Summary Incumbent serves as a Recreation Therapist, GS-0638-11, Whole Health Service (WH) at the Tennessee Valley VA Healthcare System (TVHS); Murfreesboro/Nashville and/or Community Based Outpatient Clinics (CBOC's).The incumbent is charged with responsibility for a range of clinical functions in the areas of clinical recreation therapy delivery, information, education, screening/disposition of routine clinical operational matters for evaluation and treatment in direct patient care. Responsibilities Work will be performed in a diverse facility serving both inpatient and outpatient, acute care, mental health, rehab and long-term care. Incumbent may be required to travel in a government vehicle. Incumbent will provide recreation therapy during direct patient contact which is appropriate to the cognitive, emotional, and chronological maturation needs of the adult patient. The clinical and administrative functions of this position include but are not limited to: Recreation Therapist (RT) provides treatment interventions incorporating the four-step process of assessment, planning, implementation, and evaluation of patient treatment services. Individuals assigned as GS - 11 Recreation Therapist are considered to be at the full performance level (FPL) to provide direct-patient care in both an inpatient and outpatient setting. The position requires a certified/licensed Recreation Therapist who works under the general supervision of the Section Chief, Recreation and Creative Arts Therapy. Incumbent must be certified in recreation therapy as a Certified Therapeutic Recreation Specialist (CTRS) by the National Council for Therapeutic Recreation Certification (NCTRC). Major Duties: Clinical: Employees serving at the full performance level function with independent judgement to administer and interpret recreation therapy assessments and utilize clinical competencies to develop unconventional assessment and interview approaches effectively elicit information. Review recreation therapy consults and conduct comprehensive evaluations. Recommend adaptation, modification, and/or assistive technology to meet a patient's assessed needs and preferences in recreation therapy. Resourcefulness is exercised in providing individualized, unique, effective methods and procedures when implementing therapeutic interventions. Uses Recreation Therapy expertise for direct service delivery to patients. In consultation, Recreation Therapist shall educate as required regarding treatment interventions and goals in additional to any consideration involving adaptations to better ensure optimal treatment outcomes. Assists in patient coverage for absent staff members to ensure continuity and quality of care. Delegates to and provides clinical supervision for the recreation therapy assistant (if applicable) and routinely modifies the caseload and treatment plan. Administration: Must possess the ability to organize, work, set priorities, meet multiple deadlines, and evaluate assigned program area(s). Effectively communicates, both orally and in writing to complete group work, case management, community coordination, and/or work with Voluntary Services and service organizations. Documents assessments, goals, patient/family education, progress, and change in treatment or patient condition in medical records accurately. Compiles daily, weekly, or monthly statistics for ongoing reporting. Assists with the performance improvement efforts for the recreation therapy section, following activities that detect and remedy deficiencies in process and outcome of RT services. CTRS demonstrates the ability to help mentor therapy students and interns in the practice of recreation therapy. Maintains a state authorized driver's license and completes required training to be able to transport patients as needed using the medical center's means for transportation. Work Schedule: Monday - Friday; 8:00am - 4:30pm Telework: Adhoc Functional Statement #: 71182-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a trial period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications 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. Citizenship. Citizen of the United States (U.S.). (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a)). Education. The following education requirements apply to the recreation therapist, creative arts therapist (art), creative arts therapist (dance/movement), creative arts therapist (drama), and creative arts therapist (music): (1) Recreation Therapist 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. 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 REQUIREMENTS. a. Creditable Experience (1) Knowledge of Current Professional Recreation Therapy or Creative Arts Therapy Practices. To be creditable, the experience must have required the use of knowledge, skills, and abilities (also referred to as "clinical competencies") associated with current professional recreation or creative arts therapy practices. Evidence of such experience includes private practice, U.S. military services, local/state/federal government organizations, for profit/non-profit organizations, health care, or educational facilities. Grade Determinations: Recreation Therapist, GS-11(a) Experience. At least one year of creditable experience at the next lower grade level. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: i. Ability to adapt assessment tools and treatment interventions to address the complexity of the diagnosis or disabilities and demonstrate the clinical reasoning necessary to identify the need for further in-depth specific assessment of function and utilization of unconventional methods and techniques. ii. Knowledge to independently interpret provider referrals and consults; and apply all health and safety regulations to minimize and mitigate risks in the provision of patient care and the environment of care. iii. Skill in effectively communicating and educating, in a clear and concise manner, with patients, families, caregivers, and other health care professionals to facilitate the interdisciplinary treatment process. iv. Skill in independently utilizing appropriate screening and evaluation techniques required to appropriately provide direct patient care in areas such as, but not limited to recommendations for recreation therapy assistive devices, including fit and function. v. Skill in independently applying evidence-based and best practice therapeutic techniques and interventions. vi. Knowledge of the principles and techniques in recreation therapy assessment and the treatment of recreation, leisure, and biopsychosocial functional deficits. (c) Assignment. Employees serving at the full performance level function with 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 9 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. Preferred Experience: Prior or current work with Veterans; RT experience with behavioral health, substance abuse, long term care, and/or residential rehabilitation treatment programs; development of outdoor recreation programs, tai chi, or yoga programs for military veterans. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level (FPL) for this qualification standard is at the GS-11 grade level. Physical Requirements: Recreation Therapy is considered a vocation that requires "medium" work. Medium Work entails: exerting 20 - 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for light work. Education 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information This job opportunity announcement may be used to fill additional vacancies. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.