This position is located in the Outpatient Physical Therapy Department within Physical Medicine and Rehabilitation Service at the Sacramento VA Medical Center. PTA works under the supervision of a Physical Therapist to provide services that promote the prevention, remediation, and rehabilitation of acute and chronic physical dysfunction. The PTA participates in planning and implementing complex treatment programs and applies physical therapy procedures to patients under the general supervision. Basic Requirements: 1. United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 2. English Language Proficiency: Physical Therapy Assistant candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f). 3. Education: Individuals must meet at least one of the requirements below: Associate degree from an accredited community college, junior college, college or university in a physical therapy assistant education program accredited by the Commission on Accreditation in Physical Therapy Education; OR Graduate of foreign physical therapy assistant degree programs that meet the educational requirement and have successfully passed the National Physical Therapy Exam (NPTE) for PTAs. OR Graduate of military physical therapy assistant programs that meet the educational requirement and have successfully passed the NPTE for PTAs. 4. Licensure: Current, full, active and unrestricted license as a PTA in a State, Territory or Commonwealth (i.e. Puerto Rico) of the United States, or District of Columbia. Exceptions for Non-Licensed Physical Therapy Assistant: Non-licensed applicants who otherwise meet the minimum qualification requirements, but who do not possess state licensure, may be appointed, pending licensure, as a graduate PTA on a full-time temporary appointment under the authority of 38 U.S.C. § 7401(a)(1)(B) and not to exceed two years in accordance with the timeframe in 38 U.S.C. § 7405(c)(2)(B). Non-licensed individuals shall only provide care under the direct supervision of a licensed PTA or PT who meets all state regulatory requirements. Non-licensed individuals may only be appointed at the entry level and may 3 not be promoted/converted until licensure is obtained. Temporary appointments of non-licensed PTAs may not be extended beyond two years or converted to a new temporary appointment. Failure to Obtain Licensure: In all cases, non-licensed PTAs must actively pursue meeting requirements for licensure starting from the date of their appointment. At the time of appointment, the supervisor will provide the non-licensed PTA with the written requirements for licensure, including the time by which the license must be obtained and the consequences for not becoming licensed by the deadline. Failure to obtain licensure during this time period may result in termination of employment. Grandfathering Provision: 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 individuals employed in VHA in this occupational series or in another occupational series performing the duties as described in the qualification standard on the effective date of the qualification standard are considered to have met all qualification requirements for the grade held, including positive education and licensure/trademark/registration/certification. 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 may be reassigned, promoted up to and including the full performance (journey) level or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. Employees in an occupation requiring a licensure/certification/registration only at higher grade levels must meet the licensure/certification/registration requirement before they can be promoted to those higher-grade levels. Employees who are appointed on a temporary basis prior to the effective date of the 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. Employees who are converted to title 38 hybrid status under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the 4 occupation. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. Grade Determinations: Physical Therapy Assistant GS-05 (Entry Level) Experience: None beyond the basic requirements. GS-6 (Developmental Level) Experience: One year of creditable experience equivalent to at least the next lower grade. Demonstrated Knowledge, Skills and Abilities: In addition to the basic requirements, the candidate must demonstrate the following KSAs: Knowledge of evidence based physical therapy practice. Ability to perform] physical therapy data collection and use of objective measures in order to carry out patient plan of care. Ability to modify treatment approaches, within the scope of the established treatment plans, to reflect patients' changing needs. Skill in promoting physical therapy services by providing training and interventions within the assigned areas. GS-7 (Developmental Level) Experience: One year of experience equivalent to the next lower grade. Demonstrated Knowledge, Skills and Abilities: In addition to the basic requirements, the candidate must demonstrate the following KSAs: Ability to perform in depth chart review to implement treatment plans. Ability to independently use objective measures to assess progress, in accordance with the plan of care for complex patient cases. Knowledge of contemporary physical therapy practice. Ability to consult with the PT to assess progress, modify treatment and set discharge plan. GS-8 (Full-Performance Level) Experience: One year of experience equivalent to the next lower grade. Demonstrated Knowledge, Skills and Abilities: In addition to the basic requirements, the candidate must demonstrate the following KSAs: Ability to independently implement treatment plan using knowledge of techniques related to the patient's disability and needs. Ability to independently provide varied and multifaceted physical therapy interventions based on the established care plan (e.g., therapeutic exercise, balance, body mechanics, flexibility, strength, gait training, neuromotor development, physical agents, functional training, etc.). Knowledge of physical therapy data collection and assessment techniques in order to perform specific interventions and to monitor and capture progress of the patient/client. Ability to instruct patient on varied interventions to provide materials to enhance compliance with home programs. Ability to modify treatment techniques based on the learning needs and perceptions of the patient. Ability to identify critical changes (e.g. vital signs, pain, mobility and alertness) in patient conditions to determine their medical and functional status. Ability to work with PTs and other interdisciplinary healthcare team members to evaluate patient information for planning, modifying and coordinating treatment programs and discharge planning. 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-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-8. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements ["Major Duties include but are not limited to the following: Work in collaboration with supervisors and program team to develop services that mutually reinforce treatment themes to maximize treatment goals. Participate in developing, maintaining and monitoring treatment goals and plans with participating patients. Including goals and plans for maximizing successful transitions between inpatient, outpatient and home community settings. Liaison with medical providers from multiple disciplines as needed to optimize care for patients who may otherwise be vulnerable to disjunctions in care. Establish and maintain contact with other key staff involved in patient care via written, telephone and personal communication on regular basis at VA Medical Center and VISN level. Receive and interpret requests or instructions for procedures from the physical therapist or physician. Plans and implements specialized treatment programs and applies physical therapy procedures to patients under the general supervision of a physical therapist. Employee may carry out or oversee the work of lower graded assistants to accommodate requests. Complete a preliminary review/examination of patient data (including medical history), compiles and organizes pertinent information, and develops/presents a patient profile to be used in assessing patient's status. Assist with or renders a course of treatment based on the assessed needs of the patient, developing progressive types of physical therapy treatment programs. This is done in consultation with a physical therapist or physician. Work Schedule: Full-time; Monday to Friday, 8:00am - 4:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorize"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.