Summary

The Physical Therapist Position requires a fully licensed Physical Therapist - who serves as a staff Physical Therapist for the John J. Pershing VAMC Home Based Primary Care Team Physical Therapy clinic. The primary function of this position is to provide evaluation and treatment of patients referred for physical therapy in the Home Based Primary Care setting.

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 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
• Master's degree in Physical Therapy AND two (2) years of progressively independent experience as a physical therapist
• Doctorate degree in physical therapy
• 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
• 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
• 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)
• All licensed PTs employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the title - series and grade held - including positive education and licensure that are part of the basic requirements of the occupation
• For employees who do not meet all the basic requirements required in this standard - but who met the qualifications applicable to the position at the time they were appointed to it - the following provisions apply: Employees grandfathered into the GS-0633 occupational series as PTs may be reassigned - promoted up to and including the full performance (journey) level - or changed to lower grade within the occupation
• PTs who are appointed on a temporary basis prior to the effective date of this qualification standard may not have their temporary appointment extended or be reappointed on a temporary or permanent basis until they fully meet the basic requirements of this standard
• PTs initially grandfathered into this occupation - who subsequently obtain additional education and/or licensure/certification/registration - meet all the basic requirements of this qualification standard and must maintain the required credentials as a condition of employment in the occupation
• If PTs who are grandfathered under this provision leave the occupation - the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation
• Grade Determinations: GS-12 Physical Therapist (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: 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
• 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
• 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
• 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
• 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
• 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• The full performance level of this vacancy is GS-12
• Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing a weight of 35 pounds in accordance with the Safe Patient Handling Program Directive 2010-032
• Transferring patients and objects may be required
• Mechanical inpatient lifts are provided
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settings
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• Must complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment.

Duties

• Incumbent independently performs patient evaluations in an open access environment - using appropriate standardized and non-standardized tests and independently develops and implements physical therapy treatment programs for both routine and complex patients
• 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 Physical Therapist works in conjunction with other rehabilitation therapist(s) to assure the following is accomplished: initial and ongoing assessments of the Veteran's functional status initial and ongoing assessments of safety in the environment determination of need for home medical equipment (HME) - appropriateness of Home Improvement and Structural Adaptation (HISA) grant application - and appropriateness for power mobility use
• teaching and monitoring the safe use of HME devices to patients and caregivers reporting equipment problems to the Prosthetic and Sensory Aids Service establishing a therapeutic program for the Veteran to maximize or maintain the Veteran 's functional status - and monitoring the response supervising rehabilitation therapy students as assigned Able to work independently and effectively with other members of the team - patients - and families/caregivers of patients
• Manages time independently in order to allow adequate time for patient care - administrative tasks - clinical record keeping and patient care conferences
• Actively participates in performance improvement projects and completes associated assignments as required
• Actively participates in Physical Therapy peer review process - as assigned
• Participates in or coordinates program development for the Home Based Primary Care Team.
• All documentation - to include consultations/evaluations - progress notes - treatment notes - discharge notes - treatment plans - and client education - is completed on all patients in accordance with Station policies (VA - PM&RS - PT) for content and timeliness
• Physical Therapist provides thorough written documentation of patient status - progress with therapy - therapy plan - and patient response to treatment in SOAP note format
• Physical Therapist works and consults with patient and significant others/caregivers to establish short and long term goals as well as discharge plans
• Provides coverage for Inpatient Physical Therapist on an as needed basis
• Actively participates in his/her own ongoing professional development - maintaining an appropriate level of education as required by the Missouri Division of Professional Licensure for Physical Therapy and APTA standards
• Attends section in-services as well as hospital wide in-services as indicated
• Attends and completes mandatory in-service training as required by VA - PM&R - and PT policies
• Capable of providing training and supervision to part time and/or full-time physical therapy student affiliates and able to provide necessary guidance and direction to Physical Therapy Assistants - physical therapy students - volunteers - and/or CWT
• Able to serve as a resource to new graduate physical therapists in clinics regarding patient care issues
• Work Schedule: Monday - Friday 7:30am-4:00pm Telework: ADHOC Virtual: This is not a virtual position
• Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized