A Clinical Specialist in Orthopedic Physical Therapy is credentialed and privileged licensed independent practitioner (LIP) and provides evaluation and treatment that promotes the prevention, remediation, and education of acute and chronic orthopedic condition management. Is responsible for administering PT to adult and geriatric patients, >75% of their time working in the specialty area of orthopedic rehabilitation. Major duties include, but are not limited to: Clinical Specialists have advanced knowledge and demonstrate expert clinical practice skills in providing assessment and treatment interventions across the continuum of care. Carries out the full range of treatment where therapeutic objectives are complex, and treatment involved requires the application of highly specialized skills and knowledge, particularly as related to chronic pain patients. Established treatment procedures are not always applicable and, at times, must be substantially adapted and applied with critical concern for patients who are acutely or chronically ill, or who have a combination of severe mental or physical disabilities with secondary complications. Uses additional privileges with demonstrated training to include ordering diagnostic imaging, laboratory studies, specific pharmacy, and therapeutic medications approved by the medical facility in accordance with applicable requirements from The Joint Commission as needed to enhance clinical decision making. Clinical Specialist have advanced training in specialized treatments related to their area of practice and demonstrates expertise in assessing, planning, implementing, and evaluating treatment programs for geriatric adult and adult patients with chronic conditions. He/she provides feedback and instruction to all associated health care team members and students. If the medical center has a PT residency program, the clinical specialist may be on faculty for the program. Completes evaluation and treatment in a timely fashion; chart review will allow the incumbent an opportunity to assess appropriateness of the referral and possible contraindications for treatment. Consults are scheduled considering priority and frequency of care, and coordination of schedules with other members of the treatment team. Flexibility of schedule must be maintained to allow for unscheduled patients and for mentoring and consultation. Evaluation includes a medical history and results and interpretation of the appropriate tests and measurements performed. Tests are frequently complex and may need to be adapted because of multiple physical and emotional disabilities or present conditions. Demonstrates a full professional and current understanding of the theories of physical therapy treatment and their proper application, particularly those specialized techniques related to orthopedic management. Involves the patient, family, significant others, and pertinent health care staff in the treatment process by ongoing communication through demonstration, instruction, team conferences, and chart documentation as appropriate to each patient's treatment goals. Has advanced skills to perform and interpret specialized evaluative procedures and tests in evaluating the treatment outcomes in orthopedic physical therapy. Exercises the highest degree of independence and professional judgment in planning and carrying out treatment programs to meet complex treatment objectives for this population. Exercises originality in solving problems not covered by these guides, making innovative adaptations and modifications of treatment plans and procedures in order to meet the complex and highly varying needs of patients, and advises all other health care team members and students in this regard for patients with chronic acute and chronic conditions. Reviews the objectives and goals of the student's affiliation and plans learning experiences accordingly. Incumbent evaluates the student's performance and participates in school-medical center conferences regarding students curriculum and may advise other clinical instructors and their students regarding complex medical problems. Prepares productivity and service reports as required by the Service/Section. Maintains records of all services provided using CPT codes/event capture and current methodology to prepare reports as require by the Service. Shows awareness of basic financial management concepts by appropriate utilization of resources. Keeps current on VA, APTA, and ABPTS standards by reviewing annual changes. Work Schedule: M-F, 8:00 a.m. to 4:30 p.m. 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.