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Physical Therapist (Home Based Primary Care)

Department of Veterans Affairs
Veterans Health Administration
VA Boston Healthcare System (Jamaica Plain campus)
This job announcement has closed

Summary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.


Overview

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Hiring complete
Open & closing dates
03/02/2023 to 03/22/2023
Salary
$93,175 to - $121,128 per year
Pay scale & grade
GS 12
Location
1 vacancy in the following location:
Boston
1 vacancy
Remote job
No
Telework eligible
No
Travel Required
75% or less - You may be expected to travel for this position.
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Excepted
Promotion potential
12
Job family (Series)
Supervisory status
No
Security clearance
Other
Drug test
Yes
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Announcement number
CBTD-11867109-23-JM
Control number
710106300

Videos

Duties

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VA Careers - Physical Therapy: https://youtube.com/embed/Gi2hoFqIoqY

As independent practitioners, licensed physical therapists embrace evidenced based practice standards in diagnosis, examination, management, intervention, treatment and outcome measurement. Licensed physical therapists collaborate across the continuum of care. They ensure that services are coordinated, including ordering studies of value and being consumer-centered by referring, co-managing, engaging consultants, and independently supervising care.

The Home Based Primary Care (HBPC) Physical Therapist position requires a fully certified and licensed physical therapist, who serves as a staff physical therapist for the HBPC program. The primary function of this position is to provide home-based evaluation and treatment of patients referred for physical therapy. When providing patient care, the incumbent performs the full range of functions stated below primarily for adult and older adult patients.

The primary function of this position is evaluation and treatment of patients referred to physical therapy. The therapist develops rehabilitation objectives for individual patients and creating/implementing patient treatment plans to restore and enhance their performance and potential for independent living or maximum function within their lifestyles. The duties vary, covering a wide range of medical diagnosis, many with multiple, complex interacting problems which need to be considered in the total treatment program.

The incumbent must adhere to the facility's rules, policies and procedures and to the American Physical Therapy Association (APTA) standards of practice and standards of ethics to ensure quality patient care.

Incumbent independently performs patient evaluations, using appropriate standardized and non­-standardized tests and independently develops and implements physical therapy treatment programs for both routine and possibly complex patients. HBPC Physical Therapist is able to modify treatment programs when appropriate. Physical Therapist recognizes contraindications and appropriateness of treatment prescribed by referring provider and consults with referring provider if these are in question. The HBPC Physical Therapist works in conjunction with other HBPC rehabilitation therapist(s) to assure the following is accomplished:

  • Conducts initial and ongoing assessments of the veteran's functional status
  • Evaluates the veteran's home for the structural modifications needed to make the home environment safe and accessible
  • Performs initial and ongoing assessments of safety in the home environment
  • Determines the need for home medical equipment (HME)
  • Teaches and monitors the safe use of HME devices to patients and caregivers
  • Reports equipment problems to the Prosthetic and Sensory Aids Service
  • Teaches energy conservation techniques and proper body mechanics to the veteran as well as to the caregiver to minimize risk of injury
HBPC Physical Therapist also performs the following functions or in the following manner:
  • Assists with triaging incoming consults and managing patient caseloads
  • Works independently and effectively with other members of the team and families/caregivers of patients
  • Participates in the physical therapy peer review process, as assigned
  • Participates in performance improvement projects and completes associated assignments as required
  • Participates in or coordinates program development for the HBPC Rehabilitation Component or for the greater HBPC Team
  • Performs consultations/evaluations, progress notes, treatment notes, discharge notes, treatment plans, and client education, which is completed on all patients in accordance with Station policies (VA, PM&RS, HBPC, PT) for content and timeliness
  • Provides clear written documentation of patient status, progress with therapy, therapy plan, and patient response to treatment
  • Works and consults with patient and significant others/caregivers to establish short and long term goals, as well as discharge plans in accordance with policies of the facility
  • Provides training, supervision and necessary guidance and direction to students and volunteers
Work Schedule: 7:45 a.m. - 4:15 p.m., 40 hours per week (Monday - Friday)
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statements #: 523-F03626 (GS-12)
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Contact Karen J. Chapman, Human Resources Assistant (Compensation), VISN 1 Compensation Center of Excellence, Veterans Health Administration - New England Healthcare System, Email: Karen.Chapman@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Requirements

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Conditions of employment

  • You must be a U.S. Citizen to apply for this job.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications

Health Professions Trainee (HPT) upcoming graduates 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. HPT includes interns, residents, fellows, VA advanced fellows, and pre- and post-doctoral fellows who spend all or part of their clinical training experiences at VA facilities.

COVERAGE. The following standard lists the requirements for appointment as a Physical Therapist (PT) in the Veterans Health Administration (VHA). The requirements will apply to all VHA PTs employed in the GS-0633 series that provide clinical services to address a vast array of problems that impact the health and function of a wide range of diverse patients.

BASIC REQUIREMENTS. To qualify for appointment, all applicants for the position of physical therapist in VHA must meet the following:

a. Citizenship. Candidates must be a citizen of the United States.

b. Education and experience. The individual must meet at least one of the requirements below:

(1) Bachelor's degree in Physical Therapy AND five (5) years of progressively independent experience as a physical therapist.

(2) Master's degree in Physical Therapy AND two (2) years of progressively independent experience as a physical therapist.

(3) Doctorate degree in physical therapy.

c. 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.

d. Loss of Credential. A PT who fails to maintain the required license must be removed from the occupation, which may result in termination of employment. At the discretion of the appointing official, an employee may be reassigned to another occupation, if qualified, and if a placement opportunity exists.

e. English Language Proficiency. Individuals appointed under authority of 38 U.S.C. chapters 73 or 74, to serve in a direct patient-care capacity in VHA must be proficient in written and spoken English.

Grade Determination. In addition to the basic requirements for appointment in paragraph 2, the following criteria must be used when determining the appropriate grade assignment of candidates.

GS-12 Physical Therapist (Full Performance Level)

(a) 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 and demonstrate all the KSAs below:

(b) Demonstrated Knowledge Skills and Abilities:

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.

(c) Assignment. At the full performance level, PTs are responsible for independently providing assessment and treatment interventions to inpatients and outpatients received through healthcare provider referrals and patient self-referrals. Guided by differential and movement diagnoses, PTs perform 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 personal and environmental factors. PTs interpret findings from examination, diagnostic studies/medical tests and, during evaluation, select appropriate clinical tests and measures, and then integrate findings into the physical therapy plan of care for the full range of patient populations. PTs establish a diagnosis within the scope of physical therapy and identify the appropriate intervention to treat and/or refer to another provider for further consultation when needed. They determine physical therapy prognosis by incorporating examination findings with the patient's preferences for meaningful level of function in order to set clinically appropriate treatment goals and optimize outcomes. Physical therapists select appropriate equipment needed to substitute for loss of function or to substitute for limited function of individuals they treat. Staff PTs at this level practice autonomously, making recommendations and referrals to other medical specialties/services as clinically indicated during ongoing assessment of patients under their care. The staff PT may also develop and provide individualized clinical training experiences for physical therapy students in facilities with established clinical experience rotations. PTs at this level may be given general assignments in any/all areas where physical therapy services are deemed necessary, and/or may serve as the sole PT at a less complex facility. Individuals may perform ancillary assignments as deemed appropriate given the needs of a facility on an occasional basis, where the amount of work is not substantial (less than 25% of the duty time).

Preferred Experience: 3-5 years experience and 2 years of Home Care experience

Reference: VA Handbook 5005/99, Part II, Appendix G12 dated February 7, 2018

Definitions:

(1) Knowledge of Contemporary Professional Physical Therapy Practice. To be creditable, a candidate must have demonstrated possession of the required knowledge, skills, and abilities associated with the scope of physical therapy practice. The candidate's experience may be evidenced by one or more of the following:

(a) Active professional practice. Active professional practice means paid/non-paid employment as a professional PT as defined by APTA or the appropriate licensing board. Experience gained after graduation but prior to licensure is creditable provided the candidate was utilized as a graduate PT and subsequently passed the licensure examination.

(b) Completion of a post-graduate fellowship or a post-graduate residency program may be substituted for creditable experience on a year for year basis.

(2) Quality of Experience. Experience is only creditable if it was post degree experience as a professional PT and is directly related to the duties to be performed. Qualifying experience must also be at a level comparable to or exceeding the professional PT experience at the next lower grade level.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

NOTE: Prior to 1995 the terminal degree for PT's was either a bachelors or master's degree. In 1995 CAPTE accredited all baccalaureate, master's, and Doctor of Physical Therapy terminal degree programs. Effective 2002, CAPTE changed its scope of accrediting activities of PT education programs to include only those programs that culminate in post-baccalaureate degrees(eliminating the baccalaureate degree). Effective 2015, professional physical therapy education programs have only offered the Doctor of Physical Therapy (DPT) degree to all new students.

NOTE: Individuals must be a graduate of a Commission on Accreditation in Physical Therapy Education (CAPTE) accredited college or university. The CAPTE is the only accreditation agency recognized by the United States Department of Education (USDE) and the Council for Higher Education Accreditation (CHEA) to accredit entry-level physical therapy programs. Verification of accredited programs may be obtained from the American Physical Therapy Association (APTA) at www.apta.org.

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. The Foreign Credentialing Commission on Physical Therapy (FCCPT) is a non-profit organization created to assist the United States (U.S.) Citizenship and Immigration Services (formerly INS) and U.S. state licensing authorities by evaluating the credentials of Foreign Educated Physical Therapists (FEPTs) who wish to immigrate and work in the U.S. Although the licensing of physical therapists in the U.S. is a right and responsibility of each jurisdiction, foreign educated individuals must undergo an educational credentials assessment for substantial equivalency to the first professional degree in the US. The Federation of State Boards of Physical Therapy (FSBPT) is committed to protect the public and to provide leadership within the field and practice of physical therapy. FSBPT's Foreign Educated Standards Committee has developed standards that represent "best practices" in evaluation services. The Credentials Evaluation Standards were developed with input from the physical therapy credentialing agencies that are licensed to use FSBPT's Coursework Tool.

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

Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

This job opportunity announcement may be used to fill additional vacancies.

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.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

Résumé Reminder: Your résumé must include the following information each job listed:

1. Job title
2. Duties (be as detailed as possible)
3. Month & year start/end dates (e.g. June 2007 to April 2008)
4. Full-time or part-time status (include hours worked per week)

Please be aware that your answers will be verified against information provided on your résumé.

Physical Requirements: The position consists of sedentary and active tasks. Sedentary tasks include but are not limited to sitting at a desk, utilizing computer and completing phone calls and charting. Active tasks include but are not limited to; walking, standing, bending, steps, squatting, reaching above and below your head and carrying of light items such as books, paper and adaptive equipment.

Part-Time Experience. Part-time experience is creditable according to its relationship to the full-time work week. For example, one week of full-time credit is equivalent to two weeks of part-time work.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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.

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