This position is located in the Physical Medicine and Rehabilitation Service, Audiology and Speech Pathology Section at the Lexington VA Healthcare System. The speech-language pathologist at this level conducts, plans, and coordinates all clinical and administrative aspects of a full range of services associated with contemporary speech-language pathology practice. 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: A master's degree, or its equivalent, in speech-language pathology, communication disorders or a directly related field from an accredited college or university and one year of creditable experience (see paragraph 2.g.). or (2) A doctoral degree in speech-language pathology, communication disorders and sciences or a related field, from an accredited college or university. Licensure. Individuals must hold a full, current and unrestricted license in a U.S. state, territory, commonwealth or the District of Columbia. Non-licensed applicants who otherwise meet the eligibility requirements for SLP licensure may be appointed to a temporary position as a graduate SLP under the authority of 38 U.S.C. § 7405 (c)(2). Individuals appointed as graduate SLPs may not be promoted to the GS-12 level without being fully licensed. Grandfathering Provision. All persons employed in VHA in this occupational series or in another occupational series that are also performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held, including positive education and licensure. 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 Determinations: Speech-Language Pathologist, GS-11 Knowledge, Skills and Abilities (KSAs). In addition to the basic requirements, the candidate must demonstrate all of the following KSAs: (a) Knowledge of principles and techniques in assessing and treating disorders of speech, language, cognitive-communication and swallowing. (b) Knowledge of instrumentation and technologies for assessing and treating communication and swallowing disorders. (c) Ability to adapt clinical procedures and techniques to accommodate unique patient conditions, needs and goals. Assignment. SLPs at this entry developmental grade level assess and treat patients with routine speech, language, voice, cognitive-communication and swallowing disorders following the principles of evidence-based practice and perform clinical procedures with respect to age-specific, unique patient conditions and needs. When assessing and treating patients with complex or rare speech, language, voice, cognitive communication and swallowing disorders, SLPs may require consultation with an SLP at the full performance or higher level. Speech-Language Pathologist, GS-12 Experience: In addition to the basic requirements at the GS-11 level, completing one year of professional experience comparable to the next lower level and possessing a full, current and unrestricted license to practice speech-language pathology. Examples of specialized experience include but are not limited to: assess and treat patients with routine speech, language, voice, cognitive-communication and swallowing disorders following the principles of evidence-based practice and perform clinical procedures with respect to age-specific, unique patient conditions and needs .Demonstrated Knowledge, Skills and Abilities (KSAs). In addition to the experience requirements, the candidate must demonstrate all of the following KSAs: (a) Skill in applying principles and techniques of diagnosis and treatment associated with contemporary speech-language pathology following evidence-based practice for adult patients exhibiting the full range of speech to the full range of patient populations. (b) Skill in administering and interpreting instrumental swallowing evaluations. (c) Ability to assess the effectiveness of clinical outcomes and adapt clinical procedures and techniques to accommodate unique patient conditions. Assignment. This is the full performance level. At this level, SLPs independently provide evidence-based assessment and treatment interventions to individuals with a wide range of speech, language, voice, cognitive-communication and swallowing disorders. Staff SLPs select, administer and interpret standardized and non-standardized assessment measures. They integrate assessment findings into a patient-centered treatment plan of care and evaluate the effectiveness of interventions by collecting and documenting treatment outcomes. SLPs may be assigned to work in a specific clinical area such as traumatic brain injury, head and neck cancer, movement disorders or spinal cord injury. They may provide clinical training experiences for trainees and students and participate in research activities. The full performance level of this vacancy is GS-12. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-11 to GS-12. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Stand for long periods of time while repeating same movements or walking. Bending and twisting body to lift, push, and pull light weight objects. Lift, carry, or move objects weighing up to 15 pounds. Stand for as much as 85% of work time. Reach above shoulder level in order to perform work. Move, adjust, and manipulate a variety of equipment. Ability for rapid mental and muscular coordination simultaneously. ["The speech-language pathologist at this level conducts, plans, and coordinates all clinical and administrative aspects of a full range of services associated with contemporary speech-language pathology practice. Major Duties include but are not limited to: Independent diagnostic assessment and evaluation of cases that are referred to Speech-Language Pathology without limitation as to difficulty or complexity. Conduct interviews with the patients and appropriate family members and/or friends, selects, administers and interprets the diagnostic test necessary to detect and evaluate any type of speech, language, voice, fluency, cognitive, and/or swallowing disorders. Provide adequacy of assessment and for the reporting of the findings to other professional workers with whom he/she or other members of the speech-language pathology service may cooperate in formulating diagnostic and clinical judgments; assesses patient condition from close observation and consultation with other members of the inter-disciplinary health care team; and utilizing all diagnostic and evaluative procedures and techniques consistent with contemporary speech-language pathology practice. Report the findings to other professional workers with whom he/she or other members of the speech-language pathology service may cooperate in formulating diagnostic and clinical judgments; assesses patient condition from close observation and consultation with other members of the inter-disciplinary health care team; and utilizing all diagnostic and evaluative procedures and techniques consistent with contemporary speech-language pathology practice. Plans, conducts, coordinates, and monitor the effectiveness and clinical outcomes of patient-centered treatment and rehabilitative services to maximize and restore to the greatest extent possible physical and social functioning. Administration of a full range tests of speech, language, voice, fluency, and cognition including modal level and variation of vocal pitch and loudness; variability of the rate of vocal utterance; frequency and complexity of speech disfluency; consistency and adaptation of disfluency in sustained or repeated speaking and aural reading; phonetic analysis of speech designed to identify and evaluate patterns of misarticulation, such as distortions and omissions of sounds, as well as phonemic substitutions, including patterns of variation and speech sound articulation; and identification of phonetic and semantic factors related to this variation. Develops an effective and comprehensive plan of care for swallowing disorders in collaboration with other health care practitioners; establishes and maintains an effective therapy relationship with the patient, family and caregivers; and adjusts treatment plan to patient response and indicators of progress. Serves as a consultant to other facility personnel involving the most difficult and complex cases and is a recognized subject matter expert on matters related to speech, language voice, fluency, cognitive, and swallowing disorders. Remain current with new developments in speech-language pathology and will maintain professional competency by reading professional journals and engaging in continuing education activities and professional learning experiences and by communicating with other professionals in the profession and related professions. Supervising, mentoring, and precepting student trainees in speech-language pathology and maintaining liaisons with affiliated colleges and universities. He/she may also provide instruction to residents and interns who seek information relation to speech-language pathology practice. Participate in research activities pertinent to speech-language pathology. Although limited research is conducted in the clinical setting, the use of carefully executed procedures may be a part of a research design. Perform ancillary assignments, including program management duties on an occasional basis, where the complexity and amount of the work is not substantial. Work Schedule: Monday-Friday, 8:00am-4:30pm Telework: ADHOC Virtual: This is not a virtual position. Functional Statement #: 30724-F Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized"]

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