Summary

The Blind Rehabilitation Outpatient Specialist (BROS) functions independently in a number of settings including hospitals - clinics - rehabilitation centers - long-term care facilities - educational institutions - telehealth and home environments. The work environment may be in an office - clinical setting - classroom - private home - VA grounds - nursing home - community sites - and hospitals.

Qualifications

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: (1)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
• Certifications - 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®)]
• d
• Loss of Credential
• Once certified - a BROS must maintain a full - valid - and unrestricted independent certification[(s)] to remain qualified for employment
• Loss of certification[(s)]will result in removal from the BROS occupation and may result in termination of employment
• e
• Grandfathering Provision
• All BROS employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title - series and grade held - including positive education and certification(s) that are part of the basic requirements of the occupation
• 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: Grade Determinations: GRADE LEVEL DETERMINATIONS
• In addition to the basic requirements - the following criteria must be used when determining the appropriate grade assignment of candidates
• a
• BROS - GS-11 (Entry level) (1) Experience
• [None beyond the basic requirements.] (2) Certification
• Candidates must meet the certification requirements in subparagraph 2c above (at least one certification from ACVREP)
• (3) Demonstrated Knowledge - Skills - and Abilities (KSAs)
• In addition to the experience above - the candidate must demonstrate all [of] the following KSAs: (a) Knowledge and understanding of highly specialized complex evaluations and diagnostic tests and procedures of blind/vision rehabilitation
• (b) Ability to properly assess a wide variety of patients having diverse and multiple disabilities to make recommendations for blind/vision rehabilitation therapeutic interventions
• (c) [Skill in development and writing of a] blind/vision rehabilitation plan that includes evaluation information from multiple disciplines with observable - measurable goals and that identifies specific outcomes
• (d) Knowledge of teaching methods and learning principles
• (e) Ability to employ interventions - unusual motivational techniques - and coordinate treatment with other professionals to achieve outcomes of the rehabilitation plan
• [(f) Skill in recommending appropriate blind/vision rehabilitation prosthetic devices for patients within scope of practice - making adaptations and modifications as required
• (g) Ability to plan - direct - and distribute work assignments to volunteers - assistants - interns - and/or BRSs at lower grade levels and perform assigned mentoring duties for staff - students - and interns.] BROS - GS-12 (Full Performance Level) (1)Experience
• In addition to meeting the basic requirements - completion of a minimum of1 year of experience equivalent to the GS-11 grade level [is required.] (2)Certification
• Candidates must meet the certification requirements in subparagraph3c above
• BROS at the GS-12 grade level must achieve two ACVREP certifications to demonstrate full mastery in two areas of blind rehabilitation
• (3)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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: See VA Directive and Handbook 5019 - Employee Occupational Health Service.

Duties

• Major duties: 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
• 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 which are responsive to the concerns of individual patients 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
• An incumbent consults with local - regional - and national resources for information
• Incumbent selects - interprets and adapts traditional strategies in order to meet Veterans' needs
• The incumbent develops an individualized rehabilitation-training plan for each Veteran with rehabilitation potential
• Each plan includes Veteran and/or family goals - as well as achievable and measurable outcomes
• In some cases - the plan will be communicated to the VIST - VISOR Clinicians - Low Vision Optometrist and/or Blind Rehabilitation Center in order to expedite rehabilitation training if that is a part of the Veteran's plan of blind rehabilitation care
• 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 experiencing safety issues receive priority 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
• In order to maximize Veteran's rehabilitation potential - the incumbent makes use of a wide variety basic and complex training techniques - aids and devices
• The incumbent also uses objective and subjective assessment tools and trains Veterans on prosthetics and sensory aids to accomplish the rehabilitation treatment plan
• In some instances the incumbent uses sophisticated technology interfaces for use with goals related to ADLs - Communication - Low Vision and Orientation and Mobility
• The incumbent works closely with local VIST - Prosthetic and Sensory Aids Service and the Blind and Low Vision Rehabilitation Continuum of Care to identify - recommend and obtain equipment for Veterans during their rehabilitation and provides full training
• At times - the incumbent functions as an independent provider of blind and vision rehabilitation services
• When serving as the only provider 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
• Work Schedule: Monday- Friday 7:30- 4:00 Telework: Ad-hoc Functional Statement #: 554-57950-O - 554-57951-O Relocation/Recruitment Incentives: Authorized