Occupational Therapist (Home Based Primary Care)

Summary

This employee provides skilled Occupational Therapy (OT) services to the Medical Center in the outpatient, inpatient, and acute rehabilitation with the primary focus on the home setting. The duties and responsibilities are carried out throughout the medical center including all clinicaland patient care areas involved with the service. The incumbent operates under the direction of the HBPC Program Director/designee.

Duties

Major Duties: The Occupational Therapist at this grade level practices independently and is responsible for the assessment of functional and occupational roles using standardized tools. The OT at this grade level serve as OT practitioners in a career developmental 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 and receive guidance from more experienced therapists. Develops 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. Serves as the HBPC Occupational Therapist and is responsible for providing comprehensive evaluation for all OT needs of HBPC and PMRS patients. This may require an: assessment of mentation relative to successful therapy participation, neuromuscular status, respiratory status, and functional capabilities. Evaluation requires an understanding of all basic underlying medical conditions and past orthopedic, cardiac, or neurological problems. Frequency, duration, and discharge planning will be addressed. Maintains and submits documentation relative to patient visits in the electronic health record. Determines attainable goals for each patient and designs the initial treatment plan. Modifications are made as the patient progresses and goals are met. Provides OT to acutely and chronically ill patients requiring ongoing assessment and frequent treatment modifications. Recommends equipment the patient will need for optimal functioning in their home environment. Attends conferences, workshops, and other continuing education programs to gain insight into therapeutic and motivational patient strategies. Attendees are expected to disseminate this learned information to appropriate staff via report; in-service or case study presentation. Provides formal and informal Nursing and support staff education including, but not limited to, proper utilization of ambulation aids, proper wheelchair seating, activities of daily living status, and range of motion. Communicate patient progress and proposed OT interventions to facilitate that progress via electronic notes, phone, or staff meetings. Is an active participant in weekly interdisciplinary HBPC team meetings. This involves providing up to-date assessments and progress toward functional goals. Assesses patient/family educational needs, abilities, and barriers to learning. From this information, the Occupational Therapist establishes appropriate educational agendas. The therapist instructs the patient and/or caregiver in therapeutic exercises, living environment safety, strategies to enhance activities of daily living (ADL) status, work simplification, and the appropriate utilization of durable medical equipment or prosthetics and related topics. Assists during emergency situations including initiating and/or assisting with basic life support/ CPR. Demonstrates Patient Centered Care (PCC) through the use of effective communication with patients, families, visitors, and members of the interdisciplinary team, including the patient in mutual goal setting, and providing patient advocacy when appropriate. Visibly demonstrates the ICARE (Integrity, Commitment, Advocacy, Respect, Excellence) Core Values in interactions with Veterans, staff, and other stakeholders. Additional duties as assigned. Work Schedule: Monday- Friday, 8:00am - 4:30pm Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 10251F, 10043F, 10044F Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not authorized

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: 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, 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, Master's Degree or higher in occupational therapy. 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. 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. 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. Exceptions for the Graduate Occupational Therapist. 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). 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. A graduate OT may provide care only under the direct supervision of a licensed OT who meets all state regulatory requirements. 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 e