Veterans Affairs, Veterans Health Administration Occupational Therapist in San Francisco, California
Summary ** Work required at Oakland, CA on the Home Based Primary Care Team ** Occupational Therapist (OT) promotes veterans' safety and independent function in their everyday activities in the home and community environments. OT strategies to manage self-care in the home, recommendations for access into and out of the home, and prescription, fitting and training in the use of wheeled mobility where appropriate . Responsibilities Clinical 1. Conducts an evaluation that gathers information from the medical record, interview of the veteran and other appropriate people such as family and caregiver or other providers, observation, and standardized and non-standardized testing, including body measurements, patient and significant other personal goals, and analyzes the demands of the occupation. 2. Develops an intervention plan in collaboration with the veteran and family, caregiver and social support as appropriate. The plan considers the recommendations for the patient made by other services and the Home Based Primary Care Team (HBPC) plan of care. It considers the veteran's context and activity demands. The intervention plan includes objective and measurable goals with timeframes. The intervention is an accepted occupational therapy approach based on theory and evidence. Intervention approaches may include: health promotion, skill remediation or restoration, performance maintenance, modifications of task or environment, and disability prevention. s they enhance the ability to perform self-care, properly use durable medical equipment and optimize safety. 3. The OT maximizes patient outcomes by: a. Reassessing veterans' response to treatment and caregivers' response to education at regular intervals, including to ascertain their safe use of DME. b. Modifying the treatment plan and goals as needed to support veteran outcomes, including grading the interventions to best meet the veteran's and caregiver's learning abilities and other capabilities. c. Recommending appropriate discharge from OT, based on response to treatment, collaboration with others and the veteran's ongoing needs. d. Making referrals to other services as appropriate. e. Closely collaborating with the HBPC plan of care. f. Improving OT clinical programs through contributions to program development and ongoing program evaluation and refinements. 4. The OT optimizes health and safety of self, patients, colleagues, and visitors by: a. Practicing proper infection control procedures in all patient care and clinical activities. b. Using all clinical equipment and supplies in the prescribed and safe manner. c. Following all health and safety protocols of the HBPC program. d. Complying with all safe and legal driving rules according to VA and state driving laws. 5. Clinical Information: The OT optimizes interdisciplinary care planning by: a. Recording patient care activities in the evaluation, reassessment, daily and discharge notes following all VA, Rehab, and OT regulations. b. Participating in formal and informal methods of communication about patient status, such as via secure email. c. Participating in multidisciplinary meetings to collaborate on plans of care and discharge planning, including the HBPC team meeting and referral of cases to the Major Medical and Special Equipment Committee (MMSEC) for complex or unusual cases. Administrative: 1. Maintaining all required records, including: encounter entry, consult completion, and others as requested. 2. Submitting Prosthetic Consults in a timely manner and according to proper protocol. 3. Monitoring clinic supply inventory to ensure adequate supply levels according to Rehabilitation Service protocol. 4. Maintaining safe and orderly office and vehicle environments. 5. Participating in developing Quality Improvement (QI) indicators, conducting QI audits and sharing responsibility for QI minutes when requested. 6. Contributing ideas to the design of occupational therapy patient documentation forms. 7. Sharing ideas and concerns about the operation of Rehab Service and the OT Section with the OT Section Chief. 8. Maintaining awareness of administrative duties, assignments and meetings throughout the year, such as staff meetings, cleaning assignments, receipt of deliveries, and others as requested. 9. Carrying out other job-related activities and special assignments as requested by supervisor. Educational: 1. Developing and conducting OT section, interdepartmental and intradepartmental in-services and ongoing training on topics of rehabilitative and OT care. 2. Providing supervision of OT interns and volunteers when assigned by supervisor. 3. Contributing ideas to improve the OT intern training program. 4. Attending and participating in relevant and/or required Rehab, OT, and Medical Center offerings, and professional conferences and workshops. 5. Representing OT and Rehabilitation Services to patients, residents, allied health professionals, students, volunteers, visiting public, vendors and Veterans Affairs officials. Work Schedule: Part time Telework: Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Occupational Therapist/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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. Education and/or Experience: (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 Certification: Candidates must possess a current National Board for Certification in Occupational Therapy (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). Grandfathering Provision. All persons employed in VHA in this occupational series or in another occupational series that are also performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held including positive education and licensure/certification/registration that are part of the basic requirements of this occupation. Employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) They may be reassigned, promoted up to and including the full performance level, or changed to lower grade within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial positions. (2) If an OT who was retained under this provision leaves the occupation, the employee will lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. (3) OTs initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard, must maintain the required credentials as a condition of employment in the occupation. (4) OTs who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Grade Determinations: 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. References: VA Handbook 5005, Part II, Appendix G14 Occupational Therapist Qualification Standard dated December 13, 2019. The full performance level of this vacancy is 12. The actual grade at which an applicant may be selected for this vacancy is GS-12. Physical Requirements: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required. Work includes regular and recurring physical exertion, which involves standing, bending, kneeling, reaching, gripping, and walking. Heavy lifting, 45 pounds and over; use of fingers, both hands required; reaching above shoulder; walking (8 hours); standing (8 hours); both legs required (1 prosthetic); far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted), and mental and emotional stability. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. 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. 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.