The Occupational Therapist (OT) independently performs a comprehensive evaluation and interpretation of the level of functions and carries out the appropriate therapy to teach new or compensating skills to optimize patient performance on his/her roles. The primary responsibility of this assignment is the delivery of ethical, customer oriented, quality and specialized OT services in Spinal Cord Injuries/Disorders System of Care.

Duties

Supervising Occupational Therapy Assistants, Occupational Therapy Students, and volunteers when applicable and depending on assignment. Position is located in the Occupational Therapy (OT) Department of the Physical Medicine and Rehabilitation Service (PM&RS) at the VA Caribbean Healthcare System. Occupational Therapist at Full Performance Level (FPL) include, but are not limited to: 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. Uses standard and non-standard evaluation procedures and advanced techniques to obtain information about patient's impairment, activity limitations, participation restrictions, strengths and barriers. Adapts assessment tools to the complexity of the diagnosis and identify the need for further depth specific assessment. Develops and implements independently, an individualized treatment program based on patients' goals, evaluation findings, physician recommendations, person potential to benefit and intended discharge environment. Collaborates with the treatment team by interpreting assessments predicted outcomes and rehabilitation needs for establishing or modifying treatment goals and discharge plans. Assesses educational needs of patients and caregivers and meets those considering physical/mental capabilities, cultural and behavioral variables. Orients patients and family or caregiver on assessment findings and treatment plan to involve them in the total rehabilitation management of the person. Education will be documented to keep track, and reinforce education as needed. Performs assessment for wheelchair(s) (manual, motorized and/or sports) and configuration cushion assessment and provides adequate positioning which is important in spinal cord injury person(s) served. Uses judgment knowledge and skills to provide advanced treatment modalities that may include, but not to be limited to: task-oriented activities, creative media, games, computers and vocational and/or psyco-educational exercises are used, also. Complements treatment program with the application of mobilization, sensory integration and neuro-developmental techniques. Certified in the use of Alpha-Stirn (micro-current stimulation). Recommends and/or fabricates and applies orthotic/prosthetic appliances, self-help devices and electronic aids to enhance daily living skills. Evaluates discharge environment (home and/or employment site) to recommend changes or modifications that will facilitate function of patient to be successful in his/her roles. Consider architectural attitudinal, communication, employment and any other barrier affecting outcomes. Re-evaluates person served at appropriate intervals and updates treatment plan and goals accordingly, to promote the skills necessary to be successful in next environment of care. Documents at the beginning, during interdisciplinary rounds and at the end of every admission. Documents in the medical record all treatments interventions, as required by policies and procedures of Service and accrediting bodies. Responsible for utilizing appropriate protective equipment when needed, observing safety measures always and participation in drills. Always enforces confidentiality of patient and employee's information. Employee meets national and agency safety/infection control standards for OSHA, CARF and TJC. Actively participates in SCI Adaptive Sports Clinic assisting in the rehabilitation of person(s) served and in the preparation for their participation in the National Veterans Wheelchair Games. Incumbent has an active relationship with the Physical Medicine Rehabilitation Attending Physicians, Resident Physicians and Staff Physicians to include open communication and participation in case discussions. Work Schedule: Monday - Friday, 7:30 am - 4:00 pm, may include weekends & holidays, and may also be required to work various rotating shifts on a permanent or temporary basis based on facility/patient care needs. Telework: Not Available Virtual: This is not a virtual position. 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

Qualifications

Basic Requirements: United States Citizenship: Be a citizen of the United States. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Proficiency: Candidate 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 following requirements below: (1) 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~ (2) 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~ (3) 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. Certification: Candidates must possess a current NBCOT certification as an OT. State Licensure: Candidate 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. Exceptions for a 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. 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. GRADE REQUIREMENTS: Occupational Therapist, GS-09 Education, Experience, or Licensure. None beyond the basic requirements. Occupational Therapist, GS-11 - (licensure and certification-submitted) In addition to meeting the basic requirements, license and certification requirements, you must have one year of experience equivalent to at least the GS-09 grade level directly related to the position being filled. ~or~ Three years of progressively higher level graduate education leading to a degree in occupational therapy or a directly related field. ~or~ Doctorate in occupational therapy. Additionally, you must demonstrated Knowledge, Skills, and Abilities (KSAs) listed below. Knowledge of occupational therapy practice. Ability to administer/interpret evaluation findings to develop and coordinate intervention plans, including goals and methods of treatment. Ability to implement intervention plans directly or in collaboration with others. Skill in monitoring an individual's response to interventions and modify treatment plans and reevaluating as indicated. Ability to communicate and or collaborate with patients, family members, caregivers, interdisciplinary professionals and/or other individuals verbally and in writing. Knowledge of health and safety regulations to minimize risk in the provision of patient care and the environment of care. Knowledge of applicable regulations governing documentation, reimbursement and workload entry in accordance with established professional practice. Occupational Therapist, GS-12 - (licensure and certification-submitted) In addition to meeting the basic requirements, license and certification requirements, you must have one year of experience equivalent to at least the GS-11 grade level directly related to the position being filled. Additionally, you must demonstrated Knowledge, Skills, and Abilities (KSAs) listed below. 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. Ability to collaborate and communicate orally and in writing with all internal and external stakeholders. 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. Skill in procuring, fabricating, adjusting, adapting, and modifying orthoses, splints, and adaptive equipment for activities of daily living (inclusive of durable medical equipment). Ability to conduct OT related in-service and clinical training. References: VA Handbook 5005/127 Part II Appendix G14 Occupational Therapist Qualification Standard. The full performance level of this vacancy is GS-12 The actual grade at which an applicant may be selected for this vacancy is GS-09/11/12. Physical Requirements: Heavy lifting (45 pounds or over); light carrying (under 15 pounds); straight pushing (.5 hours); reaching above shoulder; use of fingers; both hands required; walking (.5 hours); standing (.5 hours); crawling (.5 hours); kneeling (.5 hours); repeated bending (1 hour); climbing, legs only (.5 hours); climbing, use of legs and arms; operation of crane, truck, tractor or motor vehicle; ability for rapid mental and muscular coordination simultaneously; specific visual requirement (corrective lenses okay); both eyes required; ability to distinguish basic colors; hearing (aid may be permitted); mental and emotional stability.

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 San Juan VA Medical Center 10 Calle Casia San Juan, PR 00921 US
• Name: Manuel Colon
• Phone: 407-631-8496
• Email: [email protected]