Commissioned Corps of the U.S. Public Health Service

Therapist Professional Advisory Committee

Non Traditional Billets

The Strategic Growth Subcommittee has assembled a supplementary database of descriptions of non-traditional billets filled by Therapy Category Officers. Much of this information was originally developed by the Therapist Billet Exploration and Development Subcommittee as described in their June 2003 report [PDF - KB] to the TPAC .

Descriptions of traditional clinical billets for therapists may be found on the CCMIS website.

Non-traditional Billets include:

Functional Title: Chief Therapist

Organization: DHHS/HRSA/BPHC/DNHDP, Staten Island, NY

Pertinent Program Information:

    Chief therapist consultant and educator for Ambulatory Care Program (ACP), which includes ten HD Outpatient Clinics in the U.S. & Puerto Rico, serving 4800 outpatients. Performs quality control site visits and participates in staff training and seminars for ACP. Chief Therapist and Certified Pedorthist for Staten Island HD Program at Staten Island University Hospital. Officer serves as Rehab Coordinator for the Diabetes Mellitus and HD Programs.

Brief Statement of most important duties:

  • Deputy Director, NYRAHDC, Staten Island, New York.
  • Rehab Coordinator Diabetes Mellitus and Hansen's Disease Programs at the Staten Island University Hospital.
  • Solo Corps therapist independently responsible for providing Physical Therapy services to approximately 700 patients.
  • Corps specialist "Insensitive Limb Care" (wound/Pedorthic expertise).
  • Successfully manage often heavy caseloads weekly, including Hand/Foot Care, Pedorthics, and EMG/NCV testing.
  • Traveling clinical consultant to other regional centers for site evaluation/clinical training.
  • Currently involved in clinical research on Gait Pathomechanics related to Hansen's Disease and diabetes patients through prevention of amputation, minimizing disability, preserving patient dignity, restoring independent ADL functioning, and quantitatively reducing hospital admissions, lowering health care costs, and improving patient/community education.
  • National lecturer, Pedorthic Footwear Association, American Diabetes Association, American Physical Therapy Association, and active PSH recruiter.

Direction Received:

    Receives administrative direction from RHDP Director, Commissioned Corps physician; and technical consultation from Chief, Physical Therapy Department, GWLHDC, Carville, LA. Therapist performs complex therapy tasks independently.

Minimum Qualifications:

    Entry level masters or bachelors degree from an accredited school and licensor/certification by the appropriate professional credentialing authority plus 12 years experience or masters degree and 11 years experience.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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Functional Title: Medical Director - Outpatient Department

Organization: Indian Health Services - Chinle Hospital

Pertinent Program Information:

    The medical director of the outpatient department represents the interests of the medical staff providers. This individual will be a clinician with demonstrated leadership and administrative abilities. The Medical Director of the Outpatient Department works with the Adult Outpatient Clinics, Pediatric Clinics, Material and Child Health and the Specialty Clinics. The Medical Director works with the emergency department on areas of mutual concern such as central triage and urgent care. The Medical Director must have a close working relationship with the Chief Nurse Executive for Outpatient in order to accomplish the assigned responsibilities. The medical director will serve as a non-voting member of the Medical Executive Committee.

Brief Statement of most important duties:

  • The continuous assessment and improvement of the quality of care and services provided in Outpatient Department.
  • Coordination of all clinical activities of the Outpatient department.
  • Scheduling and chairing Outpatient department meetings.
  • Bringing appropriate issues from Outpatient Department meeting to the Medical Executive Committee meetings.
  • The integration of Outpatient Department services into the primary functions of the organization.
  • The coordination and integration of interdepartmental and intradepartmental services.
  • Make recommendations for a sufficient number of qualified and competent persons to provide care or services.
  • The development and implementation of policies and procedures, with appropriate multidisciplinary consultation, that guide and support the provision of services.
  • Serves as a resource for the Assistant Chief Nurse of Outpatient/ER and other supervisors.
  • Other duties and responsibilities as assigned.
  • In addition, the following special projects are assigned:
  • Chairman of the PCC+ implementation Committee.
  • Director of the Care Delivery Redesign project.
  • Participate in the service unit's long range planning process as the representative and coordinator of the Outpatient Department in the building design process for a new Outpatient Department.
  • Coordinator of planning for a new Health Clinic at Pinon, AZ.
  • Mentor the Acting Director of Rehabilitation Services.
  • Develop a Position Description for an Ambulatory Care Director.

Direction Received:

    The selection and supervision of the Medical Director will be the responsibility of the Clinical Director.

Minimum Qualifications:

    Clinician.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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Functional Title: Assistant Health Systems Administrator (AHSA)

Organization: Bureau of Prisons

Pertinent Program Information:

    Serves as the assistant to the Health Systems Administrator. Facilities provide medical and dental care for incarcerated offenders. The focal point of this health services delivery system is a clinical hospital atmosphere providing medical/psychiatric, minor surgery, and dental care in two areas. The AHSA must know and understand the methods and objectives of custody and discipline as it applies to inmates. Must also be familiar with Bureau and institutional polices, rules, procedures and practices.

Brief Statement of most important duties:

  • Enforce rules and regulations governing facility security, inmate accountability and inmate conducted to ensure that judicial sanctions are carried out. From time to time may be authorized to carry firearms and to use physical force, including deadly force, to maintain control of inmates. Is subject to being in hostile or life threatening situations as riots, assaults, escape attempts. Must exercise sound judgment in making instantaneous decisions affecting life, well being, civil liberties and property which cannot be reviewed prior to implementation and which may subject the decision maker to legal liabilities, including personal sanctions.
  • Must successfully complete continuing training on laws, legal procedures and regulations regarding correctional management, firearms proficiency, physical defense and control techniques, management of medical emergencies, interpersonal communications skills and other relevant topics. Is subject to rigorous pre-employment screening including employment interview, medical examination, drug testing and an extensive background investigation. Must adhere to high standards of personal conduct both on and off the job and is subject to sanctions for misconduct. May be assigned to different geographic locations, either permanently or temporarily, for the benefit of the service. During institution emergencies or other periods of heavy workload or limited staff, may be required to work long hours and irregular hours, unusual shifts, Sundays, holidays and unexpected overtime.
  • Along with all other correctional institution employees, the AHSA is charged with the responsibility for maintaining security of the institution. The staff correctional activities are paramount and precede other duties and responsibilities required by this position. The AHSA regularly performs as a law enforcement officer during required training, emergency situations, staff shortages and under any other type of correctional operating crisis.
  • Specific correctional responsibilities include custody and supervision of inmates, responding to emergencies and institution disturbances, participating in fog and escape patrols, and assuming correctional officer posts when necessary. The AHSA may be required to shakedown inmates and conduct visual searches in their work or living area for contraband. Incumbent must be prepared and trained to use physical control in situations where necessary, such as in fights among inmates, assaults on staff, and riots or escape attempts.
  • The AHSA is responsible for assisting the managing and directing of the activities of a multi-disciplinary team of health care professionals who are responsible for the medical, dental and allied health services of the facility, providing the best possible patient care to the inmate population. This requires an understanding of the critical balance between administrative and clinical functions in the health care delivery system. It also requires the knowledge and skill to coordinate and control programs and resources to achieve this balance, and knowledge to apply the specialized principles and practices of health care management in directing a health care delivery system.
  • The health care services provided include clinical and outpatient care in either an institution setting or at a local hospital, as well as routine health maintenance services, Emergency services, and chronic care of inmates with long term illnesses. The AHSA also manages allied health services such as lab and x-ray.
  • Assists the cost center manager to prepare estimates and administer an annual budget. Assist in the management of a procurement system to provide adequate levels of medical, surgical, dental, and pharmaceutical supplies. The AHSA is required to have knowledge of basic fiscal management principles and an acute awareness of the cost of medical equipment, supplies and services. Implements programs and budget proposals which reflect past expenditures and changing program priorities. Additionally, the AHSA establishes and determines the priorities of health care services needed for personnel services, space equipment and supplies, and allocate the available funds accordingly.
  • Personnel responsibilities include approving, disapproving, or recommending action on promotions, selections, awards and disciplinary actions. Investigating and/or hearing grievances or complaints and implementing or recommending appropriate actions. Establishing and recommending training programs for continuing medical education and training for career development and professional enrichment.
  • The AHSA must have thorough knowledge of the Union Master Agreement and various personnel practices and is responsible for entries in the subordinate's performance log.
  • Establishes and maintains good relationships with local hospitals and distant medical centers in order to provide extensive definitive medical care. Meets with other Health Services Administrators, representatives from colleges and universities, accrediting agencies, and the community at large in promoting the understanding of good quality care and health care delivery mission. Also promotes a good relationship with other staff members at Bureau of Prisons institutions to coordinate transfer of patients and continuation of treatments.
  • The AHSA is the advisor to the HAS regarding the management and operation of health services and is responsible for providing advice and recommendation regarding medical programming in consultation with the medical providers. The nature and soundness of advice to HAS impacts on other program areas within the institution (i.e. Food Service, Custody, Safety, etc.).
  • The AHSA is also responsible for the formulation and implementation of administrative policies and programs essential to medical and dental operations. Additionally, the AHSA is responsible for integrating administrative management and functions with ongoing clinical programs.
  • The AHSA uses guidelines which are generally applicable, however adaptations must be made in order to differentiate between the intent and the content of the guidelines with the respect to its implementation in individual situations. As an Assistant department head and member of the management staff, provides advice and assistance in the formation and implementation of institution policies, programs and operations, in addition to that regularly rendered in connection with the programs of the institution. Serves as Institution Duty Officer on a rotating basis.
  • Whenever a health care delivery system is part of the penal system, the complexity of the operations is drastically increased as the administrator becomes responsible for control and custody of the inmate patients. Because of the broad spectrum of medical care provided, intricate scheduling is required to meet the rigid control and accountability requirement of inmate patients, and appointment scheduling of the medical practitioners. Services of a more definitive care are offered at outside resources and require scheduling with other institutional departments as well as outside facilities.
  • The AHSA is responsible for the safeguarding of medical supplies and equipment and controlled drugs. Safeguarding of such is more complex in a penal institution hospital setting. In addition, to the usual regulatory agencies concerned, additional security requirements are mandated by local and higher authorities. Controlled drugs must be administered in single doses and accounted for on a single dose basis in the hospital setting.
  • The mental health and physical health of the inmate population make the management of this type of health care delivery system difficult due to the changing case load of out-patients which require continual care and intensive. follow up within a relatively short stay. The medical facility may also be one which provides coordination of medical airlifts of inmates to other facilities.
  • The AHSA is responsible for assisting in the initiating and coordinating required medical, surgical, and dental consultant programs. The AHSA must initiate contracts and proposals, monitor contract compliance and maintain budgetary control over these accounts. The purpose of these contracts is to provide essential care yet remain within the budgetary limitations of the contract care budget.
  • Effective accomplishment of the mission of the Bureau of Prisons frequently requires geographic relocation of supervisory and managerial personnel. The AHSA is subject to said provisions and is susceptible to geographic relocation at the discretion of management in the interest of the efficiency of the service.

Direction Received:

    Under the general direction of the Health Services Administrator, and in close cooperation with the chief, Health Programs and Chief Dental officer, the AHSA has direct line responsibility for assisting of the health care delivery system.

Minimum Qualifications:

    Experience with medical administration and health care. Completion of the BOP AHSA training program.

Incumbent's category: Therapy

Incumbent's profession: Occupational Therapy

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Functional Title: Health System Administrator (HSA)

Organization: Bureau of Prisons

Pertinent Program Information:

    The incumbent serves as the Health System Administrator (HSA) at a Federal Bureau of Prisons correctional facility. The HSA, in collaboration with the Clinical Director manages and directs the activities of a multi-disciplinary team of health care professionals who are responsible for the medical, dental, and allied health services (pharmacy, lab and x-ray) to the inmate population. The HSA serves as an advisor to the administration regarding overall administrative management and operation of health services and provides advice and recommendations regarding medical programming in consultation with the medical providers.

Brief Statement of most important duties:

  • The HSA is responsible for managing and directing the administrative activities of a multi-disciplinary team of health care professionals who are responsible for the medical, dental and allied health services of the facility, and in collaboration with the Clinical Director, overseeing the provision of the best possible patient care to the inmate population. This requires an understanding of the critical balance between the administrative and clinical functions in the health care delivery system. It also requires the knowledge and skill to coordinate and control programs and resources to achieve this balance, and knowledge to apply the specialized principle and practices of health care management in directing a health care delivery system.
  • The health care services provided include inpatient and outpatient care in either an institution setting or at a local hospital, as well as routine health maintenance services, emergency services and chronic care of inmates with long term illnesses. The HSA may also manage and direct dental and allied health services such as pharmacy, lab, and x-ray.
  • Serves as a cost center manager to prepare estimates and administer an annual budget. Manages procurement system to provide adequate levels of medical, surgical, dental, and pharmaceutical supplies. The incumbent is required to have a knowledge of basic fiscal management principles and an acute awareness of the cost of medical equipment, supplies and services. Implements programs and budget proposals which reflect past expenditures and changing program priorities. Additionally, the HSA establishes and determines the priorities of health care services needed for personal services, space, equipment and supplies, and allocates the available funds accordingly.
  • Provides administrative supervision either directly or through the Assistant Health System Administrator/Supervisory Physician's Assistant to subordinate staff, I.e., Mid-level practitioners, EMT's Pharmacist, clinical nurses, medical record technician, dental assistant, contract medical staff, etc.
  • Incumbent is responsible for initiating personnel procedures relative to both the Office of Personnel Management and Commissioned Officers of the United States Public Health Service. Personnel responsibilities include approving, disapproving, or recommending action on promotions, selections, awards and disciplinary actions; investigating and/or hearing grievances or complaints and implementing or recommending appropriate actions; establishing and recommending training programs for continuing professional enrichment; evaluating work performance of subordinates; improving production and quality of health care; developing performance standards for subordinates; prioritizing schedules and delegating assignments to subordinates; and resolving differences among managers, supervisors, employees, contractors or the general public.
  • The HSA must be knowledgeable about personnel regulations applicable to both civilian and PHS staff. The HSA serves as the local Personnel Officer for Commissioned Corps personnel. He/she assists in recruiting new personnel, maintains their leave records, and keeps staff informed of training opportunities.
  • The HSA should also have a good working knowledge of national AFGE/BOP contract provisions, Joint Commission on Accreditation of Health Organizations (JCAHO) Ambulatory Care standards, Program Review standards, and the Commissioned Corps Personnel Manual.
  • The incumbent establishes and maintains good relationships with local hospitals and distant medical centers in order to provide extensive, definitive medical care. He/she meets with other HSA's, representatives from colleges and universities, accrediting agencies, and the community at large to promote their understanding of quality care and the health care delivery mission. The incumbent also promotes a good relationship with other staff members at BOP institutions to coordinate transfer of patients and continuation of treatments.
  • Develops and coordinates internal review systems to assure compliance of the standards of the American Correctional Association (ACA) and JCAHO, as well as other regulatory groups and higher agency authorities. Assures both administrative and clinical activities are integrated and in compliance with these standards. Develops and adjusts to organizational structure and management systems in order to accomplish the basic mission of the entire health care delivery system.
  • Supervisory work and/or related managerial responsibilities constitute a major duty occupying at least 25% of the position's time and requires accomplishment of work through the combined technical and administrative direction of subordinate employees.
  • Supervisory functions include a range of duties which include planning, organizing and reviewing work, administering personnel matters, and dealing effectively with employees and union representatives regarding employee-management concerns. Specific supervisory responsibilities may include assigning, directing and reviewing the work of subordinates; evaluating work performance; identifying training needs; recommending selections, promotions, awards, disciplinary or other actions; planning, scheduling and coordinating the work of the unit; giving advice and counsel to employees; hearing and resolving employee complaints and grievances; and determining the material, equipment, and facilities needed to perform the work.
  • If the position exercises managerial authorities, duties may include directing the work of an organizational unit, being held accountable for its success, and monitoring its progress toward meeting goals. Typical managerial responsibilities may include determining program goals and monitoring/evaluating the progress in meeting goals; determining resource needs and making adjustments in objectives, work plans and commitment of organizational changes; assessing program impact at the local level as well as on the organization as a whole; determining policy in such areas as program emphasis and operating guidelines; and administering general personnel policy regarding matters of significant importance.
  • Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional activities are paramount and precede other duties and responsibilities required by this position.

Direction Received:

  • Specific correctional responsibilities include custody and supervision of inmates, responding to emergencies and institution disturbances, participating in fog and escape patrols, and assuming correctional officer posts when necessary.
  • Under the general direction of the Associate Warden, the incumbent has direct line responsibility for managing all administrative activities of the health care delivery system.
  • The incumbent is required to shakedown inmates, conduct visual searches of inmate work and living areas for contraband, and is responsible for immediately responding to any institution emergencies. The incumbent must be prepared and trained to use physical control in situations where necessary, such as in fights among inmates, assaults on staff, and riots or escape attempts.
  • The HSA is the advisor to the administration regarding overall management and operation of the health services and is responsible for providing advice and recommendations regarding medical programming in consultation with the medical providers. The nature and soundness of advice of the HSA impacts on other program areas within the institution.
  • Incumbent has the authority to enforce criminal statutes and/or judicial sanctions, including investigative, arrest an/or detention authority on institution property. When necessary, incumbent also has the authority to carry firearms and exercise appropriate force to establish and/or maintain control over individuals. When conditions warrant, the employee may enter into hostile or life threatening situations and may be required to make decisions affecting the life, well-being, civil liberties, and/or property of others.
  • The HSA is also responsible for the formulation and implementation of administrative policies and programs essential to medical and dental operations. Additionally, he/she is responsible for integrating administrative functions with ongoing clinical programs (I.e. Food Service, Custody, Safety, etc).
  • The HSA uses guidelines which are generally applicable, however, adaptations must be made in order to differentiate between the intent and the content of the guidelines with respect to its implementation in individual situations.
  • Incumbent must successfully complete specialized training in firearms proficiency, self defense, management of medical emergencies, safety management and interpersonal communication skills.

Minimum Qualifications:

  • Knowledge and ability to apply counseling and guidance skills and techniques in order to effectively influence the attitudes, behavior and work habits of inmates.
  • Must have a working knowledge of BOP policy and the general functions of all the departments as they relate to the health services department.
  • Must be familiar with safety procedures for staff and inmate workers.
  • Skill in the identification of narcotics and narcotic paraphernalia.
  • Knowledge of search procedures of persons and property for contraband.
  • Thorough knowledge of BOP regulations to enforce security measures and protect life and property. Work within a prison environment requires a special ability for alertness requiring keen mental and physical effort. Incumbent must be aware of group or individual tensions, alert to unpredictable behavior, and generally sensitive to signs of trouble which could result in injury.

Incumbent's category: Multidisciplinary

Incumbent's profession: Open

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Functional Title: Wellness Center Coordinator

Organization: Indian Health Service

Pertinent Program Information:

    Directs and coordinates all aspects of the wellness center facility. Serves as a Health Promotion consultant for the community.

Brief Statement of most important duties:

  • Responsible for establishing wellness center program goals and objectives to include development, coordination, implementation and evaluation of an overall program plan.
  • Accountable for all administrative and management aspects of the wellness center.
  • Serve as primary clinical/administrative liaison between the wellness center, health care providers and other resources available within the service unit.
  • Independently assures planning, development, implementation and evaluation of vital aspects of wellness center programs including screening protocols and criteria, health promotion, employee wellness, continuing education, career development and performance improvement activities.
  • Establish a broad spectrum of available fitness based services for the community, staged appropriately for current fitness level, taking underlying medical conditions into consideration.
  • Provide consultation/intervention for individuals requiring close professional monitoring/supervision. Serve as a liaison between the individual and their primary care physician to ensure the highest quality of service.
  • Ensures ongoing training for wellness center personnel in areas of safety, healthy lifestyle screening, fitness training, and healthy lifestyle education.
  • Develop and administer a departmental budget and consulting on budget process with service unit administration.
  • Provide administrative direction and supervision for all wellness center staff, and leads recruitment of qualified personnel.
  • Maintains professional qualifications and participates in direct care as part of day to day responsibilities.
  • Perform other duties or agency/PHS-specific activities as assigned.

Direction Received:

    Administrative direction is through the chain of command provided by the structure specific to the organization.

Minimum Qualifications:

    Qualifying degree with 8 years clinical experience including 3 years administrative experience.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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Functional Title: Fitness/Wellness Coordinator

Organization: Indian Health Services - Navajo Area

Pertinent Program Information:

    Incumbent will provide professional consultation and leadership for Navajo Area community-based fitness related initiatives. He/she will service as the liaison between Navajo Area community-based fitness program development/implementation and the Navajo Area Community Health Director. He/she will also serve as an active consultant for fitness/wellness promotion activities for Navajo Area professional and support personnel including serving as fitness consultant for Health Promotion's Just Move It and Wellness on Wheels programs.

Brief Statement of most important duties:

  • Provide formal training programs for individuals responsible for community fitness/exercise sites.
  • Perform ongoing chapter-based assessment of fitness/recreational needs and recommend action plans to meet them, working with community leaders and Health Promotion staff.
  • Manage program funds, develop budgets, monitor resources as allocated. Assist in developing systems of financial support acquisition: grant proposals to various governmental agencies, as well as commercial resources.
  • Serve as the Shiprock Wellness Center Coordinator with specific responsibilities including:
  • accountable for all administrative and management aspects of the Wellness Center.
  • supervisory responsibilities for support staff personnel.
  • provide ongoing training for Wellness Center staff regarding safe and effective individualized, as well as group, fitness/exercise program development.
  • develop appropriate health status and fitness level screening mechanisms and follow-up protocols for individuals utilizing the Wellness Center.
  • establish a broad spectrum of available fitness based services for the community, staged appropriately for current fitness level.
  • provide consultation/intervention for individuals determined to require close professional monitoring/supervision.
  • Serve as liaison between the individual and their primary care physician to ensure the highest quality of service.
  • manage ongoing Performance Improvement efforts for the Wellness Center.
  • Develop and assist in directing employee fitness/exercise intervention programs.
  • Provide assistance for tribal and community based programs in coordinating adult and youth recreation leagues.
  • Design and implement program evaluation measurements (outcome measures).
  • Provide regular publication providing health promotion education geared towards fitness, including a calendar of upcoming activities/events.
  • Assist Health Promotion staff in meeting other objectives and goals as needed.

Direction Received:

    Employed within the Health Promotion Department under the supervision of the Director of Community Health Services.

Minimum Qualifications:

    Qualifying degree with 14 years of clinical experience, including 5 years of administrative experience.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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Functional Title: Executive Director, President's Council on Physical Fitness and Sports

Organization: Office of the Secretary

Pertinent Program Information:

    Under the general direction of the Assistant Secretary for Health (ASH), the Executive Director, President's Council on Physical Fitness and Sports (PCPF&S) is responsible for assisting the Chairman and Council members in the planning, development, and implementation of polices, programs, and activities to assure achievement of national goals for physical fitness and sports.

Brief Statement of most important duties:

  • Developing physical fitness priorities in terms of existing and new programs. Identifying long-range goals relating to fitness improvement of various segments of the population in keeping with broad national trends and concerns. Recommending budgetary and legislative actions to accomplish the desired objectives, based on both long-term and immediate priorities.
  • Evaluating policies and programs that affect the fitness of all American citizens. Determining significant developments, summarizing and interpreting salient information, and recommending courses of action to the Chairman and Council members. Maintaining communication with the White House staff, officials of government and members of the Congress, representatives of business and industry, lay and professional groups concerned with physical fitness, public information media, and many other segments of the general public.
  • Providing coordination on a government-wide basis for programs and activities concerning physical fitness and sports. Developing and coordinating activities to encourage state and local government efforts in physical fitness and sports participation. Developing and coordinating efforts to assist school health and physical education programs. Assisting in the development of quality programs for educational agencies by devising methods to encourage innovation, improve teacher preparation, and to strengthen state and local leadership. Collaborating with medical, dental, and similar professional groups to foster sound physical fitness practices.

Direction Received:

  • The incumbent works within the general policy framework provided by legislation, policies of the Executive Branch, departmental policies and general policies of the ASH. The incumbent works with a high degree of independence under very general direction of the ASH.
  • Performance is evaluated in terms of effectiveness, responsiveness, progress toward overall goals and objectives and the consonance of his activities with the policies and views of the ASH.
  • Incumbent develops and maintains a close and confidential relationship with the ASH to assure that his views and those of the Secretary are reflected in all administration and policy making activities.

Minimum Qualifications:

    Performance of these duties requires full knowledge of and responsiveness to the views and policies of the Chairman and the members of the Council.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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Functional Title: Research Therapist

Organization: CDC, DBBS, Physical Agents Effects Branch, Bioacoustics and Occupational Vibration Section

Pertinent Program Information:

    Officer is a senior research member of the Physical Agents Effects Branch consisting of 14-16 professionals trained in physics, physiology, psychology, industrial hygiene, mechanical and electrical engineering, and audiology. The group conducts world-wide work-site studies and laboratory investigations regarding the prevention of occupational hearing loss and the effects of occupational exposure to radiation.

Brief Statement of most important duties:

  • Plans, directs, coordinates, manages, implements, and evaluates laboratory and work-site activities.
  • Performs literature reviews, develops research protocols and training procedures, and obtains clearances to conduct research.
  • Serves as a project officer on laboratory and work-site studies and performs complex research tasks without the benefit of close supervision.
  • Directs staff, contractors, and consultants involved in research activities.
  • Formulates and monitors budgets for projects and assists in planning for space and equipment needs.
  • Assists in the recruitment and selection of research staff.
  • Provides technical assistance and educational programs to achieve research goals and promulgate research findings.
  • Performs other duties or agency/PHS-specific activities as assigned.

Direction Received:

    Section and Branch supervisors provide guidance in selection of research topics and overview of research activities. Therapist independently performs planning and management of research activities and submits reports or materials for publication to supervisors.

Minimum Qualifications:

    Master's degree from an accredited school, one year of supervised internship, and licensure/certification by the appropriate credentialing authority.

Incumbent's category: Therapy

Incumbent's profession: Audiologist

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Functional Title: Director Regulatory Review Officer

Organization: Food and Drug Administration

Pertinent Program Information:

    None listed.

Brief Statement of most important duties:

  • Serves as an expert and consultant in the review of regulated products. Regularly resolves the most complex and sensitive issues often representing major economic, political, and ethical problems or major medical breakthroughs. Determines the safety and efficacy of regulated products involving subtle and obscure issues. Provides strategies for evaluation and make decisions that set precedents for the resolution of subsequent cases within the product or specialty area.
  • Serves as consultant to national organizations of health care professionals, the regulated industry, health care providers, other agencies and scientists within FDA. Decisions made and advice given are relied upon as authoritative and representative of FDA policy.
  • Reviews proposed and ongoing clinical studies that involve important precedent-setting scientific issues. Resolves controversies and decides scientific issues which effectively establish FDA policy for handling subsequent reviews involving similar issues or products. Determines the approach to be followed and objectives to be accomplished, and ensures that all legal, policy, and scientific considerations are appropriately addressed and resolved. Evaluates proposed projects to assure that potential risks are reasonable in relationship to possible benefits.
  • Develops scientific guidelines and policies for the review of products within the assigned specialty area. Develops standards of adequacy and methodology concerning data required; communicates these criteria to the regulated industry, health care providers, and other agencies concerned with health care.
  • Represents the agency as an authoritative spokesman at meetings with private industry, trade associations, and professional organizations. Serves as the primary contact for the resolution of especially difficult problems within the assigned field of expertise.
  • Organizes, conducts, and participates in discussion with industry, professional organizations, and peer scientists within FDA.

Direction Received:

    The supervisor defines the area of responsibility, broad program objectives, and overall program concerns. The officer is given wide latitude to plan and organize work assignments, determine priorities, and resolve major issues, assuming final responsibility for the soundness of decisions and recommendations. Findings are considered authoritative and usually are accepted without change. Review of the work is to assure program objectives are met.

Minimum Qualifications:

    A masters degree or equivalent in a professional discipline from an accredited institution, plus ten years of experience in regulatory, research or research support experiences; and certification by the center director that the officer is the center expert in a particular review field.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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Functional Title: Health Insurance Specialist

Organization: CMS, Division of Non-Institutional Quality Standards, Clinical Standards Group, Office of Clinical Standards and Quality

Pertinent Program Information:

    This position is located in the Division of Non-Institutional Quality Standards (DNIQS), Clinical Standards Group (SCG) in the Office of Clinical Standards and Quality (OCSQ). The purpose of this position is to develop, evaluate and implement clinical standards and policies related to quality measures. All incumbents of this position have mastery knowledge related to specific provider, supplier, and health plan types, as well as generic, crosscutting policy.

Brief Statement of most important duties:

  • Writes regulations, manual instructions, legislative proposals, and briefing papers, for the purpose of conveying and explaining the rationale for existing policy and recommending/defending program changes.
  • Conducts analytical studies of policy issues and topics. Identifies trends related to the quality of performance by providers, suppliers, and health plans. Researches relevant background information, the origin of laws, and the intended impact of proposals in order to make effective policy recommendations. Considers various implications of clinical standard options and their economic viability, technical feasibility, and political acceptability. Anticipates skepticism and counter-arguments of viable recommended courses of action.
  • Represents the Office at briefings, hearings, and other meetings throughout CMS and with other government agencies regarding specific quality standards and related policies. Provides information on and justification for the Office's proposals.
  • Establishes and maintains relationships with key officials and groups within and outside the organization. Works with regional offices, state and local officials, industry representatives, and staff of consumer organizations and professional associations to resolve issues pertaining to clinical standards. Provides technical assistance to staff in central office, regional offices, state agencies, contractors, etc., by participating in meetings, answering inquiries, going onsite, doing special analyses, providing training, refining instructions, etc.
  • Evaluates existing legislation, regulations, and other policies; assesses effectiveness and consistency of policies and program changes.
  • Recommends legislative proposals to facilitate operational improvements.

Direction Received:

    Each incumbent works under the general supervision of the Division Director, who provide broad policies and objectives. The analyst is responsible for planning and executing all phases of the work, including determining and scheduling specific tasks and project stages. Incumbents make independent decisions and recommendations within the scope of his/her duties. Recommendations are normally accepted and completed work is reviewed for compatibility with other programs, or project areas and accomplishment of broad objectives.

Minimum Qualifications:

  • Mastery knowledge of Title XVIII of the Social Security Act, related statutes, and policy background material.
  • Mastery of the concepts, principles, and techniques of program planning and evaluation in order to develop and improve upon Medicare clinical standards and other quality-related policies.
  • Comprehensive knowledge of the operations and activities within CMS and of the interrelationships with other areas to assess the effects of new or changing policy and the extent of accomplishments of projects.
  • Thorough knowledge of Agency, Departmental and Federal guidelines regarding policy development and evaluation.
  • Skill in utilizing a variety of standard quantitative and/or qualitative analytical techniques; skill in reaching sound conclusions and developing/presenting logical recommendation or opinion papers.

Incumbent's category: Therapy

Incumbent's profession: Speech Language Pathology

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Functional Title: Health Program Evaluation Officer (1)

Organization:CMS, Office of Financial Management, Program Integrity Group, Div of Program Integrity Methods and Strategy policies.

Pertinent Program Information:

    The incumbent of this position serves as a technical in leading program integrity initiative. Employs a variety of techniques to provide comprehensive, balanced information and analysis on all sides of emerging or precedent setting Medicare issues associated with program integrity.

Brief Statement of most important duties:

  • Serves as an expert Medicare/Medicaid health policy evaluation officer in policy and specialty areas to resolve very complex and sensitive issues pertaining to health care financial and quality assurance. Issues include: payment coverage and other policy matters, oversight of research and demonstrations, guidelines, and standards development, and peer review to ensure that agency goals are met. Judgment failure could impact the effectiveness of the agency in achieving its objectives.
  • Analyzes and resolves critical, precedent-setting problems and controversial issues submitted by contractors, grantees, or agency components for which guidelines and precedents are not fully developed for most of the issues encountered. Advice given is relied upon as authoritative and based upon broad, expert policy, provider, and methodological knowledge applicable to health care financing issues and specialty background knowledge of a health profession or related discipline.
  • Initiates non-routine actions requiring in-depth understanding of laws and administrative processes governing policy development, grants and contracts, external relations, or other areas pertinent to the incumbent's assigned responsibilities. Provides professional guidance to agency components in the handling of related sensitive and complex issues.
  • Represents agency in contacts with national groups and organizations (e.g. American Hospital Association, American Medical Association), other Federal and Department of Health and Human Services agencies, congressional offices, and the media to communicate and interpret agency policies, guidelines, research and quality assurance systems.
  • Independently designs, develops, and implements research protocols and position papers used in the development of agency legislative initiatives. Directs and participates in the development of agency health care financing policies and systems.

Direction Received:

    Receives general policy guidance and assignments in terms of broad description of needs, mission, and functions. Incumbent exercises independent judgment and is given wide latitude to manage work assignments and resolve highly complex and sensitive issues. Work is subject to general review for attainment of agency goals.

Minimum Qualifications:

    Skill in communicating effectively, both orally and in writing. Bachelors degree in a professional discipline from an accredited institution and 12 years or progressively responsible professional experience; or a masters degree from an accredited institution and 8 years of progressively responsible experience; or a doctorate degree from an accredited institution and 5 years progressively responsible experience. Certification from Center, Office, or Group director that the incumbent is an expert in program evaluation.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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Functional Title: Health Program Evaluation Officer (2)

Organization: CMS/Survey & Certification Group

Pertinent Program Information:

    Responsible for evaluating performance of approved accreditation organizations, oversight of accreditation organizations, developing training course for State Survey Agency surveyors, oversees the Hospital Validation Program and prepares the annual report to Congress, develops and implements electronic data systems to collect data from accreditation organizations, assures that national accreditation organizations have standards in place and adhere to the standards.

Brief Statement of most important duties:

  • Serves as a senior or team leader Medicare/Medicaid health program evaluation officer in program and specialty areas to resolve unusually complex and sensitive matters that result from the analysis, monitoring, and evaluation of health care financial issues. Provides professional advice and assistance in the analysis and evaluation of a particular program area such as guidelines and standards development, oversight of research and demonstration activities, and peer review to ensure that agency goals and objectives are met. Judgment failure may adversely effect access and quality of care received by the agency's beneficiaries.
  • Analyzes complex reports and outcome data pertaining to the evaluation of a program area. Provides professional guidance in the formulation of recommendations for revising program guidelines and procedures. Provides verbal and written consultation to other professional and nonprofessional staff concerning questions and decisions concerning technical and administrative matters in the incumbent's assigned program area.
  • Provides verbal and written guidance and technical advice to contractees and grantees and regional offices concerning technical and administrative issues and related guidelines and procedures. Serves as the agency's representative for the resolution of controversial issues and questions.
  • Serves as a program representative with national groups and organizations (e.g., American Hospital Association, America Medical Association), other Federal and Department of Health and Human Services agencies, congressional offices, and the media to communicate and interpret policies, guidelines, research and quality assurance systems.
  • Provides professional judgment about establishing priorities for agency program development and evaluation initiatives. Provides professional advice in the development of program and agency health care financing policies and systems.

Direction Received:

    Assignments are defined in terms of broad program objectives, priorities, and deadlines. Incumbent uses precedents, professional judgment and consultation with program officials to resolve inconsistencies. Work is subject to review for overall professional judgment and attainment of program objectives.

Minimum Qualifications:

    Bachelors degree in a professional discipline from an accredited institution and 9 years of progressively responsible professional experience; or a masters degree from an accredited institution and 5 years of progressively responsible experience; or a doctorate degree from an accredited institution and 2 years of progressively responsible experience.

Incumbent's category: Therapy

Incumbent's profession: Not provided

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Functional Title: Health Services Administrator

Organization: Division of Immigration Health Services

Pertinent Program Information:

    Incumbent will provide the administration and management oversight of a primary healthcare site for immigration and customs enforcement detainees.

Brief Statement of most important duties:

  • Incumbent will be responsible for managing finances, procurement and will be responsible for maintaining an on site cost effective and efficient healthcare delivery system.
  • Incumbent will also be responsible for implementing and enforcing DIHS national policy and procedure.
  • Incumbent must possess the ability to collect, analyze and interpret data.

Direction Received:

    No information available

Minimum Qualifications:

  • Demonstration of advancing experience and ability in healthcare administration and management.
  • Excellent communication skills.
  • Advanced degree in health care administration, public health or related field at the Masters level.
  • Professional membership in business/health related organizations, I.e., American College of Health Care Executives, American Academy of Medical Administrators, etc.
  • Familiarity with accreditation processes for JCAHO, NCCHC, and ACA.
  • Experience in case management is preferred.
  • Minimum of 2 years experience in advancing administrative/management responsibilities.
  • Ability to pass a security investigation.

Incumbent's category: Open

Incumbent's profession: Open

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Functional Title: Senior Project Officer - Family Planning

Organization: OSOPHS

Pertinent Program Information:

    As appropriate, depending on program/organizational assignment.

Brief Statement of most important duties:

  • Serves as a representative to Branch or Division program projects in a defined geographic area with responsibility for providing technical assistance and consultation on all aspects of the projects. This guidance may include areas involving management, planning and budget, fiscal operations, accounting and internal controls, financial analysis, health services, quality assurance, and interpretation of program policies and regulations.
  • Incumbent provides assistance to projects in the development of plans to meet specific program needs of targeted populations. Facilitates linkages and strategies among program projects, agencies, and other groups to enable projects to correct deficiencies, meet performance standards, and create unified health delivery systems. Negotiates settlements of complex health service delivery issues arising between projects and other public or private corporations.
  • Monitors progress of assigned program projects to ensure that all functional areas (e.g., administrative, clinical, consultation, educational, and research) reflect a scope, quality, and quantity consistent with the policies, regulation, standards, and guidelines of the PHS and nationally recognized professional organizations.
  • Judgmental failure is important because it can impair Regional programs, projects or initiatives by compromising the work of grantees or contractors, and can directly affect the delivery of technical assistance to program constituents. Improper judgment and recommendations may result in reductions of services or impairment of project compliance with established Federal regulations.
  • Represents appropriate senior level Regional office officials in local, State, Regional, and National meetings relevant to projects. Services as a program liaison to officials from designated agencies and professional organizations related to projects.
  • Collaborates with senior PHS officials in efforts to enhance or augment the basic goals of the program. Assures proper PHS information transfer and accurate and timely intelligence transfer to senior Regional Office officials regarding projects.
  • The purpose of work contacts are to explain, coordinate, interpret, and seek support for policies, procedure, programs, plans, or individual actions (often of a controversial and complex nature), demanding careful communication, tact, and diplomacy.

Direction Received:

    Assignments are usually of a long-term, recurring, or broadly defined nature. Incumbent plans and organizes own work, determines sequence of assignments, selects and develops methods, and seeks assistance from experts only rarely. Work is reviewed for attainment of objectives. Moderate to extensive number of well-defined guides, methods, theories, and precedents are available. Though these may be highly complex and require sound judgment in selecting among them, this level requires a limited amount of modifications and innovation. Situations to which existing guidelines cannot be applied or which require significant deviations from existing guidelines are referred to higher authority. Administrative supervision is provided by an appropriate senior level Regional Office management official on non-professional matters. Professional guidance may be occasionally provided by Division or Branch Chief, or senior Central Office officials.

Minimum Qualifications:

    Qualifying degree and an advanced related degree (e.g., M.A. or M.S.) plus seven years of progressive project or project and health-related experience, or qualifying degree and six years of experience.

Incumbent's category: Multidisciplinary

Incumbent's profession: Occupational Therapy

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Functional Title: Public Health Analyst

Organization: HRSA, HIV/AIDS Bureau, Division of Community Based Programs

Pertinent Program Information:

    The incumbent participates with the program directors in the development of strategies and approaches for program implementation, development of applications guidance and development of new program initiatives. Additionally, the incumbent provides assistance with respect to the coordination of and the need for the development of comprehensive network of systems of care which involves maintaining liaison and interacting with the regional offices, other Federal components, State and local governments and educational institutions, etc.

Brief Statement of most important duties:

  • As a project officer, works with supervisor and other senior staff in directing national efforts to improve health care delivery to the HIV infected and affected populations through the Ryan White CARE Act programs (hereafter programs). Assists senior staff with the coordination and management of the DCBP multimillion dollar grant program.
  • Assists with the development of guidelines and procedures for the review of grant applications. Coordinates with the Office of Grants Management staff to insure effective planning and implantations of review activities. Participates in the process of solicitation, review and award of new and continuation grant applications.
  • Assumes lead responsibility for monitoring programs in selected regions. Maintains ongoing, continuous contact with programs; analyzes needs, and coordinates for the provision of technical consultative assistance to programs; conducts, or arranges for the completion of, site visits to assure that programs are meeting their stated goals and objectives and complying with the legislative intent and programmatic expectations of the program. Manages a variety of complex and long-term grants entailing the coordination of efforts and the resolution of conflicting and controversial issues with a number of parties both within and outside the Agency.
  • Maintains contact with Regional and Central office staff to assure coordinated management of programs that receive funding from multiple HAB programs. Functions as expert on program requirements. Collaborates with Ryan White Title I, II and IV program staff as well as the AIDS Education and Training Centers and Dental Reimbursement Program to insure program continuity.
  • Assures that programs are in compliance with HRSA/HAB program policies and expectations. Monitors programs responses to grant conditions and management assessment items. Maintains file of pertinent program information including, but not limited to, current application for funding, progress reports, schedule of site visits, site visit reports, technical assistance reports, data reports and site-specific correspondence. Responds to requests for information about programs.
  • Makes recommendations for special initiatives, procurements, contracts, meetings, and joint activities with other governmental and private organizations to further program goals and objectives. Develops topics and proposals for analysis, participates in the formulation of analytical plans, conducts said analysis and writes analytical reports.
  • Participates in the development and implementation of the DCBP program evaluation projects. Specifically, works with senior staff in the identification of topics and proposals for evaluation participates in the formulation of plans to gather and analyze data, and implements program evaluation studies. Monitors and evaluates policy issues and makes recommendations for changes in program administration and monitoring activities.
  • Evaluates legislation, proposed clinical guidelines and standards, and general communications from other agencies relative to the programs.
  • Serves as liaison with special population constituent groups to provide consultation and technical assistance on areas within his/her scope of responsibility.

Direction Received:

    Receives initial assignments on broad areas of responsibility and general supervision from Branch Chief or designee. All program development, monitoring and follow up is performed in consultation with supervisor. Work is reviewed by supervisor to determine whether overall objectives have been met.

Minimum Qualifications:

  • Knowledge of HIV disease, associated risk factors, current treatments, co-occurring illnesses such as tuberculosis, substance abuse and sexually transmitted disease, and demonstrated ability to work with these populations.
  • Knowledge of comprehensive primary health care delivery systems and targeted HIV and substance abuse treatment to understand and perform analysis of people living with and affected by HIV and substance abuse to develop policies and program requirements.
  • Knowledge of the Ryan White Comprehensive AIDS Resources Emergency Act, Federal and non-Federal agencies and programs engaged in serving the HIV infected and affected individuals and substance abusers.
  • Expert knowledge of applicable statutes, regulations, program policies and administrative guidance, in particular those related to HIV infected individuals and substance abusers, and precedents which impact on the administration of special population programs to respond to various program inquires and special request.
  • Knowledge of basic grants, contracts and procurement procedures and policies to serve as project officer on contracts and purchase orders for special initiatives.
  • Knowledge of basic data collection tools and techniques to organize, analyze, interpret and present applicant and program data.
  • Knowledge of the Bureau and responsibilities of all levels of governmental operations to communicate with Congress, Federal agencies, and public section and special interest groups.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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Functional Title: Program Management Officer

Organization: Health Resources and Services Administration

Pertinent Program Information:

    None listed.

Brief Statement of most important duties:

  • Serves as representative or operation liaison on specified issues affecting the administration of the unit. Directs the design and implementation of administrative and programmatic data systems. Analyzes health and related data, prepares reports of findings, and conducts special studies. Determines disposition of problem issues within purview, and makes recommendations on allocation of resources to achieve objectives of the organization. Conducts specific functions related to management, personnel, and administrative services. Interprets policy and provides guidance to managers on a range of personnel activities including, but not limited to, organizational structure, position management, performance appraisal, recruitment, labor management relations, training and disciplinary actions.
  • Directs, implements, creates, or manages preparation of program plans to commit scientific and supporting resources and staff to office initiatives and projects.
  • Judgmental failure can result in ineffective or inappropriate use of resources and delays in meeting public health objectives of the office or agency. This may also impair the development of systems, affect the work of subordinate employees, and compromise the delivery of other administrative and personnel services.
  • Confers with Office officials on substantive issues and provides technical guidance to other management officials. Advises management officials in the Office on policies and procedures relevant to administrative management (including procurement management), administrative services, etc. Reviews Office operations and develops, recommends and, as appropriate, implements strategies to accomplish workload, improve performance, and achieve efficiencies in the Office.
  • The purpose of work contacts is primarily to collaborate, supply advice, explain, interpret and seek support for methods, policies and programs within the mission of the unit. Work contacts include Branch and Section Chiefs of operating Divisions, and other mid-management personnel for the purpose of planning, conducting and evaluating policies and programs within the mission of the organization.
  • Assignments are usually of a long-term, recurring or broadly defined nature. Officer plans, and organizes own work, determines sequence of assignments, selects and develops methods and seeks assistance from experts only rarely.
  • The officer analyzes results and recommends changes in guidelines and program policies. Innovations and modifications to accepted procedures must be approved and clearly documented. The officer keeps the supervisor informed of the status on projects and consults with him/her on any significant problems encountered.

Direction Received:

    Work is reviewed for attainment of objectives. Guidelines may be applicable to some but not all parts of assignment and may contain some inconsistencies and be partially unconfirmed. Selection and adaptation from available possibilities involving a moderate amount of modification and innovation is required. The officer uses judgment in interpreting and adapting guidelines such as PHS policies, regulations, precedents and work direction for application to specific cases.

Minimum Qualifications:

    Qualifying degree for the officer's category and an advanced degree (e.g. M.A. or M.S.) from an accredited institution plus a minimum of five years of professional experience relevant to the officer's category. Of the total professional experience, officer must possess at least two years of experience related to management, administration and evaluation of public health programs

Incumbent's category: Multidisciplinary

Incumbent's profession: Open

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Functional Title: Senior Program Management Officer Consultant

Organization: HRSA, HIV/AIDS Bureau, OPPD

Pertinent Program Information:

    Serves as a senior consultant with responsibility for providing technical assistance and professional guidance on all aspects of the program. This guidance may include, but is not limited to, areas involving planning, fiscal operations, health services management, interpretation of regulations, ADP operations, controls and quality.

Brief Statement of most important duties:

  • Designs special program plans, initiatives, evaluation projects and policies to address program issues for review. Directs and manages the implementation of approved projects and initiatives. Assesses plans, develops, implements and evaluates the direct and contract resources of the program.
  • Monitors progress of assigned programs and projects to ensure that all functional areas (e.g., administrative, clinical, consultation, ADP operations, educational and research) reflect a scope, quality and quantity consistent with the policies, regulations, standards, and guidelines of the PHS and nationally recognized professional organizations.
  • Participates in the development and implementation of program activities, initiatives and strategies. Recommends new initiatives as well as modifications of ongoing activities to senior officials.
  • Judgmental failure can result in ineffective or inappropriate use of resources and delays in meeting public health objectives of the program or agency. Such failure can seriously impair program credibility and compromise the efforts of other program officials.
  • Acts as a principal advisor on matters concerning program policy and regulations. Represents the program in specified local, State and National meetings. Provides authoritative interpretation of policy and regulations to other agencies and organizations.
  • Collaborates with senior officials of other federal agencies in efforts to enhance or augment the basic goals of PHS. Working with other federal components, assures accurate and timely transfer of information to program elements and other activities in these organizations in a form useful to the conduct of PHS programs.
  • The purpose of work contacts is to explain, coordinate, interpret and seek support for policies, procedures, programs, plans or individual actions (often of a controversial and complex nature), demanding careful communication, tact and diplomacy.

Direction Received:

    Assignments are usually of a long-term, recurring or broadly defined nature. The officer plans and organizes own work, determines sequence of assignments, selects and develops methods, and seeks assistance from experts only rarely. Work is reviewed for attainment of program objectives. The officer uses judgment in interpreting and adapting guidelines such as PHS policies, regulations, precedents and work direction for application to specific cases. The officer analyzes results and recommends changes in guidelines and program policies. Administrative supervision is provided by an appropriate senior level management official on non-professional matters. Professional guidance occasionally may be provided by other outside experts, program or office experts or senior officials.

Minimum Qualifications:

    Qualifying degree for officer's category and an advanced degree (e.g., M.A. or M.S.) from an accredited institution plus 10 years of professional experience relevant to the program.

Incumbent's category: Therapy

Incumbent's profession: Physical Therapy

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