The Blind Rehabilitation Outpatient Specialist (BROS) is to manage and provide direct blind and vision rehabilitation training services to visually impaired Veterans and Servicemembers. The incumbent identifies, assesses, trains, manages and provides follow-up for Veterans using clinical resources of the facility. The five skill areas addressed by BROS are orientation and mobility, low vision therapy, vision rehabilitation therapy, computer assisted training and manual skills training. 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 have earned: (a) A bachelor's degree from an accredited college or university with a major field of study in blind or vision rehabilitation, [or a closely] related program in rehabilitation, special education, family and consumer science education, technology, and industrial arts education; OR, (b) A master's degree from an accredited college or university with a major field of study in blind or vision rehabilitation, [or a closely] related program in rehabilitation, special education, family and consumer science education, technology, and industrial arts education; OR, (c) A bachelor's or master's degree from an accredited college or university (without a major field of study as outlined in (1)(a) and (b) above) and obtained a certificate from an accredited college or university in the core curriculum in orientation and mobility, vision rehabilitation therapy, assistive technology for blind and visually impaired individuals, or low vision therapy. This education must have included supervised practice; and (d) Completion of one year of progressively complex experience equivalent to the BRS, GS-9 grade level; OR, (e) Three (3) years of progressively higher-level graduate education leading to a doctoral degree in blind rehabilitation or a directly related field. Certification. Required at all levels. Applicants must possess at least one active, current, full, and unrestricted certification to be eligible for appointment. NOTE: The Academy for Certification of Vision Rehabilitation & Education Professionals (ACVREP) administers four (4) certification programs: Low Vision Therapy, Orientation and Mobility, Certified Assistive Technology Instructions Specialist and Vision Rehabilitation Therapy. They may then use the designation for the certification they hold below: BROS who provide the following services must obtain and maintain one certification at the GS-11 grade level and two certifications at the GS-12 grade level granted by ACVREP as follows: (a) Orientation and mobility training - Certified Orientation and Mobility Specialists (COMS®). (b) Communication and daily living therapy - Certified Vision Rehabilitation Therapists (CVRT®). (c) Low vision therapy - Certified Low Vision Therapists (CLVT®). (d) Assistive technology - Certified Assistive Technology Instructional Specialist (CATIS®). 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: BROS, GS-12 (Full Performance Level)Experience. In addition to meeting the basic requirements, completion of a minimum of 1 year of experience equivalent to the GS-11 grade level is required. Certification. Candidates must meet the certification requirements in subparagraph above. BROS at the GS-12 grade level must achieve two ACVREP certifications to demonstrate full mastery in two areas of blind rehabilitation. Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to meeting the KSAs at the GS-11 grade level, the candidate must fully demonstrate all of the following KSAs: Skill to independently develop, plan, and administer complex treatment programs. Ability to act as a subject matter expert in the blind/vision rehabilitation field, and as consultant, supervisor, and/or mentor in evaluating and treating patients in specialty or program areas. Ability to coordinate, motivate, and effectively manage staff and/or committee members to include organizing work, setting priorities, and delegating tasks and responsibilities. Ability to disseminate appropriate information through various media as a consultant or mentor. Skill in interpersonal relationships in dealing with patients, employees, other team leaders, managers, and other stakeholders. Ability to identify team group dynamics, objectively observe, and modify behaviors. Ability to apply decision-making principles to adjust programs on a day-to-day basis, to develop short-term and long-range goals, and to plan for future utilization of resources. References: VA Handbook 5005/110 Part II, Appendix G42, dated May 14, 2019. The full performance level of this vacancy is GS012. Physical Requirements: Moderate lifting, 14-44 pounds; moderate carrying, 15-44 pounds; walking, 3 hours; standing, 3 hours; ability for rapid mental and muscular coordination simultaneously; emotional and mental stability; ["Duties include, but are not limited to: The BROS provides direct patient care and support services to an adult population of patients, which is characterized by a very significant number of older male patients as well as young OEF/OIF Veterans who may have wound, and trauma related vision loss. Within these broad categorizations, the employee must tailor patient care and support services to meet the needs of the individual patient. This includes the responsibility for assessment of each patient's needs and the delivery of services that are responsive to the concerns of individual patients and family/caregiver to the extent possible. The incumbent, in concert with Blind Rehabilitation Center, Polytrauma team, all VIST and other facility resources, is responsible for identifying beneficiaries who have the potential to benefit from blind and vision rehabilitation training. Incumbent consults with Poly trauma team and all VIST, eye clinics, blind and vision rehabilitation services and community resources to locate and serve potential Veterans to offer direct blind and vision rehabilitation service in all five skill areas in the veteran's home, other residence or within the community as the need arises. The incumbent is responsible for blind and vision rehabilitation assessment, planning, training, and outcomes evaluation on each Veteran for whom service is provided. Incumbent uses objective and subjective assessment tools and methods requiring broadly based advanced knowledge in the five skill areas. The incumbent prioritizes rehabilitation training activities so as to maximize Veterans served, consistent with quality care and safety. Rehabilitation training will be designed to shorten waiting time, minimize use of the inpatient treatment at a Blind Rehabilitation Center or obviate the need for inpatient services. Veterans on the inpatient (Blind Rehabilitation Center) waiting list or those who have post discharge needs are prioritized for outpatient treatment. The incumbent makes maximum use of outpatient clinical facilities of the institution, together with proper and judicious use of home-based services as necessary. The incumbent functions as an independent provider of blind and vision rehabilitation services. When serving as a manager for direct care, the incumbent is responsible for ensuring documents of assessment, rehabilitation training progress, consults, referrals and recommendations are properly entered in the Veteran's chart. The incumbent provides care management for both VA and non-VA outpatient blind and vision rehabilitation activities. The incumbent develops recommendations and specifications for all blind and vision rehabilitation contract services specific for a Veteran's blind and vision rehabilitation care. The incumbent monitors and supervises the quality and quantity of non-VA contract or fee-basis blind and vision rehabilitation services provided to eligible beneficiaries. The incumbent provides effective patient counseling in the adjustment to blindness as an integral component of the work. The incumbent relies upon his/her extensive knowledge of the psychosocial issues associated with visual impairment to assist the Veteran in adjustment to visual impairment and the blind and vision rehabilitation process. The patient is referred to an appropriate professional for more extensive counseling as required. Incumbent may also administer a blind and vision rehabilitation-training program for the operation of a Poly Trauma unit, creating necessary local policies, projecting and administering budgets, documenting workload, writing reports, outcomes, scheduling of patients, etc. The incumbent is expected to provide blind and vision rehabilitation services as a team member but also as an independent clinician as he/she carries out treatments. Work Schedule: Monday - Friday, 8:30am to 5:00pm. Tour of duty subject to change based on agency needs. Compressed/Flexible: Available Telework: Not Authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
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