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Posted: March 16, 2026 (0 days ago)

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Occupational Therapist - Home Based Primary Care

Veterans Health Administration

Department of Veterans Affairs

Fresh

Location

Saint James, Missouri

Salary

$89,508 - $116,362

per year

Closes

March 24, 2026More VA jobs →

GS-12 Pay Grade

Base salary range: $74,441 - $96,770

Typical requirements: 1 year specialized experience at GS-11. Advanced degree + significant experience.

Note: Actual salary includes locality pay (15-40%+ depending on location).

Job Description

Summary

This job involves working as an occupational therapist in a home-based primary care program for veterans, helping them improve daily living skills, adapt their home environments, and manage physical, cognitive, or emotional challenges right in their own homes.

It's ideal for experienced therapists who enjoy direct patient interaction in community settings and have a passion for supporting veterans' independence.

Candidates with strong problem-solving skills and experience in home care would thrive here.

Key Requirements

  • United States citizenship (non-citizens only if no qualified citizens available)
  • Proficiency in spoken and written English
  • Current NBCOT certification as an Occupational Therapist
  • Full, current, and unrestricted state license to practice occupational therapy
  • Bachelor's degree in occupational therapy from an approved program plus two years of experience, or two years of graduate education in a related field, or a Master's or higher degree in occupational therapy
  • Completion of one year of experience equivalent to GS-11 level in occupational therapy
  • Demonstrated knowledge of OT principles, collaboration skills, clinical reasoning, adaptive equipment fabrication, and ability to conduct training

Full Job Description

This Occupational Therapist position is assigned to 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.

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 Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). 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.

Basic Education and/or Experience.

[(1) The individual must meet at least one of the following requirements below:(a) 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(b) 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 (c) Master's Degree or higher in occupational therapy.(2) 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.(c). Foreign Graduates.

Graduates] of foreign occupational therapy programs meet the requirements of subparagraph [3b(2)] if they have a current, full, active and unrestricted license referred to in subparagraph [3e] of this appendix.

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).

Grade Determinations: Occupational Therapist, GS-12: Completion of one year of experience equivalent to at the GS-11 grade level that is directly related to the position being filled and the following demonstrated Knowledge, Skills, and Abilities (KSAs): (a) 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.

(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. Preferred Experience: At least two years of experience with in-home care.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS12. Major Duties:

This assignment carries primary responsibility for providing in-home occupational therapy assessments, and the planning, administration and management of rehabilitation in the home for patients of the Home Based Primary Care Program (HBPC).

The OT will provide these in-­home services to patients with a wide variety of multiple, complex chronic illnesses and/or profound disabilities requiring knowledge of contemporary and evidence based Occupational Therapy practices.

Provides professional independent services for both assessments and development of patient treatment plans.

Decisions are made in the community without onsite supervision of another health care professional.

Duties may include: Independently develop, implement and evaluate therapeutic rehabilitation programs within the framework of HBPC and Physical Medicine and Rehabilitative Service (PM&RS).

Assess the goals, living skills, physical abilities, and related needs for each patient referred for in-home assessment.

Develop a treatment plan directed toward achieving maximum level of functioning within the home, consulting with other PM&RS disciplines as indicated, and developing the plan in collaboration with the patient and caregiver Implement the treatment plan by: providing direct patient care; procuring necessary equipment/adaptive devices; instructing and training the client and caregiver concerning exercises, activities of daily living, rehabilitation techniques, and equipment/adaptive devices; and recommending community referrals.

Reassess patients' levels of functioning and home environment, revising the treatment plan as indicated and terminating treatment objectives when met.

Document initial assessments, treatment plans, and response to treatment as determined in subsequent patient home visits, telephone calls, and case management work, according to HBPC policy and JC standards.

Complete Encounter information in accordance with Truman VA Medical Center guidelines.

Using the computer system for storing and retrieving electronic documents and files, transmitting and receiving e-mail, activating printers, requesting leave, and accessing the Computerized Patient Record System (CPRS) Communicate and coordinate coverage for anticipated leave and communicate unanticipated leave in accordance with PM&R Service policies.

Participate in the HBPC Performance Improvement Program, including completing assessment and documentation required by performance measures applicable to the OT's role.

Demonstrates advanced competency in knowledge of electronic documentation and computer skills. Work Schedule: Compressed, Monday-Friday, 7 am - 530 pm.

Additional information about the work schedule will be provided during the interview process.

Compressed/Flexible: Compressed Tour Available Telework: Not Available Virtual: This is not a virtual position.

Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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Posted on USAJOBS: 3/16/2026 | Added to FreshGovJobs: 3/17/2026

Source: USAJOBS | ID: CBSS-12912632-26-RCK