Veterans Affairs, Veterans Health Administration Occupational Therapist - Neuro / Outpatient in Houston, Texas
Summary This is a part-time OT Outpatient Neuro position in the Physical Medicine and Rehabilitation Service (PMRS) for the Michael E. DeBakey VAMC (MEDVAMC). The Neuro/Rehab Occupational Therapist (OT) provides assessment and treatment interventions on an independent basis across the continuum of care and services provide by the service. Current permanent VA employees should apply under CBST-11166621-21-LG. Responsibilities S/he is expected to carry out general duty assignments but additionally serve as a subject matter expert in their assigned clinical area. This position is located in the RECL at the MEDVAMC, a complexity level 1a facility. Is administratively and clinically responsible to the Supervisory Occupational Therapist, the Supervisory Rehabilitation Therapist, the Rehabilitation Director, and the Rehabilitation and Extended Care Line Executive for patient care. Works in collaboration with the RECL, and Operative, Neurology, and Medical Care Lines and additional Care Lines to ensure the timely provision of effective and efficient Occupational Therapy services for patients referred. This part-time OT position will primarily be in the Neuro Outpatient setting, however, may be utilized in other therapy clinics, at bedside, or in other locations in and around the MEDVAMC as deemed necessary in the care and safety of the individual patient. Some services may also be provided in the community and at the patient's residence on a limited basis Serves as a member of the Rehab interdisciplinary care team and other patient care teams as needed to provide quality, effective, and efficient patient centered care. Evaluations include medical history, results and interpretation of appropriate functional tests and measurements such as: activities of daily living, IADL's, range of motion, muscle strength, sensory deficits, coordination, pain, cognitive, visual perceptual, etc. Utilizes standard and non-standard methods in the evaluation and interpretation of a wide variety of physical and cognitive functional levels. Tests are frequently complex and may need to be adapted because of multiple physical disabilities or medical conditions. Utilizes FIM in assessing all rehab patients and other in/outpatients as indicated. 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. Evaluates for and recommends appropriate assistive devices and adaptive equipment as indicated. Accurately completes timely Prosthetics consults for recommended items. Fits devices appropriately for patient needs and instructs patient/care provider in the use of these devices. Consults with physicians, other therapists and medical personnel, the patient, and as indicated the family and/or caregiver, to maximize benefit of the patient's therapy program. Additional duties assigned Work Schedule: Tuesday/Thursday 8AM-4PM with occasional weekend coverage Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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 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. 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. 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). 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: Grade 12: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. 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). Preferred Experience: Ideal applicant has current/previous experience in outpatient OT Rehab serving various neurologic disorders including Stroke/CVA, Parkinson's, Multiple Sclerosis. Has experience in prescribing Durable Medical Equipment (DME). Has experience with fabrication of orthotics and bracing. Has experience performing Home Safety Assessment and making recommendations. References: VA Handbook 5005/127, Part II, Appendix G14, Occupational Therapist Qualification Standards. The full performance level of this vacancy is GS-12. Physical Requirements: Work requires typical physical requirements of working within a hospital facility, outpatient clinic, office, gymnasium or pool in the performance of job responsibilities. Physical exertion such as long periods of standing, or recurring and considerable crouching, bending, standing, stooping, stretching, walking or climbing/descending stairs. Employees frequently carry light items such as books, office supplies, instruments, occupational therapy supplies and other similar materials. Work also includes frequent lifting of moderately heavy items weighing less than 23 kilograms (i.e., under 50 pounds). May involve occasional exposure to conditions in facilities or hospital settings requiring safety precautions. Personal Protective Equipment may need to be worn in the course of your work day. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.