Occupational Therapist - Home Based Primary Care

Department of Veterans Affairs › Veterans Health Administration (3515 current openings)

Who may apply

Limited to the following applicant groups:

Federal employees - Competitive service
Federal employees - Excepted service
Internal to an agency

Cody, Wyoming

Full-time Security Clearance: Not Required

Application Deadline:

2026-09-30

Posted:

2026-07-24

Apply on usajobs.gov

Salary: $61,722 – $116,362 per year (GS-9/12)

Job Details

Position Overview

Location for this position is at the CODY, WY, Community-Based Oupatient Clinic (CBOC).

The Occupational Therapist (OT) carries primary responsibility for providing in-home rehabilitation therapy assessments, home assessments, treatment planning & administration, & management of rehabilitation in the home for patients in the HBPC Program at the Sheridan VHCS. Due to the frontier nature of the service area & level of staffing, the HBPC OT works in the community requiring travel.

Duties

Serves as the primary therapist in the Geriatrics Extended Care.
Provides evaluations and assessments for the presence of physical abnormalities, and functional disabilities that interfere with Activities of Daily Living and/or quality of life.
Provides in-home services to veterans who present with a wide variety of multiple, complex chronic illnesses and/or profound disabilities to improve or maintain functional levels and encourage independence in the home.
Determines functional-related problems including rationale or basis for making the assessment and include the completion of safety assessments as clinically indicated.
Works in the community, traveling some distance alone to meet with Veterans enrolled in the HBPC program.
Independently plans, develops, and implements comprehensive treatment programs for individual patients or groups of patients to restore and enhance their performance and potential for independent living or maximize function within their lifestyle.
Responsible for the coordination of case management services. The incumbent is part of a multidisciplinary team of health professionals and peer counselors specializing in Peer Support, Psychology, Psychiatry, Mental health Case Management, Substance Abuse Treatment, Homeless Case Management, Vocational Rehabilitation, and Family Psychosocial Education.
Responsible for advanced occupational therapy techniques to perform functions associated with the OT scope of practice; evaluating patients as appropriate for a wide range of diagnoses, primarily psychosocial, to establish a baseline level of function (i.e. medical record review, observation, and interviews with a focus on cognitive and social skills, role dysfunction, range of motion, strength, sensation, proprioception, coordination, perception, self-care, homemaking, assistive/orthotic/prosthetic/adaptive equipment needs avocational/vocational skills, etc.).
Performs occupational therapy assessment and treatment of occupation, cognitive, and psychological functional deficits to develop and implement occupational therapy treatment plans with individuals, families and/or groups of patients to meet individual patient rehabilitation objective.

Work Schedule: Monday - Friday, 7:30am - 4:00pm
Telework: Not available.
Virtual: This is not a virtual position.
Functional Statement #: 59057-A / 59058-A
Relocation/Recruitment Incentives: Not authorized.
Permanent Change of Station (PCS): Not authorized.

Qualifications & Requirements

*** This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until September 30, 2026 or until the position is filled. The initial cutoff date for referral of eligible applications will be August 6, 2026. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as needed basis until positions are filled. ***

Applicants pending the completion of educational or certification/licensure requirements may be referred & 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.
English Proficiency. Candidates must be proficient in spoken & written English to be appointed as authorized by 38 U.S.C. § 7403(f).

Education and/or Experience.
Individuals must be a graduate of a degree program in occupational therapy approved by the ACOTE or predecessor organizations. ACOTE is the only accreditation agency recognized by the United States Department of Education & the Council for Higher Education Accreditation.
The individual must meet at least one of the following requirements below:

(a) Bachelor's degree in occupational therapy &two (2) years of experience as an occupational therapist.

(b) Bachelor's degree in occupational therapy & two (2) full years of graduate education in a related field.

Foreign Graduates. Graduates of foreign occupational therapy programs meet the requirements if they have a current, full, active & unrestricted license to practice occupational therapy.

Certification. Candidates must possess a current NBCOT certification as an OT.

State Licensure. Candidates must possess a full, current, & unrestricted state license, to practice occupational therapy in a state, territory or Commonwealth of the United States (i.e., Puerto Rico), or in the District of Columbia.

Exceptions for the Graduate Occupational Therapist.
- OT graduates from an approved occupational therapy program who otherwise meet the minimum qualification requirements, but who do not possess NBCOT certification &/or state licensure, may be appointed, pending certification &/or licensure, as a graduate OT [on a full-time temporary appointment] not-to- exceed two years.
- Graduate OTs may only be appointed at the GS-9 grade level & may not be promoted/converted to the GS-11 level until licensure &/or certification is obtained. For grades levels at or above the developmental GS-11 grade level, the OT must be certified & 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 (12/13/2019) are considered to have met all qualification requirements for the grade held including positive education & licensure/certification/registration that are part of the basic requirements of this occupation. Employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, must meet one of the provisions listed in the qualification standard.

Grade Determinations. In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.

Occupational Therapist, GS-9
Education, Experience, or Licensure. None beyond the basic requirements.

Occupational Therapist, GS-11
Education & Experience.

(a) Completion of one year of experience equivalent to at least the GS-9 grade level & directly related to the position being filled;

(b) Three years of progressively higher level graduate education leading to a degree in occupational therapy or a directly related field;

Assignments for the GS-9 grade level include by are not limited to serving as OT practitioners in a career development position progressively expanding their ability to provide assessment & treatment interventions for a wide range of human function systems. The entry level therapist has a basic foundation of OT & generally practices independently.

Demonstrated Knowledge, Skills, & Abilities (KSAs). In addition to the experience or education above, the candidate must demonstrate all of the following KSAs:

(a) Knowledge of occupational therapy practice.
(b) Ability to administer/interpret evaluation findings to develop & coordinate intervention plans, including goals & methods of treatment.
(c) Ability to implement intervention plans directly or in collaboration with others.
(d) Skill in monitoring an individual's response to interventions & modify treatment plans & reevaluating as indicated.
(e) Ability to communicate &or collaborate with patients, family members, caregivers, interdisciplinary professionals &/or other individuals verbally & in writing.
(f) Knowledge of health & safety regulations to minimize risk in the provision of patient care & the environment of care.
(g) Knowledge of applicable regulations governing documentation, reimbursement & workload entry in accordance with established professional practice.

Occupational Therapist, GS-12
Education & Experience. Completion of one year of experience equivalent to at the GS-11 grade level & directly related to the position being filled.

Assignments at the GS-11 level include but are not limited to OTs practicing independently & are responsible for the assessment of functional & occupational roles using standardized tools. OTs select & provide direct occupational therapy interventions & procedures with routine complexity to enhance safety, wellness, performance in activities of daily living (ADL); & instrumental activities of daily living (IADL), education, work, play, leisure, & social participation. OTs demonstrate an understanding of the theories of treatment in occupational therapy & their proper application through the use of activity analysis, behavioral intervention, frame of references, & therapeutic procedures.

Demonstrated Knowledge, Skills, & Abilities (KSAs). In addition to the experience above, the candidate must demonstrate all of the following KSAs:

(a) Knowledge of occupational therapy principles & techniques consistent with current clinical standards based on OT theory & evidence based practice. Knowledge is inclusive of physical, occupational, cognitive, & psychosocial functional deficits.
(b) Ability to collaborate & communicate orally & in writing with all internal &external stakeholders.
(c) Ability to use critical analysis, clinical reasoning, & creativity to independently solve complex problems related to adapting &modifying assessments, treatment plans, activities & procedures to meet the needs of patients.
(d) Skill in procuring, fabricating, adjusting, adapting, & modifying orthoses, splints, & adaptive equipment for activities of daily living (inclusive of durable medical equipment).
(e) Ability to conduct OT related in-service & clinical training.

Preferred Experience:

Providing rehabilitation services in home or community-based settings, particularly with older adults or those managing chronic health conditions.
Experience working as part of an interdisciplinary healthcare team, collaborating with providers such as nurses, social workers, & physicians.
Experience with the VA system or caring for veterans.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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-9 to
GS-12.

Education

Degree programs may be verified by contacting the American Occupational Therapy Association website or at their office address: American Occupational Therapy Association, P.O. Box 31220, Bethesda, MD 20824-1220.

Requirements

You must be a U.S. Citizen to apply for this job.
Selective Service Registration is required for males born after 12/31/1959.
Must be proficient in written and spoken English.
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 identification 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).
Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

your performance and conduct;
the needs and interests of the agency;
whether your continued employment would advance organizational goals of the agency or the Government; and
whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Evaluations

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

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.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

Resume
SF-50/ Notification of Personnel Action
Transcript

Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.

Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

Cover Letter
License
Other (1)
PCS Orders
Professional Certification
Resume
SF-50/ Notification of Personnel Action
Transcript

Veterans' preference does not apply for internal or other current permanent Federal agency employees.

How to Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 09/30/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/13016168.

To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

Source: Data sourced from USAJOBS