
- Ability to implement intervention plans directly or in collaboration with others.
- Skill in monitoring an individual's response to interventions and modify treatment plans and reevaluating as indicated.
- Ability to communicate and or collaborate with patients – family members – caregivers – interdisciplinary professionals and/or other individuals verbally and in writing.
- Knowledge of health and safety regulations to minimize risk in the provision of patient care and the environment of care.
- Knowledge of applicable regulations governing documentation – reimbursement and workload entry in accordance with established professional practice.
- GS‑12 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.
- Demonstrated Knowledge – Skills – and Abilities (KSAs) – In addition to the experience above, the candidate must demonstrate all of the following KSAs: Knowledge of occupational therapy principles and techniques consistent with current clinical standards based on OT theory and evidence‑based practice.
- Knowledge is inclusive of physical – occupational – cognitive – and psychosocial functional deficits.
- Ability to collaborate and communicate orally and in writing with all internal and external stakeholders.
- 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.
- Skill in procuring – fabricating – adjusting – adapting – and modifying orthoses – splints – and adaptive equipment for activities of daily living (inclusive of durable medical equipment).
- Ability to conduct OT related in‑service and clinical training.
- Preferred Experience: We are looking for an Occupational Therapist to provide outpatient services up to 5 days per week.
- Services will cover a broad range of diagnoses – focusing primarily on home safety – functional independence – caregiver training – and durable medical equipment – however may also provide additional services that align with the selected candidate's skillset.
- Experience in home safety – ADLs and prescription of durable medical equipment – cognitive rehabilitation – and/or hand therapy.
- Reference: For more information on this qualification standard – please visit https://www.va.gov/ohrm/QualificationStandards/.
- Physical Requirements: Occupational Therapy is considered a vocation that requires "medium" strength according to the Department of Labor.
- Medium work entails exerting 20‑50 pounds of force occasionally – and/or 10‑25 pounds of force frequently – and/or greater than negligible up to 10 pounds of force constantly to move objects.
- Occupational Therapy is a vocation that requires regular and recurring physical exertion with long periods of standing – bending – walking and periods of assisting patients with transfers.
- This hospital has a policy of NO PATIENT LIFT – meaning that mechanical lifts are available to assist with safe patient transfers without lifting patients directly.
- Occupational Therapy requires good manual dexterity to manipulate tools and equipment with activities such as:
- 1. Operating all aspects of a computer – keyboarding – mouse – and control buttons.
- 2. Demonstrating the use of all aspects of adaptive equipment of patient teaching.
- 3. Assembling equipment with the use of hand tools such as a screwdriver or pliers.
- 4. Fabricating splints or adaptive equipment requiring the use of scissors – cutting tools – and ability to mold plastic – foam or plaster.
Duties
- Total Rewards of a Allied Health Professional Duties and skills needed to be successful in this position include – but are not limited to: Clinical: After receiving an appropriate referral – independently evaluates patients referred for Occupational Therapy – using standard and non-standard methods to assess range of motion – strength – sensation – proprioception – coordination – perception – cognition – ADL and work activities – orthotic and prosthetic needs – and need for adaptive equipment.
- In addition – assesses independent living skills to include use of community resources – home management – time management – and safety in the home and community.
- Self-awareness – interpersonal and social skills.
- Stress management.
- Role development – self‑sufficiency and wellness.
- Evaluations consider lifestyle – culture – educational level – social support system – military – work – and leisure history – and limitations and abilities related to age.
- Uses knowledge of occupational therapy principles and techniques consistent with current clinical standards based on OT theory and evidence-based practice.
- Knowledge is inclusive of physical – occupational – cognitive – and psychosocial functional deficits.
- Based on evaluations and planning with patient and significant others (when appropriate) – and coordination with the multidisciplinary team – establishes treatment goals – plan of care – and eventual discharge plan.
- Uses 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.
- Develops and carries out occupational therapy plans with individuals to meet individual rehabilitation objectives.
- Implements an occupational therapy treatment plan to meet individual rehabilitation objectives utilizing functional activities which have as their goal the improvement of patient’s activities of daily living – strength – range of motion – sensation – perceptive and/or cognitive process – and may also include therapeutic exercise – muscle reeducation – neuromuscular facilitation – perceptual motor integration – fabrication and application of devices for daily living – teaching adaptive or compensatory techniques for community re-entry and work activities and providing patient and/or caregiver education regarding disability.
- Patients treated have complex physical – emotional – and social problems.
- Re‑evaluates patient’s performance and modifies treatment as indicated.
- Regularly presents patient information to health care providers regarding outcomes of treatment – status and expectations.
- Communication is timely and follows department policies.
- Evaluates patient’s living situation through outpatient visits or home visits – patient and family interview – or consultation with other health care professionals.
- Assists patient in solving problems associated with that environment.
- Initiates ordering – delivery and training in the use of patient specific adaptive equipment in a timely – efficient and accurate manner – utilizing the processes related to the procurement of prosthetic equipment.
- Has skills in procuring – fabricating – adjusting – adapting – and modifying orthoses – splints – and adaptive equipment for activities of daily living.
- Carries a full patient caseload – accepting new consults as referred by the primary care provider/medical or health care provider.
- Assignments may include outpatient referrals and may include referrals from inpatient acute care medical and surgical cases – and inpatient rehabilitation.
- Documents initial evaluations – progress – and discharge planning in a timely – concise manner – per section documentation and consult management requirements.
- Is aware of signs and symptoms of abuse or neglect and reports to the appropriate authority and documents following facility procedures.
- Administrative For each patient assigned – accurately maintains patient schedule and attendance.
- Independently manages daily workload and schedule.
- Schedules patients promptly to comply with clinical access guidance.
- Accurately documents for the medical record: an initial evaluation including outcome measures – assessment – and short‑ and long-term goals.
- Progress reports which include description of treatment provided and outcome in terms of function.
- Discharge summary – as necessary – which includes summary of treatment – outcome in terms of goals set – equipment provided – and education given to patient and family.
- Maintains current NBCOT certifications and state licensing requirements.
- And completes all mandatory training as required by the facility.
- Work Schedule: Intermittent Telework – Not Available. Virtual – This is not a virtual position.
- Functional Statement # 55984-A – 55985-A – 55986-A.