The primary purpose of the position is to manage and provide direct blind and vision rehabilitation training services to Veterans and Service members who are visually impaired. The Blind Rehabilitation Outpatient Specialist (BROS) identifies, assesses trains manages and provides follow-up for Veterans using clinical resources of the facility. Travel is required to serve Veterans in the community and home environment. Basic Requirements: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, of this part.) 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. (2) Foreign graduates must have proof of a minimum of a bachelor's degree from an accredited college or university (or foreign equivalent, as verified through an independent credential evaluation company), with a specialization in blind rehabilitation. Certification. Required at all levels. (1) Applicants must possess at least one active, current, full, and unrestricted certification to be eligible for appointment. (2) An applicant who has, or ever had his/her certification suspended, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in Chapter 3, Section B, Paragraph 16 of this part. An applicant who has or has ever had a certification revoked or terminated for cause, or voluntarily relinquished such certification after being notified in writing by the State of potential revocation or termination for cause, is ineligible for employment and must be removed from the GS-0601 series. This applies even if the applicant possesses one or more valid certifications or registration (38 U.S.C. § 7402(f)). 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 (as listed in subparagraph (2)) below: (3) 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®) Grandfathering Provision. For employees who do not meet all the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) Such employees may be reassigned, promoted up to and including the full performance Journey level, or changed to lower grade within the occupation. (2) 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 the standard. (3) Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or certification(s) that meet all the basic requirements of this qualification standard must maintain the required equivalent credentials as a condition of employment in the occupation. (4) If a BROS who was retained under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. Candidates who are not proficient in written and spoken English will not be appointed to serve in a direct patient-care capacity in VHA under the authority of 38 U.S.C. chapters 73 or 74. See Chapter 2, section D, paragraph 5a, this part. Grade Determination: 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 3c 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: (a) Skill to independently develop, plan, and administer complex treatment programs. (b) 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. (c) Ability to coordinate, motivate, and effectively manage staff and/or committee members to include organizing work, setting priorities, and delegating tasks and responsibilities. (d) Ability to disseminate appropriate information through various media as a consultant or mentor. (e) Skill in interpersonal relationships in dealing with patients, employees, other team leaders, managers, and other stakeholders. (f) Ability to identify team group dynamics, objectively observe, and modify behaviors. (g) 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. Assignment. Individuals in this assignment may serve as the only BROS at a medical center[,] or an outpatient clinic[,] or in patients' homes and communities, and are responsible for independent decision-making and independent care. Individuals in this assignment may serve as a member of, or as [a] consultant to a specialty care team[,] such as the Polytrauma System of Care. BROS will demonstrate mastery abilities in two of the blind/vision rehabilitation specialty areas: orientation and mobility, low vision therapy, vision rehabilitation therapy, and assistive technology [ ] for blind and visually impaired individuals. BROS will also demonstrate advanced skill in the practice of the other content specialties in blind rehabilitation, e.g., computer training and manual skills. At the GS-12 grade level, BROS practice independently, seeking support from the Blind Rehabilitation Service National Consultant for the region when necessary. Reference: VA Handbook 5005, Part II, Appendix G 42, Blind Rehabilitation Outpatient Specialist Qualification ["The Blind Rehabilitation Outpatient Specialist 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 Duties are as followed but not limited to: (1) Adjustment Counseling. This includes enabling Veterans with visual impairment to gain a better understanding of their visual diagnoses and resulting problems; discussing the Veteran's adjustment to sight loss; and assessing the Veteran's mental health status including signs of depression and screening for suicide risk. (2) Assessment. This includes assessing functional capabilities in the use of visual motor and visual perceptual skills, in areas such as reading, writing, self-care, safe independent travel and comprehensively and accurately assessing and identifying the blind rehabilitation needs and goals of Veterans while taking into consideration all other factors affecting the Veteran with visual impairment. These include, level of visual function, physical health, medical conditions, mental health, cognitive function, level of motivation, age, social and cultural elements and other factors that influence the needs and goals of the Veteran with visual impairment. The specialist will utilize department specific assessment techniques and intake forms. (3) Goal Development and Treatment Plan. In partnership with the Veteran, developing and modifying, as needed, an individualized rehabilitation treatment plan. This includes developing Veterans goals and rehabilitation plans in an interdisciplinary team and evaluating outcomes of therapeutic interventions. (4) Therapeutic Instruction. This includes instructing in rehabilitation techniques and assistive technology to support Veterans in reaching their rehabilitation goals; instructing Veterans in effective use of their remaining vision through techniques that improve visual perceptual and visual motor function for daily tasks; providing information and education about visual impairment for family members and significant others, where needed, to support Veterans with visual impairment in incorporating practice of training techniques and use of assistive technology in the home and their surrounding environments. (5) Coordinating Care. This includes maintaining effective communication and team cohesion within the BRS CoC to maximize Veterans' blind rehabilitation outcomes by: (a) Establishing a peer support environment to foster the following for Veterans with visual impairment: health, skills of independence and adjustment to sight loss with the goal of successfully reintegrating within the family and community environment. (b) Collaborating with the VIST Coordinator and/or other BRS clinical programs to provide outreach and education to VA medical facility and non-VA agencies and personnel. (c) Collaborating with NPCs and Supervisor for administrative and clinical support, quality improvement processes and best practices. (d) Contributing subject matter expertise in support of BRS program goals and objectives by maintaining their professional development and updating their knowledge, skills and abilities in a changing health care system, as well as adjusting to the changing needs, techniques and technologies for Veterans with visual impairment. (e) Determining if additional intervention by other providers will be needed in order to develop a Veteran's individualized treatment plan. In such instances, the BRS clinician is expected to refer, consult, educate and/or cotreat with other providers in order to support the Veteran in addressing individualized goals (e.g., assessment for supplementary adaptive interventions, issuance criteria and core competencies for prosthetic recommendation). (6) Documenting Care. This includes understanding the importance of recording and maintaining clear, accurate and concise documents that pertain to Veteran's profiles The Blind Rehabilitation Outpatient Specialist enforces and practices safety regulations, including infection control, fire prevention, summoning of emergency help and provides emergency intervention to patients, visitors, and staff as appropriate. This is the full performance level for BROS. BROS at the full performance level are expected to maintain two certifications in blind/vision rehabilitation disciplines. Have a valid Driver's License Work Schedule: Monday-Friday, 8:00am-4:30pm Telework: Available Virtual: This is not a virtual position. Functional Statement #: FS# 40881F, Blind Rehabilitation Outpatient Specialist EDRP Authorized: Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
