Clarification from the agency

NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. This announcement is open to all qualified U.S. Citizens. **** Applicants will be reviewed and referred based on Veterans' Preference.

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The Physical Therapist Pain Clinical Specialist functions as a core team member of the multidisciplinary 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 treatment team the Physical Therapist Pain Clinical Specialist maintains a working relationship with medical and allied health specialists to coordinate patient treatment to affect maximum rehabilitation potential. The therapist participates in ward rounds with ward physicians and other members of the treatment team. The therapist explains and discusses both theoretical and practical aspects of physical therapy treatment and therapeutic techniques with various groups within the medical center.

Duties include but are not limited to:

Clinical

• Interprets the prescriptions requesting physical therapy using specialized skills and medical knowledge in the evaluation of the patient's medical condition.
• Evaluates, Assesses, Differentially Diagnoses and Treats patients who utilize physical therapy as primary point of entry into medical care through direct access or self-referral. Demonstrates the knowledge and expertise to provide referral to other primary providers and specialists when examination/treatment suggest red flags (non-neuromusculoskeletal pain/impairment generators), or patient is not responding to clinical course of care. Demonstrates the ability to clinically solve problems and follow clinical prediction rules to help make referral for additional diagnostic testing. Documents care in medical record for correspondence between therapist and patient's medical team.
• Evaluates the patients' present functional levels and disabilities. Ages of patients served at this facility range from the young adult (ages 18-39), middle-aged patient (ages 40-64), to the elderly or geriatric patient (ages 65-80+). There is great variance in the developmental needs of these patients. Every effort will be made to modify treatment in response to these variances so that optimal care can be provided for each patient referred to in-physical medicine and rehabilitation services.
• Assesses the need for home equipment and orders or devises the necessary equipment to ensure optimal functioning in the home environment. This includes conducting visits to the home to make recommendations and take measurements and work directly with the patients and/or family members for safe use of equipment.

Pain Specialist Assignments

• Carry out general duty assignments but primarily serves as a subject matter expert in the specialty area at least 25% of the time, not to exceed 75% of duty time.
• Independently solves complex problems, demonstrates expert clinical practice skills in providing assessment and treatment across the continuum of care for the pain population.
• Utilizes acquired advanced knowledge, training, expertise to adapt and modify treatment plans, activities, and interventions to meet the changing needs, goals, and performance of patients.
• Provides in-service and clinical training programs in pain management. This would include regularly updating the PT staff on pertinent pain management or specialized treatment approaches during the weekly in-services and/or PM&RS staff meetings. These individuals would also be responsible for providing education regarding physical therapy practice to medical residents, students and Fellows that rotate through the Medical Center.

Documentation

• Documents clearly and concisely the physical findings noted during the evaluations as well as changes in medical status via progress notes. A 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 reimbursement potential.
• Accurately maintains documentation in keeping with PM&R service-level and hospital-wide policies.
• Maintains a high level of professional competence through participation in continuing education such as attending workshops and conferences, and through continuous review of medical-therapeutic literature.
• Contributes to the maintenance of a safe, therapeutic environment in all clinical areas assigned.

Work Schedule: Monday - Friday, 7:45 a.m.-4:30 p.m.
Telework: Not Available
Virtual: This is not a virtual position.
Position Title/Functional Statement #:Physical Therapist (Clinical Specialist)/PD000000
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

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.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• 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).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred to and tentatively selected but may not be hired until all requirements are met.

Basic Requirements:

• Citizenship: Candidates must be a citizen of the United States. After a determination is made that it is not possible to recruit qualified citizens, necessary personnel may be appointed on a temporary basis under authority of 38 U.S.C. 7405 without regard to the citizenship requirements of 38 U.S.C. 7402 or any other law prohibiting the employment of or payment of compensation to a person who is not a citizen of the United States. Candidates must meet all other requirements for the grade and position concerned.
• Education and experience: The individual must meet at least one of the requirements below:
  • Bachelor's degree in physical therapy AND five (5) years of progressively independent experience as a physical therapist. OR,
  • Master's degree in physical therapy AND two (2) years of progressively independent experience as a physical therapist. OR,
  • Doctorate degree in physical therapy.

• 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.
• 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.

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.


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 Requirements:

Creditable Experience: 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.

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.

Grade Determination:

GS- 13 Physical Therapist (Clinical Specialist): In addition to meeting the basic requirements, one year of progressively complex experience equivalent to the GS-12 grade level and one of the following:

1. Evidence of a minimum of 2,000 hours of clinical practice directly in the specialty area. This time must be between the past two and five years; OR,

2. Board Certification in the specialty area recognized by ABPTS; OR

3. Completion of a fellowship program; OR

4. An additional advanced degree in a related field. In addition, the candidate must demonstrate all following KSAs:

• Advanced knowledge and expert skill in a range of specialized interventions and treatment modalities used in a specialized treatment area of physical therapy.
• Ability to serve as a consultant and subject matter expert for health care providers regarding the delivery of care within a specialized content area of physical therapy.
• Ability to teach and mentor medical center staff in a specialized content area of physical therapy.
• Ability to guide the work of a multi-disciplinary team in a specialized content area of physical therapy.
• Advanced knowledge and expert skill to perform and interpret specialized procedures and tests in evaluating the treatment outcomes in the assigned specialty content area.

Preferred Experience: Specialized experience in pain.

Assignment: For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and variety. Clinical Specialists spend at least 25% or more of their time working with specialized population(s) within their department. Physical therapists at this level perform assignments in specialty areas such as geriatrics, neurology, cardiopulmonary, orthopedics, spinal cord injury, amputee, wound care, chronic pain, electromyography, women's health or pelvic health, polytrauma, brain injury, lymphedema, vestibular, assistive technology, seating and mobility. The individual is assigned responsibility for serving as the subject matter expert in the content specialty area and as a consultant to physical therapy and other medical center staff in evaluating and treating patients in the specialty area. Clinical Specialists have advanced knowledge and demonstrate expert clinical practice skills in providing assessment and treatment interventions across the continuum of care. He/she utilizes advanced knowledge and expertise to modify treatment plans and to identify therapeutic activity interventions based on the changing needs, goals and performance of patients. Clinical Specialists have advanced training in specialized technology related to their area of practice. He/she establishes and maintains contact with other health care providers involved in patient care via written, telephone, and personal communication on a regular basis. He/she exercises expert professional judgment to establish appropriate discharge planning recommendations to ensure safe discharge from inpatient or outpatient rehabilitation programs. If the medical center has a PT residency program, the clinical specialist may be on faculty for the program.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: The physical therapist may engage in the following activities/positions/tasks as defined: Lifting/carrying up to 45 pounds or higher intermittently, frequently walking, standing, and sitting for up to 8 hours/day. Occasional stooping, kneeling, overhead reaching, fine manipulation, pushing and/or pulling. Reaching above shoulder, use of fingers, both hands required, repeated bending, near vision correctable at 13" to 16" to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, hearing with aid allowed, clear speech, and working closely with others or working alone. Ability to wear gloves if needed, working around machinery with movable parts.

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, resume, 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.

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.