Veterans Affairs, Veterans Health Administration Physical Therapist in Little Rock, Arkansas
Summary If you are not a current, permanent VA employee or Federal employee from another agency, you should apply under CBST-11174614-21-ER. The Physical Therapist focuses primarily on those individuals whose actual or potential impairment is related to the neuromuscular, musculoskeletal, cardiovascular pulmonary, neurological, psychiatric systems, on methods to evaluate the functions of these systems and on the selection and application of appropriate therapeutic procedures. Responsibilities The duties of the physical therapist in Home Health Care Service include but are not limited to: Home Health Care Service (HHCS) includes Home Based Primary Care (HBPC) and the Medical Foster Home (MFH) program. HHCS operates out of the John L. McClellan Memorial Veterans Hospital with the main office in West Little Rock and a satellite office in Hot Springs. The HBPC Physical Therapist (PT) works with an interdisciplinary PACT team for a population of homebound, chronically ill Veterans in the central Arkansas area. This position exists at the CAVHS VAMC and involves regular independent travel to Veterans' homes within an identified HBPC service area. The HBPC PT: Independently evaluates patients using standard and non-standard techniques to identify specific Physical Therapy treatment problems. Independently develop and implement therapeutic rehabilitation programs within the framework of HBPC, in the GEC/R service line. Considers the populations served by the medical center and independently performs tests and measurements of the patient's condition and interprets results of tests and measurements of the patient's condition for use in establishing a diagnosis within the scope of physical therapy, developing the treatment plan, modifying the treatment plan, and evaluating results of treatment. Assesses the goals, living skills, physical abilities, and related needs for each patient referred for in- home assessment and assessment at the facility. Establish short term and long term clinically appropriate patient treatment goals and implement treatment program to meet these goals. Completes safety assessments after falls to include recommendations relevant to the veteran's home environment, health/ disease status, and available resources. Performs a yearly home assessment with each enrolled veteran per HBPC directive. Actively participates in interdisciplinary meetings for patient planning, coordination of care, or discharge planning. Frequently assesses treatment plan directed toward achieving maximum level of functioning within the home, consulting with other clinicians as indicated, and modifying the plan as indicated. Incumbent terminates treatment objectives when met and/or the patient has achieved maximum benefit or has moved to a higher level of need not amenable to HBPC criteria and purpose. Provides direct patient care, orders equipment, provides education to patient and caregiver on equipment and exercises, and refers patient to other disciplines as needed. Completes HISA grant and/or other home modification paperwork when requested efficiently and in a timely manner. Evaluates the need for additional services and use professional judgment to initiate consultation with other professionals to provide such service. Collaborates with the patient, caregiver, and other involved HBPC disciplines as needed. Provides patient care/support that is appropriate to the cognitive, physical and emotional needs of the patient group served. Interacts with people at all age levels ranging from adolescent through geriatric and must be aware of and respond appropriately to the physical, social, and psychological differences among these groups. Evaluates the home for positional changes to promote the patient's safety and independence. Maintains current knowledge in ordering complex and specialized medical equipment, its use and contraindications. Practices safe home care, recognizing the potential risks associated with various home and communities and adjusts visit times to assure personal and client safety. Monitors patient's emergency medical needs; intolerance to treatment; changes in patient's physical/mental status; and takes appropriate action as necessary. Documents and otherwise communicates results of evaluation and treatment in a timely manner Recognizes diversity among patients/staff and demonstrates sensitivity to cultural, age, gender, and people with disability. Independently solves problems not covered by standard procedures, adapts and modifies treatment plans, activities and procedures without supervisory guidance to meet complex and challenging needs of the patients. Assists other physical therapy staff members in modifying and adapting treatment plans Uses appropriate Personal Protective Equipment (PPE's) when providing treatment and/or using equipment for treatment as outlined above. Observes all safety precautions/procedures related to treatment or equipment. Work Schedule: Monday to Friday 8 am to 4:30 pm. Involves regular independent travel to veterans' homes within an identified HBPC service area. Compressed/Flexible: No Telework: Available Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized 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. English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Education and/or Experience: The individual must meet at least one of the requirements below: Bachelor's degree in Physical Therapy AND five (5) years of progressively independent experience as a physical therapist. Master's degree in Physical Therapy AND two (2) years of progressively independent experience as a physical therapist. Doctorate degree in physical therapy. NOTE: Individuals must be a graduate of a Commission on Accreditation in Physical Therapy Education (CAPTE) accredited college or university. Foreign Graduates. Graduates of foreign physical therapy programs meet the requirements in subparagraph 3b if they have a full unrestricted and current license to practice physical therapy in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Licensure. Individuals hold a full, current, and unrestricted license to practice physical therapy in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Non-licensed PTs, who otherwise meet the basic requirements in this standard, may be given a temporary appointment as a graduate PT at the GS-11 grade level under the authority of 38 U.S.C. 7405 (a)(1)(D) for a period not-to-exceed two years from the date of employment on the condition that such PT provide care only under the supervision of a PT who is licensed. Failure to obtain licensure during that period is justification for termination of the temporary appointment. 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). Preferred Experience: At least 2 years of PT experience with an adult/geriatric population; Experience with patient/family and professional health education; Experience with interdisciplinary health care teams; Home health experience; Advanced computer skills. Grade Determinations: GS-11 Physical Therapist (Entry) Education, Experience, and Licensure. None beyond the basic requirements. GS-12 Physical Therapist (Full Performance Level) Education, Experience and Licensure. In addition to the basic requirements, candidates must possess one year of experience equivalent to the GS-11 grade level, hold a valid unrestricted state license. Examples of creditable experience include but not limited to providing assessment and treatment intervention, plan and modify treatment based on a patient's response to intervention and/or change in medical condition, and provide oversight and delegate patient care responsibilities to a Physical Therapist Assistant. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience or education above, the candidate must demonstrate the following KSAs: 1. Ability to make autonomous clinical decisions in a Direct Access environment. This includes ability to independently evaluate and treat patients who seek physical therapy services. 2. Skill in performing examinations and evaluations of individuals who have or may develop impairments, activity limitations, and participation restrictions related to conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems while considering the effects attributable to unique psychosocial and environmental factors. 3. Ability to interpret findings from examination and evaluation, select appropriate test and measures, and integrate findings into the physical therapy plan of care for the full range of patient populations. 4. Ability to establish a diagnosis within the scope of physical therapy and identify the appropriate rehabilitation intervention, including referral to another provider for further consultation as clinically indicated. 5. Ability to determine physical therapy prognosis by incorporating examination findings with the patient's preferences in order to set clinically appropriate treatment goals, optimize outcomes and maximize functional independence. 6. Ability to independently provide clinical oversight of Physical Therapy Assistants as well as students on clinical affiliations who are in Doctoral PT Programs or PTA Programs. References: VA Handbook 5005/99, Part II Appendix G12 dated 02/07/2018, Physical Therapist Qualification Standard. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS-12. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-11 to GS-12. Physical Requirements: This position requires heavy lifting (45 pounds or more), Moderate carrying (15-44 pounds), straight pulling (about 4 hours), pushing (about 4 hours), reaching above shoulder, use of fingers and hands, walking and standing (up to 8 hours), crawling and kneeling (about 2 hours), repeated bending (about 4 hours), climbing (about 1 hour), ability for rapid mental and muscular coordination simultaneously, near vision (correctable) far vision (correctable), ability to distinguish basic colors, hearing (aid permitted), and mental and emotional stability. Environmental factors include excessive noise (intermittent), solvents, radiant energy, electrical energy, working around machinery with moving parts, working with hands in water, vibration, and working closely with others. (See VA Directive and Handbook 5019, Employee Occupational Health Services). 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 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 or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.