Medical Support Assistant (Advanced) - Physical Medicine and Rehabilitation
Veterans Health Administration
Posted: February 26, 2026 (0 days ago)
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Veterans Health Administration
Department of Veterans Affairs
Location
Salary
$118,896 - $145,468
per year
Type
Full-Time
More Education & Training jobs →Closes
Base salary range: $21,996 - $27,534
Typical requirements: No experience required. High school diploma or equivalent.
Note: Actual salary includes locality pay (15-40%+ depending on location).
This job involves helping veterans with severe disabilities find work, education, or independent living through counseling, case management, and skills assessments, with a focus on supporting homeless veterans in San Francisco.
It's ideal for compassionate individuals with a background in counseling who want to make a difference in veterans' lives.
The role requires strong communication skills and a commitment to achieving certification in rehabilitation counseling.
The Rehabilitation Counselor provides vocational and personal adjustment counseling, case management & transferable skills analyses to aid Veterans with severe disabilities in pursuit of their self-determined employment, educational and independent living goals.
It functions as the Rehabilitation Counselor in the Homeless Veterans Community Employment Services (HVCES), assigned to the Homeless Programs within Social Work Service.
Duty Location: 401 Third Street, San Francisco, CA 94107 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 Language Proficiency Requirement. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. 7403(f).
Education: (1) A master's degree in rehabilitation counseling or clinical rehabilitation counseling from a rehabilitation counseling program accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP).
If the applicant's degree was granted prior to July 1, 2017, the program must be accredited by the Council on Rehabilitation Education.
OR (2) A master's degree in counseling or clinical rehabilitation counseling from a college or university accredited by a national or regional accrediting body accredited by Council for Higher Education Accreditation (CHEA).
OR (3) A master's or doctoral degree in a related field of study with course content that emphasized rehabilitation, counseling, disability, therapy, health, employment, wellness, or human development from a college or university accredited by a national or regional accrediting body accredited by CHEA.
OR (4) Foreign graduates with a degree acceptable by the Commission on Rehabilitation Counselor Certification (CRCC). Certification.
Current, full and unrestricted certification as a certified rehabilitation counselor (CRC) from the CRCC to practice vocational rehabilitation counseling. Exceptions for Graduate RCs.
(a)RC graduates from an approved counseling or rehabilitation counseling program who otherwise meet the basic qualification requirements and the additional degree requirements for CRC certification by the CRCC, but do not possess the required certification, may be appointed, pending certification, as a graduate RC on a full-time temporary appointment not-to-exceed two years under the authority of 38 U.S.C.
7405(a)(1)(D). (b)Graduate RCs may only be appointed at the entry grade level and may not be promoted/converted until certification is obtained.
(c)Temporary graduate RC appointments may not be extended beyond two years or converted to a new temporary appointment. (2) Failure to Obtain Certification.
In all cases, RCs must actively pursue meeting prerequisites for certification starting from the date of their appointment.
This includes working towards completion of CRCC's required acceptable employment experience and completing required CRCC documentation to verify employment experience and supervision by a CRC.
At the time of appointment, the RC supervisor will provide the RC with the written requirements for certification, including the time by which the certification must be obtained and the consequences for not becoming certified by the deadline.
Failure to become certified within the prescribed amount of time will result in removal from the GS-0101 RC series and may result in termination of employment. (3) Loss of Certification.
An employee in this occupation who fails to maintain the required certification must be removed from the occupation, which may also result in termination of employment.
Grade Determinations: Rehabilitation Counselor, GS-12 (1) Experience.
Completion of one year of professional experience equivalent to the next lower grade level, GS-11, directly related to the position being filled. (2) Demonstrated Knowledge, Skills and Abilities.
In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Ability to apply and teach principles and practices of the evidence-based model of individual placement and support, supported employment (IPS, SE), by engaging others in multiple training methods including hands-on, virtual and telephone trainings, utilizing excellent consultative, facilitative and organizational skills as well as coaching/listening skills.
(b) Ability to conduct in person coaching, develop community-wide learning events, and lead mock SE fidelity reviews to provide feedback regarding SE program services and adherence to the SE model.
(c) Skill to apply principles and practices of IPS, SE, psychiatric rehabilitation and recovery principles, customized employment and fidelity scale measures to successfully engage Veterans and care providers in the rehabilitation process.
(d) Skill to apply advanced counseling skills, crisis intervention and personal and family counseling to intercede on behalf of Veterans, their families and significant others needing specific assistance with employment, housing and finances.
(3) Assignment.
For all assignments above the full performance level, the higher-level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time.
Serve as a CWT- SE trainer.
Expand and guide VISN-wide recovery-oriented rehabilitation services within existing CWT-SE sites and/or provide training and guidance on establishment of new evidence-based CWT-SE programs.
Develop curricula and uses teaching methods contextualized for adult learning styles.
Lead learning communities consisting of all SE providers by developing workshops, scheduling guest speakers, facilitating discussions on email groups, sharing resource materials and facilitating networking among VISN SE sites.
Participate in and/or facilitate regularly scheduled SE clinical conference calls and the national mentor trainer meetings.
Review outcome data and discuss data implications for the delivery of employment services with the VISN learning community of SE providers. Organize training events on CWT-SE services.
Lead other CWT-SE programs on best practices, use of fidelity scale to guide service delivery and in the analysis, development and implementation of the IPS, SE model as directed by VA Central Office (VACO).
Disseminate communications with supervisors and staff of CWT-SE, provide technical assistance to staff and managers and collaborate with programs to prepare for periodic fidelity reviews and accreditation surveys.
References: See Office of the Chief Human Capital Officer (OCHCO) website for VA specific qualification standards.
Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service. This position requires driving. Valid drivers license is required. Major Duties:
The major duties are listed below as Rehabilitation Counselor but not limited to: A.
Serve as an advocate on behalf of Veterans with members of the employment collaborative and community employers, when appropriate, to ensure comprehensive service delivery resulting on competitive employment.
B.
Provide guidance and training to all homeless programs and staff across the VAMC on resources that enhance and result in competitive employment outcomes for Veterans, in particular those who are homeless or have other barriers to employment.
Serves as primary point of contact for vocational needs assessments for Veterans who are enrolled in Homeless Programs.
Provides guidance and training to all homeless programs and staff on resources that enhance and result in competitive employment outcomes for Veterans. C.
Coordinate with program managers on rapid access and placement strategies for Veterans that reduce barriers to employment. D.
Coordinate with homeless and community program managers on rapid access and placement strategies for Veterans that reduce barriers to employment and identify appropriate supports to sustain outcomes.
Provides feedback to VA Health Care System leadership and homeless program staff on system resources, strengths, accomplishments, challenges, and recommended corrective actions. E.
Interview patients to gather vocational/educational information for vocational counseling/rehabilitation services. F.
Ensure competitive employment resources of varying levels of intensity are available for homeless Veterans, and serves as a liaison to local community providers of employment placement and support services for homeless Veterans.
G. Review cases referred to ensure Veterans receive services leading to competitive employment and appropriate follow-up supports. H.
Work with local staff in developing templates for concise and individualized veteran-centered assessments that helped to determine the level of intensity required to provide employment services to homeless veterans.
I. Monitor performance and progress through review of cases referred to the members of the Employment Collaborative. J.
Develop employment opportunities for homeless Veterans and maintains a database on referral and placement outcomes. K.
Lead efforts to establish a local employment collaborative which includes VA and non-VA members and community-based employers, and documents access points, requirements for participation and points of contact as indicated.
This collaborative should include but is not limited to: HCHV and HUD-VASH; Supportive Services for Veteran Families (SSVF) and GPD grantees; Veterans Benefits Administration (VBA)/Vocational Rehabilitation and Employment (VR&E); Department of Labor grantees such as the Homeless Veteran Reintegration Program (HVRP); and local community and faith-based organizations.
Leads efforts to establish a local employment collaborative which includes VA and non-VA members and community-based employers, and documents access points, requirements for participation and points of contact as indicated.
L.
Conduct monthly conference calls with all the members (VA and non-VA) of the local Employment Collaborative serving Veterans and resolves access barriers to rapid job placement and develops an agenda for the monthly conference calls of the local Employment Collaborative.
M. Serve as a Mentor on the HVCES Field Advisory Board (FAB). As a FAB Mentor, provide consultation and guidance to new and existing HVCES staff, as assigned. N.
Participate in and/or facilitate regularly scheduled HVCES Peer-Led Office Hour calls. Collaborate with National HVCES Program Manager on the development of quarterly national HVCES Newsletters. O.
Organize training events on HVCES, Work Talk, and the importance of community-based competitive employment for Veterans who are homeless or at-risk of homelessness in terms of housing, financial, and mental health stability.
P. Participates in the planning, preparation and accreditation process for CARE, Joint Commission and any other applicable fidelity reviews or audits. Q.
Participates in program improvement activities which include scheduled meetings, trainings, improvement activities, peer reviews and/or Social Work Service meetings or trainings. R.
Participate in program planning and development, advising the supervisor of shifting trends with caseloads and identifying the need for and making recommendations on program procedure or policy changes based upon work experiences.
S. Establish effective relationships with Veterans and clinical/administrative staff from institutions and agencies within a community. T.
Participate in the orientation/teaching of graduate social work students, students of other disciplines, and medical center personnel on the biopsychosocial aspects of homelessness. U.
Provide a variety of employment services to the veteran homeless population (i.e. access to job listings, resume preparation, interview skills training, etc.)
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