Occupational Therapist- Lead VISN 5 CEAT Caregiver Support Program

Washington, D.C
Sep 16, 2020
Sep 17, 2020
Full Time


This position can be located at any of our VISN 5 Medical Centers, salary will depend on the duty location.

This position is NOT Virtual.

The Occupational Therapist serves as a core member of a VISN-level interprofessional Centralized Eligibility and Appeals Team (CEAT), and is responsible for reviewing complex Program of Comprehensive Assistance for Family Caregivers (PCAFC) eligibility cases for admission, ongoing level of care adjustments, and discharge appropriateness.
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The incumbent has the responsibility for expert knowledge of eligibility criteria for the PCAFC, day-to-day operation of the program, and all reporting requirements within the assigned VISN. The incumbent performs a wide range of services, collaborating with interdisciplinary CEAT members to make eligibility determinations, tier level determinations, discharges, and appeals for the PCAFC. Uses sound judgment in the interpretation of trends and patterns; application of regulation, policy, guidelines; and the recommendation of program enhancements. Executes clinical position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient level of care determinations, which include, but are not limited to the following:
  • Works with interdisciplinary team members at VISN and facility levels to ensure coordinated and directed eligibility determinations for the PCAFC.
  • Coordinates with other Regional CEATs and VACO CSP to develop and implement strategies for PCAFC eligibility, tier level, discharge, and appeals process and performance improvement.
  • Conducts comprehensive clinical review of patient records to identify the presence of Veteran need for assistance with personal care services and/or supervision or protection needs daily in relation to initial eligibility decisions; reassessments; and appeal decisions.
  • Works with interdisciplinary team members to adjudicate first-level appeals sent from other CEATs within the same region and second-level appeals sent by CEATs based in other regions of the country.
  • Analyzes data obtained in record review for use in determining clinical eligibility for PCAFC.
  • Documents information utilized in clinical eligibility determination and eligibility assessment tools.
  • Promotes resilience and well-being through recommendations of creative care solutions and use of adaptive equipment that increases independence, enhances development, and/or prevents further disability and decreases dependency on a caregiver.
  • Conducts Peer Reviews to ensure national consistency in eligibility determinations.
  • Collaborates with and contributes knowledge to a community of practice across VISN's and Regions with CSC's and CEAT members
  • Assists the VISN with MISSION Act implementation, as it relates to CSP and PCAFC expansion.
The VISN CEAT Lead Occupational Therapist will have dedicated time for clinical practice at the nearest VAMC. The anticipated distribution of duties is 80% of time dedicated to the VISN CEAT and 20% of time dedicated to clinical care.

Work Schedule: Monday- Friday 8:00 a.m.-4:30 p.m.
Financial Disclosure Report: Not required

Travel Required

Occasional travel - For training and possible site visits.

Supervisory status

Promotion Potential


Conditions of Employment

  • You must be a U.S. Citizen to apply for this job
  • Designated and/or random drug testing may be required
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Must be proficient in written and spoken English
  • Selected applicants will be required to complete an online onboarding process


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
. Be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with 38 U.S.C. § 7407(a)).

Education and/or Experience.(1) The individual must meet at least one of the following requirements below:
(a) Bachelor's degree in occupational therapy and two (2) years of experience as an occupational therapist;NOTE: The baccalaureate degree must be from an approved program prior to the AOTA January 1, 2005 decision that the Accreditation Council for Occupational Therapy Education (ACOTE) would only accredit master or doctoral degree programs in occupational therapy.or
(b) Bachelor's degree in occupational therapy and two (2) full years of graduate education in a related field ;NOTE: The baccalaureate degree must be from an approved program prior to the AOTA January 1, 2005 decision that ACOTE would only accredit master or doctoral degree programs in occupational therapy.or
(c) Master's Degree or higher in occupational therapy
Individuals must be a graduate of a degree program in occupational therapy approved by the ACOTE or predecessor organizations. This is inclusive of an internship (supervised fieldwork experience required by the educational institution). ACOTE is the only accreditation agency recognized by the United States Department of Education and the Council for Higher Education Accreditation. Degree programs may be verified by contacting the American Occupational Therapy Association website or at their office address: American Occupational Therapy Association, P.O. Box 31220, Bethesda, MD 20824-1220.

Certification: Candidates must possess a current NBCOT certification as an OT.

State Licensure: Candidates must possess] a full, current, and unrestricted state license, to practice occupational therapy in a state, territory or Commonwealth of the United States (i.e., Puerto Rico), or in the District of Columbia.

Physicial Requirments: See VA Directive and Handbook 5019.

English Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f).

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 Determinations: GS-13 Lead Occupational Therapist.
Experience. Candidates must have at least one year of experience equivalent to at least the GS-12 grade level and directly related to the position being filled.
Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all the following KSAs:
(a) Knowledge of contemporary occupational therapy across multiple areas of practice.
(b) Ability to apply advanced occupational therapy knowledge to provide clinical guidance and mentorship to OT practitioners.
(c) Ability to independently monitor and evaluate clinically appropriate treatment programs.
(d) Ability to act as a liaison between OT practitioners and the supervisor by coordinating clinical activities, program development, outcome management, and strategic planning.
(e) Ability to assess, prioritize, and address interpersonal or programmatic conflicts at the lowest possible level.
(f) Ability to implement, revise and update evidence based protocols, procedures and approved competencies for occupational therapy services.

Lead OTs provide professional guidance and consultation for OT practitioners. They monitor and evaluate clinically appropriate treatment programs with great autonomy. Individuals assigned as a lead OT are responsible for completing complex evaluations and treatments. They are required to apply advanced evaluation methodologies and treatment theories in the provision of care to a vast array of functional impairments and patients. They provide clinical practice guidance for other OT practitioners. Lead OTs collaborate with staff throughout the medical center to coordinate care and triage operations for their assignment. Lead OTs generally would be found in more complex facilities or departments.

References: VA Handbook 5005/127 Part II Appendix G14 Occupational Therapist Qualification Standards

The full performance level of this vacancy is 13.

Physical Requirements: This position requires potentially long periods of continued walking, standing, and sitting. 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. In the performance of duties, the incumbent may be required to drive and/or ride in GSA-vehicles.


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

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

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

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

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.

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.

If you are unable to apply online view the following link for information regarding an Alternate Application .

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.

Background checks and security clearance

Security clearance

Drug test required

Position sensitivity and risk
Non-sensitive (NS)/Low Risk

Trust determination process

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • License
  • Professional Certification
  • Resume
  • SF-50/ Notification of Personnel Action
  • Transcript

VA Form 10-2850c Application for Associated Health Occupations can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search .

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

  • Cover Letter
  • DD-214/ Statement of Service
  • Disability Letter (VA)
  • License
  • OF-306
  • Performance Appraisal
  • Professional Certification
  • Resume
  • SF-50/ Notification of Personnel Action
  • Transcript

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx .

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

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