The incumbent works in the Medicine Service Line at the Rocky Mountain Regional VA Medical Center and reports to Cardiac Rehabilitation Medical Directors. The incumbent will provide education to maximize the patient's awareness of the importance of regular exercise, develop specific and individualized exercise programs, educate on exercise tolerance, indications/contraindications, safety and limits, as well as monitor the patient's response to exercise.
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These duties include, but are not limited to:
The Incumbent will independently evaluate patients using evidence-based procedures and techniques appropriate for diagnosis to establish a baseline function. The incumbent will analyze the results of the medical and physical assessments, chart review, six-minute walk test and other functional/exercise assessments, patient preferences and goals to create an exercise treatment plan. The incumbent use physical ability assessments include screening for cardiopulmonary risk factors to identify risks or challenges to allowing a patient to actively participate and ensure necessary work-up prior to program start.
The Incumbent will collaborate with the CR RN to perform an initial chart review to verify diagnosis and current medical status identify cardiovascular risk factors in order to begin planning education and interventions and determine the existence of any comorbidities or complications that may increase the risk of a recurrent cardiopulmonary event or hospitalization.
The Incumbent will perform an initial patient interview including assessment for admitting diagnosis, present illness and clinical status, current signs and symptoms, past medical history, social history, employment status, risk factors for coronary artery disease, heart failure and peripheral vascular disease, comorbidities, alcohol or substance abuse and identification of support systems for future health behavior change and medical issues. Medical assessment also includes vitals, auscultation of heart and lung sounds, peripheral pulses and edema.
Physical assessment includes six-minute walk test, strength and fall risk measures. The incumbent will analyze results of these assessment to determine risk stratification and appropriateness for CR. Risk assessment guides and protocols are in the Cardiac Rehab SOPs and will help advise on risk selection.
The incumbent will then consult with the CR faculty to report the data and individualized treatment plan.Treatment programs will include measurable or time specific goals with reevaluation and alteration of treatment plan as necessary based upon patient progress, specific needs and cultural diversity.
The Incumbent will educate patient on exercise plan and use their knowledge of exercise prescription to create an onsite or home-based program to meet the individual needs of the patient. Incumbent will make recommendations for appropriate exercise equipment use in the clinic or at home and provide orientation to exercise equipment including, but not limited to, exercise peddler, treadmill, bike, upper body ergometer, Nu Step, heart rate monitor watch, exercise bands and pedometer.
The Incumbent will closely monitor patient use of equipment and their physical response to exercise. The incumbent assesses the patient physiological response to exercise and identify changes and progressions to their program based on their response. Their response to exercise may require the incumbent to develop and/or adapt guidelines to maximize physical activity while limiting coronary artery disease symptoms and other adverse effects.
The Incumbent will be a member of the cardiopulmonary treatment team and will collaborate with patient/family/team members and other health care providers in meeting patient treatment goals. The incumbent will collaborate with the CR RN to regularly communicate with team members on patient progress and any barriers or concerns on patient safety or progress.
The Incumbent will complete weekly phone calls or telehealth visits with review of current patient performance to plan exercise progression as part of the home-based program. Phone calls or telehealth visits include review of vitals, current physical performance and weekly education topics.
Motivation interviewing and helping patients to set SMART goals will be key skills for these follow-up visits. Based on the results of the weekly calls or telehealth visits, the incumbent will coach the patient on exercise selection and progression for the next week based on their individualized treatment plan.
Incumbent will administer physical performance measures for the CR Program and other clinical and/or future research activities.
The Exercise Physiologist develops progressive physical fitness plans of care by designing and modifying treatment programs, developing goals and using a multifaceted approach determined by the Veteran's physical and mental conditions that draws upon the use of both standard and nonstandard treatment procedures.
Work Schedule: Monday
Compressed/Flexible: Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Position Description/PD#: Cardiology Exercise Physiologist/PD12495-0
Financial Disclosure Report: Not required
Conditions of Employment
You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing may be required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to background/security investigation
Selected applicants will be required to complete an online onboarding process
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/23/2020.
Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement.
For a GS-09 position you must have served 52 weeks at the GS-07. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials.
If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.
Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment.
You may qualify based on your experience and/or education as described below:
GS-09 Specialized Experience- One year of specialized experience at or equivalent to the GS-7 level. Specialized experience includes:
Delivering care to Veterans for the Cardiac Rehabilitation (CR) Program.
Assessing, developing, and implementing of an exercise treatment plan in an inpatient, outpatient site-based, and telephone/telehealth-based CR Program.
Evaluating independently patients using evidence-based procedures and techniques appropriate for diagnosis to establish a baseline function
The exercise physiologist will assist in all logistical details necessary to initiate the CR program, including (but not limited to) participating in the creation of a process for identifying, enrolling and scheduling eligible patients, partnering with VA telehealth to ensure patients can successfully complete virtual visits, managing equipment, scheduling educational sessions for referring providers at the RMR VAMC and RMR VAMC catchment area in collaboration with the CR RN . OR,
GS-09 Graduate Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have a masters or equivalent level graduate degree OR 2 full years of progressively higher-level graduate education leading to such a degree OR LL.B. or J.D. degree that is related to the occupation of listed to successfully perform the functions of this position.
Transcripts must be submitted as proof. OR,
GS-09 Combined Graduate Education and Specialized Experience- Applicants may also combine education and experience to qualify at this level. You must have a sufficient combination of specialized experience at/or equivalent to the GS-07 level or higher and graduate education, in excess of 36 semester hours, in a field directly related to this position. Transcripts must be submitted as proof.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Note: A full year of work is considered to be 35-40 hours of work per week.
Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.
The work involves a wide range of physical demands from sedentary work, sitting in a standard office setting, to moderate and heavy physical demands which include the ability to lead exercise demonstrations and transfer patients within patient room and rehab gym settings.
The work will require short periods of standing, walking, bending, crouching, reaching and leading exercise demonstrations. On occasions, employee must be capable of assisting with transferring patients that may weigh over three hundred pounds. The work is performed in the Medicine Service Line at the Rocky Mountain Regional VA Medical Center. The incumbent will work with patients and their family members in the outpatient clinic private treatment rooms, conference rooms, open gym area, and in the hospital on the various acute care medical units.
For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.
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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Department Of Veterans Affairs