Occupational Therapist - Inpatient CRC/PRC Float

Full Job Description

The Occupational Therapist (OT) position is in the OT section of the PMR service.

The OT plans, implements, and coordinates comprehensive OT services for adult and geriatric veterans with complex medical, neurological, orthopedic, and psychological disorders.

This position is primarily based in the Inpatient Polytrauma Rehabilitation Center (PRC)/Comprehensive Rehabilitation Center (CRC) unit and may be asked to float to other areas of clinical or administrative need, including weekend coverage.

Basic Requirements: Citizenship: Be a citizen of the United States. Non-citizen appointments, see Additional Information below.

Driver's License: Must possess a valid and unrestricted driver's license Education and/or Experience: Please see education section below Foreign Graduates: Please see education section below Certification: Candidates must possess a current NBCOT certification as an Occupational Therapist 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 Loss of Credential: An employee in this occupation who fails to maintain the required state or territorial licensure and the NBCOT certification, both current and in good standing, must be removed from the occupation, which may result in termination of employment Exception for Graduate Occupational Therapist: (1) OT graduates from an approved occupational therapy program who otherwise meet the minimum qualification requirements, but who do not possess NBCOT certification and/or state licensure, may be appointed, pending certification and/or licensure, as a graduate OT on a full-time temporary appointment not-to-exceed two years under the authority of 38 U.S.C.

§ 7405(c)(2) (2) Graduate OTs may only be appointed at the GS-9 grade level and may not be promoted/converted to the GS-11 level until licensure and/or certification is obtained.

For grades levels at or above the developmental GS-11 grade level, the OT must be certified and licensed (3) A graduate OT may provide care only under the direct supervision of a licensed OT who meets all state regulatory requirements (4) Temporary graduate OT appointments may not be extended beyond two years, or converted to a new temporary appointment Failure to Obtain Licensure/Certification: In all cases, graduate OTs must actively pursue obtaining required credentials (i.e., NBCOT certification and/or state licensure) from the date of their appointment.

The human resource office will notify the uncertified/unlicensed OT in writing of the requirement to obtain certification/licensure, the date by which the certification/license must be acquired, and the consequences for not becoming certified/licensed by the deadline date.

The written notice must be provided prior to the entrance on duty date.

Failure to obtain required credentials by the prescribed date will result in termination of employment Grandfathering Provision: Please see Additional Information section below Physical Requirements: See VA Directive and Handbook 5019 Grade Determinations: Occupational Therapist, GS-09: Education, Experience, or Licensure: None beyond the basic requirements.

Assignments.

Individuals assigned at the GS-9 grade level serve as OT practitioners in a career development position progressively expanding their ability to provide assessment and treatment interventions for a wide range of human function systems.

The entry level therapist has a basic foundation of OT and generally practices independently. OTs at this level typically have guidance from more experienced therapists.

OTs that are not licensed must practice under the supervision of a licensed OT. GS-11: Education, Experience, or Licensure.

(a) Completion of one year of experience equivalent to at least the GS-9 grade level and directly related to the position being filled; or (b) Three years of progressively higher level graduate education leading to a degree in occupational therapy or a directly related field; or (c) 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: (a) Knowledge of occupational therapy practice (b) Ability to administer/interpret evaluation findings to develop and coordinate intervention plans, including goals and methods of treatment (c) Ability to implement intervention plans directly or in collaboration with others (d) Skill in monitoring an individual's response to interventions and modify treatment plans and reevaluating as indicated (e) Ability to communicate and or collaborate with patients, family members, caregivers, interdisciplinary professionals and/or other individuals verbally and in writing (f) Knowledge of health and safety regulations to minimize risk in the provision of patient care and the environment of care (g) Knowledge of applicable regulations governing documentation, reimbursement and workload entry in accordance with established professional practice Assignment.

OTs at this grade level practice independently and are responsible for the assessment of functional and occupational roles using standardized tools.

The OT modifies standardized and non-standardized evaluation tools.

OTs select and provide direct occupational therapy interventions and procedures with routine complexity to enhance safety, wellness, performance in activities of daily living (ADL); and instrumental activities of daily living (IADL), education, work, play, leisure, and social participation.

Occupational therapists require guidance with higher complexity conditions.

OTs demonstrate an 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. 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 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.

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 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).

continued in Additional Information below Major Duties:

The Occupational Therapist (OT) position is in the Occupational Therapy section of the Physical Medicine and Rehabilitation Service at the VA Palo Alto Health Care System.

The OT plans, implements, and coordinates Occupational Therapy services for adult veterans who have routinely complex medical, neurological, orthopedic, and psychological disorders.

The OT in this position will be primarily based in the Inpatient Polytrauma Rehabilitation Center (PRC)/ Comprehensive Rehabilitation Center (CRC) unit and may be asked to float to other areas of the clinical or administrative need along with working weekends.

Duties include but are not limited to: Clinical: Evaluates patients' Occupational Profile, abilities, and functional limitations; develops individualized treatment plans based on evaluation findings, occupational therapy theory, and evidence-based practice; and administers appropriate occupational therapy programs.

Documents initial plans, interim progress, and final summaries in the patient's electronic record in a timely manner; re-evaluates and modifies the treatment plan as needed to achieve targeted outcomes.

Assesses need for adaptive aids, seating systems, and other major equipment; formulates individualized prescriptions for pertinent durable medical equipment (DME) and trains patients in their use; fabricates customized devices and splints as necessary for corrective, supportive, or protective purposes.

Performs home evaluations for accessibility and makes safety recommendations for structural modifications; assesses patients' functional mobility on public transportation and in community facilities.

Provides medical and functional justification to order durable medical equipment or assistive devices; in some instances, may design/modify and assist in fabrication of assistive equipment; communicates and coordinates with the team and other services regarding treatment recommendations, DME, and other devices.

Communicates evaluation results to the patient and the treatment team using both standardized and non-standardized evaluation techniques; provides evaluations and treatments in a manner that maintains patient dignity and privacy.

Ensures treatment adheres to departmental, VAPAHCS, VHA, AOTA, CARF, The Joint Commission, and other applicable guidelines, using the best available modalities and equipment; recognizes contraindications and appropriateness of prescribed treatment, consults with the primary physician as needed, and assists in referring patients who can benefit from occupational therapy services.

Oversees treatment provided by the Occupational Therapy Assistant (OTA), if applicable.

EDUCATIONAL Supervises and trains occupational therapy trainees and assists in developing and updating training program content.

Provides orientation and training to other health care professionals as requested.

Provides education and training to family members and caregivers regarding the patient's functional status, performance of activities of daily living (ADLs), and operation and maintenance of equipment.

Attends and actively participates in section and program in-services, health care system educational offerings, professional conferences, and workshops, and shares gained knowledge, improved methods, or techniques with other occupational therapy staff.

ADMINISTRATIVE Maintains patient attendance records and other required statistics; completes and maintains recordkeeping in accordance with PM&RS, VAPAHCS, VACO, and VHA policies, procedures, and guidelines regarding timeliness; completes and submits reports as requested.

Shares responsibility for clinic environment and maintenance, submits work orders as necessary to maintain an optimal environment of care, requests clinic supplies and materials, ensures appropriate supply levels are maintained for patient treatment, and makes suggestions for major equipment purchases for the department.

Develops forms for treatment guidelines, data collection, or patient education.

Schedules and organizes patient visits to ensure adequate time for treatment, considering priority and frequency of care and coordinating with other members of the health care team.

Complies with occupational therapy stocked prosthetics and logistics equipment processes and maintains inventory levels accordingly.

As applicable, investigates new technology with emphasis on the occupational therapist's specialty.

Performs other duties or responsibilities as assigned by the Occupational Therapy Supervisor, Rehabilitation Supervisor, or other authorized leadership within the Physical Medicine and Rehabilitation Service (PM&RS).

Work Schedule: Full Time, Sunday - Thursday, 8am-4:30pm Virtual: This is not a virtual position. Functional Statement #: 09476-F, 09477-F, 09478-F Relocation/Recruitment Incentives: Not Authorized