Physical Therapist (Clinical Specialist) is responsible for completing complex evaluations and treatments via application of advanced evaluation methodologies and treatment theories in the provision of Lymphedema care to a diverse population of patients, as well as, provide clinical practice guidance for other staff therapists. 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: The minimum qualifications for assignment as a Lymphedema Physical Therapy Specialist at this grade are: Citizenship: Citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens. Education: Graduate of a degree program in Physical Therapy from a college or university accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE) with a Baccalaureate degree or higher in Physical Therapy Certificate in Physical Therapy with a Baccalaureate degree or higher in a related fiel Current LANA certification in good standing Assignment: Employees at this level serve as LANA certified Lymphedema Physical Therapy Specialist in a specialty content area within a Complexity Level 1a facility. Licensure: Current, full, active, 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: Spoken and written English language proficiency in accordance with VA Handbook 5005, Part II, Chapter 3, Section A, Paragraph 3j. NOTE. Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetency or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the state for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed physical therapists on VA rolls as of November 30, 1999, provided the individual maintains a continuous appointment and is not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. Grade Determinations GS- 13 Physical Therapist (Clinical Specialist) Experience: 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: 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 Board Certification in the specialty area recognized by the ABPTS; or Completion of a fellowship program; or An additional advanced degree in a related field. In addition, the candidate must demonstrate the all following KSAs. Demonstrated Knowledge, Skills, and Abilities: 1. Advanced knowledge and expert skill in a range of specialized interventions and treatment modalities used in a specialized treatment area of physical therapy. 2. 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 (see paragraph 2i). 3. Ability to teach and mentor medical center staff in a specialized content area of physical therapy. 4. Ability to guide the work of a multi-disciplinary team in a specialized content area of physical therapy. 5. Advanced knowledge and expert skill to perform and interpret specialized procedures and tests in evaluating the treatment outcomes in the assigned specialty content area. 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 greater 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. References: VA Handbook 5005, Part II, Appendix G13, "Physical Therapist Qualification Standard" Physical Requirements: Heavy lifting, 45 pounds and over, use of fingers, both hands required, reaching above shoulder, Walking (8 hours), Standing (8 hours), Both legs required (1 prosthetic), Far vision correctable in one eye to 20/20 and to 20/40 in the other, Ability to distinguish basic colors, Ability to distinguish shades of colors, Hearing (Aid permitted), and Mental and emotional stability. ["VA Careers - Physical Therapy: https://youtube.com/embed/Gi2hoFqIoqY The Physical Therapist / LANA certified Lymphedema Clinical Specialist will function in accordance with: Federal law. The Standards of Practice for Physical Therapists and the Physical Therapy Code of Ethics as published by the American Physical Therapy Association. Clinical / Administrative Skills of a Physical Therapy Clinical Specialist in Lymphedema. The Physical Therapist/LANA certified Lymphedema Clinical Specialist: Is viewed as a clinician, whose skills are beyond entry-level competence, functioning beyond the full performance level of a staff physical therapist and whose skills demonstrate the ability to perform with a high degree of autonomy in patient care and exercising independent problem-solving skills. Possesses advanced knowledge and expert skill in a range of specialized interventions and treatment modalities used in Lymphedema Physical Therapy. Such knowledge would typically be acquired through a minimum of 2 years clinical experience in the specialty area, or a Board Certification by the Lymphedema Association of North America (LANA), completion of a clinical residency or fellowship program, or by obtaining an advanced degree in a related field. Possesses the ability to serve as a consultant for health care providers regarding the delivery of care within Lymphedema Physical Therapy. Teaches and mentors physical therapists and other medical center staff in Lymphedema PT (i.e. Department and hospital level in-services). Guides and evaluates the work of a multi-disciplinary team in Lymphedema PT. Possesses advanced skill to perform and interpret specialized evaluative procedures and tests in evaluating treatment outcomes in Lymphedema PT. Conducts their own examinations, treatment planning, interventions, documentation, and follow-up evaluations at the Phoenix VA Medical Center, which includes Veterans from the CBOCs and CLC; and also for support personnel and any assigned Staff PT on a prn basis. Is responsible for the Triaging of IP, OP, and CLC Physical Therapy consults related to Lymphedema care to ensure consults are handled in the most expeditious manner based upon acuity of need. Reviews and makes recommendations on supply and equipment acquisition specific to the field of Lymphedema therapy. In addition to the above skills, the functions of the Physical Therapist Clinical Specialist in Lymphedema care include the following: Providing Leadership: Serving as a mentor to staff Physical Therapists. Assists in planning and developing various treatment programs to meet patient needs, both proactively and as requested by the PT Section Supervisor and/or the PM&R Manager. Actively supports and promotes all programs of PM&RS. Performs other tasks that are consistent with the mission of PM&RS and the Medical Center Physical Requirements: The incumbent of the position will meet and maintain physical and drug test program requirements as required by hospital policy. There will be periods of walking and ambulating patients, providing patient transfers, some lifting of 50 pounds and supporting patients. Triage and Workload Distribution: Assists with the scheduling of outpatient appointments to facilitate care in a timely manner Utilizes peers and support personnel (PTA, prosthetics fitter) to facilitate timely and effective treatment programs and DME distribution. Uses critical thinking and sound judgment to direct consults to appropriate PT providers as well as other specialty clinics Quality Assurance (QA) / Quality Improvement (QI): Conducts record keeping related to patient care documentation and quality improvement (QI) data collection as specified or requested by the PT Supervisor, Clinical manager and/or Section Chief, Physical Therapy Department. Work Schedule: Monday-Friday, TBD Telework: Yes - as determined by the agency policy Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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