This position has the full authority and responsibility to administer the Recreation Therapy operations at the DC VAMC. It has full administrative oversight for planning and directing the staff assignments in a variety of clinical settings. They have responsibility for general or technical supervision of key clinical and training programs, and ensure compliance with the accrediting agency and regulatory requirements.
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: A bachelor's degree or higher, from an accredited college or university, with a major in therapeutic recreation or recreation/leisure, with an option and/or emphasis in therapeutic recreation. The degree must be approved by the National Council for Therapeutic Recreation Certification (NCTRC); OR, A bachelor's degree or higher in any field from an accredited college or university and must be a certified therapeutic recreation specialist (CTRS). The degree must be approved by the NCTRC. If hired under this education, the certification cannot be waived. English Language Proficiency. Must be proficient in spoken and written English, as required by 38 U.S.C. § 7403(f). Grade Determinations: Experience. One year of experience equivalent to the GS-11 grade. (GS 11 KSAs listed below in experience) Experience at the GS-11 level includes: Uses Independent judgment to administer and interpret recreation therapy assessments and utilize clinical competencies to develop unconventional assessment and interview approaches to effectively elicit information. They conduct, analyze, interpret, and report assessment data based upon functional domains (cognitive, sensory, social, affective, physical, and leisure). Incorporating the four-step process of assessment, planning, implementation, and evaluation of services delivered, the therapist constructs evidence-based recreation therapy interventions for treating patients with complex medical or mental health issues, such as polytrauma, traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), spinal cord injury (SCI), substance use disorder/addictions, serious mental illness (SMI), and hospice/palliative care requirements. They provide direct patient care and receive guidance from higher-level supervisory staff members for only the most complex patients and require only general supervision. They review recreation therapy consults and conduct comprehensive evaluations. Based upon the assessment data, and in collaboration with other stakeholders, the therapist develops individualized treatment plans with measurable therapeutic goals and objectives including scope, duration, and treatment. They recommend adaptation, modification, and/or assistive technology to meet a patient's assessed needs and preferences in recreation therapy. Through the use of activity/task analysis, behavioral interventions, and therapeutic procedures, the therapist designs individualized treatment interventions to reduce stress, anxiety, and maladaptive behaviors; recover basic motor functioning and reasoning abilities; build confidence; and develop compensatory strategies to master critical life skills necessary to re-enter the community in a productive manner. Sophisticated techniques/strategies used to improve or support clinical outcomes may include, but are not limited to: developing positive patterns of behavior; relaxation and stress reduction; lifestyle alteration; social skills training; developing or improving (enhancing) self-esteem; developing and maintaining positive relationships; motor learning and training strategies; anger and pain management; identify risks; recovery support; lifestyle adjustment; conflict/problem resolution; adjustment to disability; and including coping with grief and loss. Resourcefulness is exercised in providing individualized, unique, effective methods and procedures when implementing therapeutic interventions including, but not limited to: assistive technology; cognitive behavioral skills; aquatic therapy; fitness and wellness; community accessibility/reintegration/transition; and adapted sports and leisure development. Patient needs are evaluated for additional, alternative, or termination of services. Intervention plans are monitored for effectiveness, making modifications, as needed. Recreation therapists determine the effectiveness of protocols, modalities, and programs for targeted groups through quantitative analysis and identify potential risks and needs for adaptive interventions to facilitate improved biopsychosocial well-being. They participate in co-treatment opportunities, including but not limited to: neurological rehabilitation, mental health recovery programs, and palliative care related to the symptoms of a terminal illness. Discharge analysis and planning is conducted for community needs. Knowledge, Skills and Abilities (KSA): In addition to the experience above, the candidate must demonstrate the following KSAs: Ability to provide treatment in complex cases and work with great independence. Ability to balance multiple responsibilities, set priorities, delegate tasks, meet multiple deadlines, analyze organizational problems, and develop and implement effective solutions. Ability to analyze organizational and operational problems to develop and implement solutions that result in efficient operations and use data effectively to manage workload, quality, performance, and productivity within the service. Skill in interpersonal relationships in dealing with employees, team leaders, and managers. Ability to use evidence-based practices, clinical practice guidelines in a professional area, and to guide the staff in applying these tools Knowledge of organizational theories and strategies to positively impact the overall goals and objectives within the service Knowledge related to administrative functions such as fiscal, material supply, equipment management, and clinical and program management Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Applicants must be able to perform the duties of a Supervisory Recreation Therapist. Physical requirements may include: heavy lifting (45 pounds and over); heavy carrying (45 pounds and over); pushing; use of fingers; walking (up to eight hours); standing (up to eight hours); repeated bending; kneeling; near vision correctable at 13" to 16" Jaeger 1 to 4; 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 or colors; hearing (aid permitted).
Duties included but not limited to: Clinical: Ability to provide treatment in complex cases and work with great independence. Ability to balance multiple responsibilities, set priorities, delegate tasks, meet multiple deadlines, analyze organizational problems, and develop and implement effective solutions. Ability to analyze organizational and operational problems to develop and implement solutions that result in efficient operations and use data effectively to manage workload, quality, performance, and productivity within the service. Skill in interpersonal relationships in dealing with employees, team leaders, and managers. Ability to use evidence-based practices, clinical practice guidelines in a professional area, and to guide the staff in applying these tools. Knowledge of organizational theories and strategies to positively impact the overall goals and objectives within the service. Knowledge related to administrative functions such as fiscal, material supply, equipment management, and clinical and program management. Administration: The Supervisory Recreation Therapist provides daily clinical supervision for recreation and creative arts therapists, ensures staff supervised are planning and implementing treatment while evaluating staff's performance. Intervenes when a higher level is needed to address veterans care. The work includes monitoring the support of community resources, partnerships and effective use of fee basis employees, students, interns and volunteers for the delivery of care. Provides treatment in complex cases with independence. Adheres with Medical Center policies. Utilizes Automated Data Processing (ADP) system in accordance with established procedures. Adheres to Medical Center ADP Security policy. Participates in the evaluation of equipment and supplies, which affect their service delivery. Fosters and maintains a safe treatment area. Promotes effective communication with all patients, caregivers, treatment team members, Medical Center staff and community partners. Education: Maintains professional competence through participation in appropriate educational activities. Assists in teaching and providing learning experiences for Recreation Therapy clinical interns as required. Participates in staff orientation, successfully completes Medical Center assigned mandatory trainings, and in-service activities. Deliver treatment in compliance with Veterans Health Administration (VHA) accrediting agencies and VHA directives. Work Schedule: Monday - Friday 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized