The Recreation Therapist is assigned to the recreation therapy section of Physical Medicine and Rehabilitation Services (PMRS) at the Salem VA Medical Center. The staff recreational therapist is a certified professional therapist and provides services within the medical center (including but not limited to the Community Living Center, Inpatient Behavioral Health, Substance Abuse and Post Traumatic Stress Program), Clinic Based Outpatient Clinics (CBOC's), Home Based programs in the community.

Duties

DUTIES: Clinical: Evaluates, establishes goals based on evaluation findings, and develops treatment interventions. Implements and modifies as necessary treatment plan and goals as needed throughout course of treatment to ensure optimum outcomes. The Recreation Therapist is expected to perform documentation of patient care including assessments, progress notes, encounters, consultations, care plans, and other reports as needed. Utilizes Recreation Therapy expertise for direct service delivery to patients. Acts as a subject matter expert to staff, students, and other healthcare professionals. Functions as a core team member of the interdisciplinary team for the purpose of providing total health care delivery to the patient and continuity of care by sharing ideas and exchanging pertinent information. As a member of the interdisciplinary team, maintains a working relationship with medical and allied health specialists to assist in coordinating patient treatment to effect maximum rehabilitation potential. In consultation with patients, their families, and caregivers, the Recreation Therapist shall educate as required regarding treatment interventions and goals, in addition to any consideration involving adaptations and community resources to better ensure optimal treatment outcomes. Demonstrates ability and competency in treating patients that range in age from young adult to geriatric who may experience complex medical or mental health issues. Transports Veterans in the community. Incumbent satisfies all and meets minimum VA and VHA requirements. The incumbent will be able to function independently in the community with minimal to no direct supervision. Administration: Adheres with Medical Center policies. Utilizes Automated Data Processing (ADP) system in accordance with established procedures. Accurately maintains documentation in keeping with PM&RS service-level and hospital-wide policies. Documents clearly and concisely the physical, cognitive, social and emotional findings noted during the evaluations as well as changes in medical/mental status via progress notes. A recreation therapist at this level will be able to document appropriately to support the level of care provided. This includes understanding and practicing documentation and coding practices to maximize clinical utilization. Contributes to the maintenance of a safe, therapeutic environment in all clinical areas assigned. Promotes effective communication with all patients, caregivers, treatment team members, Medical Center staff and community partners. Participates in the evaluation of equipment and supplies, which affects service delivery. Initiates ordering specific and appropriate leisure/recreation resources use for patient treatment needs and procurement process. Attends and participates in all section/service - level staff meetings as well as educations programs as indicated. Participates in ongoing quality assurance activities as established within PM&RS and the VAMC, through various monitors and other activities relevant to continuity and quality of patient care and services. Education: Maintains a high level of professional competence through participation in continuing education such as attending workshops and conferences, and through continuous review of professional therapeutic literature as indicated. Assists in teaching and providing learning experiences for Recreation Therapy clinical interns as required. Participates in staff orientation, successfully completes Medical Center assigned mandatory trainings, and in-service activities. Deliver treatment in compliance with Veterans Health Administration (VHA) accrediting agencies and VHA directives. Work Schedule: Monday -Friday 7:45am-4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

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: A bachelor's degree or higher, from an accredited college or university, with a major in therapeutic recreation or recreation/leisure, with an option and/or emphasis in therapeutic recreation. The degree must be approved by the National Council for Therapeutic Recreation Certification (NCTRC); OR A bachelor's degree or higher in any field from an accredited college or university and must be a certified therapeutic recreation specialist (CTRS). The degree must be approved by the NCTRC. If hired under this education, the certification cannot be waived. Experience: At least one year of creditable experience at the next lower grade level. 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: GS11: Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, the candidate must demonstrate all of the following KSAs i. Ability to adapt assessment tools and treatment interventions to address the complexity of the diagnosis or disabilities and demonstrate the clinical reasoning necessary to identify the need for further in-depth specific assessment of function and utilization of unconventional methods and techniques. ii. Knowledge to independently interpret provider referrals and consults; and apply all health and safety regulations to minimize and mitigate risks in the provision of patient care and the environment of care. iii. Skill in effectively communicating and educating, in a clear and concise manner, with patients, families, caregivers, and other health care professionals to facilitate the interdisciplinary treatment process. iv. Skill in independently utilizing appropriate screening and evaluation techniques required to appropriately provide direct patient care in areas such as, but not limited to recommendations for recreation therapy assistive devices, including fit and function. v. Skill in independently applying evidence-based and best practice therapeutic techniques and interventions.vi. Knowledge of the principles and techniques in recreation therapy assessment and the treatment of recreation, leisure, and biopsychosocial functional deficits. Assignment. Employees serving at the full performance level function with independent judgment to administer and interpret recreation therapy assessments and utilize clinical competencies to develop unconventional assessment and interview approaches to effectively elicit information. They conduct, analyze, interpret, and report assessment data based upon functional domains (cognitive, sensory, social, affective, physical, and leisure). Incorporating the four-step process of assessment, planning, implementation, and evaluation of services delivered, the therapist constructs evidence-based recreation therapy interventions for treating patients with complex medical or mental health issues, such as polytrauma, traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), spinal cord injury (SCI), substance use disorder/addictions, serious mental illness (SMI), and hospice/palliative care requirements. They provide direct patient care and receive guidance from higher-level supervisory staff members for only the most complex patients and require only general supervision. They review recreation therapy consults and conduct comprehensive evaluations. Based upon the assessment data, and in collaboration with other stakeholders, the therapist develops individualized treatment plans with measurable therapeutic goals and objectives including scope, duration, and treatment. They recommend adaptation, modification, and/or assistive technology to meet a patient's assessed needs and preferences in recreation therapy. Through the use of activity/task analysis, behavioral interventions, and therapeutic procedures, the therapist designs individualized treatment interventions to reduce stress, anxiety, and maladaptive behaviors; recover basic motor functioning and reasoning abilities; build confidence; and develop compensatory strategies to master critical life skills necessary to re-enter the community in a productive manner. Sophisticated techniques/strategies used to improve or support clinical outcomes may include, but are not limited to: developing positive patterns of behavior; relaxation and stress reduction; lifestyle alteration; social skills training; developing or improving (enhancing) self-esteem; developing and maintaining positive relationships; motor learning and training strategies; anger and pain management; identify risks; recovery support; lifestyle adjustment; conflict/problem resolution; adjustment to disability; and including coping with grief and loss. Resourcefulness is exercised in providing individualized, unique, effective methods and procedures when implementing therapeutic interventions including, but not limited to: assistive technology; cognitive behavioral skills; aquatic therapy; fitness and wellness; community accessibility/reintegration/transition; and adapted sports and leisure development. Patient needs are evaluated for additional, alternative, or termination of services. Intervention plans are monitored for effectiveness, making modifications, as needed. Recreation therapists determine the effectiveness of protocols, modalities, and programs for targeted groups through quantitative analysis and identify potential risks and needs for adaptive interventions to facilitate improved biopsychosocial well-being. They participate in co-treatment opportunities, including but not limited to: neurological rehabilitation, mental health recovery programs, and palliative care related to the symptoms of a terminal illness. Discharge analysis and planning is conducted for community needs. References: VA Handbook 5005/111, Part II, Appendix G60. The full performance level of this vacancy is 11. The actual grade at which an applicant may be selected for this vacancy is in the range of 11 Physical Requirements: See VA Directive and Handbook 5019.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Salem VA Medical Center 1970 Roanoke Boulevard Salem, VA 24153 US
• Name: Kera Madden
• Phone: 540-982-2463 X2770
• Email: [email protected]