Purpose:
A Registered Physical Therapist (PT) administers physical therapy to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Executive Director /Clinical Manager and Therapy Manager. Develops and evaluates the plan of care in partnership with the patient, representative (if any), and caregiver(s). Participates in patient, caregiver, and family counseling and caregiver education. Communicates with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care. Skilled Professional Staff are expected to contribute to all phases of the QAPI program and participate in ongoing interdisciplinary assessments of patients. Supervises Physical Therapy Assistants and Home Health Aides as needed.
Reports to
Directly to Executive Director
Indirectly to Therapy Manager/Regional Director of Therapy Services
Staff Who Directly Report:
PTA’s
Clinical Duties and Responsibilities:
Develops a patient centered plan of care performing initial and follow up assessments assisting physician with determining level of patients function and revising as necessary.
Obtains orders and provides all physical therapy services according to physician orders.
Informs the attending physician and other team members of changes in the patient's condition and needs.
Involves patient/family in development and updating of plan of care and provides education as needed.
Interacts with other clinical team members for coordination of patient care through SOC conferences, case conferences and/or with clinical manager evaluation findings.
Initial evaluation encompasses a holistic approach with review of medical history, body systems, vital assessments, objective testing procedures, creates problem list, assessment and establishes measurable goals.
Consistently prepares, completes, and submits all documentation in EMR within 24 hours.
Re-evaluates needs of patient/family at least every 30 days and documents comparison between prior and status and provides an analysis of results in assessment.
Documents discharge summary upon completion of therapy services.
Completes routine visit notes that document specific treatment performed, patient’s response to treatment and progress or regress towards goals.
Performs therapy Admissions / OASIS SOC / ROC and Recertifications every 60 days routinely and submits completed documentation within 24 hours.
Consults with attending physician to determine whether treatment plan should be continued, changed, or terminated.
Attends staff meetings regularly and participates in patient care conferences as scheduled.
Immediately reports to RN, Clinical Director/Clinical Manager any patients’ incidents/variances or complaints and documents according to policy.
Participates and contributes to ongoing interdisciplinary assessment(s) of patients.
Attends and participates in in-service education programs as assigned.
Reconciliation of Medications
Follows established plan of care by minimizing missed visits.
Evaluates the home environment for safety hazards and makes recommendations.
Identifies patient needs for services from other disciplines and consults with other professionals.
Customer service focus by informing patients in advance of visit scheduled time, notifying if late, being courteous, respectful, and friendly.
Professional Duties and Responsibilities
Provides physical therapy consistent with the American Physical Therapy Association Code of Ethics and Standards of Practice.
Maintains sound privacy and security practices and prevents privacy or security breaches. If a breach occurs, corrective action will be taken.
Fulltime therapist is responsible to meet weekly productivity and be available during operational hours of the organization to service patients.
When position has productivity weekly requirement, clinician consistently takes responsibility for monitoring and meeting weekly productivity expectation. Will proactively seek out assistance from branch.
At times may need to accept patient assignments outside of normally assigned geographic area to meet productivity threshold and or prevent patient service issues.
Participates in monthly weekend rotation (FT required) and Holiday Rotation (FT required) as dictated by branch needs.
Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities.
Demonstrates competent performances of technical skills according to established procedures.
Consistently works with Executive Director/Clinical Manager to ensure proper utilization of services.
Supervision
Works with PTA on regular basis as dictated by branch needs.
Makes recommendations concerning changes in the Plan of Care, modifies the Plan of Care in keeping with individual needs and functional progress of the patient to PTA
Supervision requirements followed per state practice act and or federal regulations.
Regularly communicates with PTA via phone, in person, secure messaging or some format regarding patients under their care no less than weekly.
May participates in student education as a clinical preceptor representing the agency with affiliated Universities.
Performs supervisory visit on each patient seen by HHA at least every 14 days as assigned.
Assists in new hire orientation for shadow visits and initial/annual competencies.
Qualifications:
Graduate of an accredited School of Physical Therapy.
Current license as a Physical Therapist in state of practice
At least one (1) year of clinical experience, preferably in a clinical supervisory role.
Good communication and organizational skills.
Ability to establish and maintain working relationships with all segments of staff as well as professionals and lay persons.
Current CPR certification
Active driver’s license in state of residence with evidence of valid automobile insurance and acceptable MVR
Any additional Physical Therapist licensure board requirements in the state of practice
Any state specific requirements
Other Skills/Abilities
Must be able to adhere to confidentiality standards and professional boundaries
Quick-thinking and astute decision-making skills
Attention to detail
Time Management
Effective problem-solving and conflict resolution
Excellent organization and communication skills
Ability to remain calm and professional in stressful situations
Strong commitment to excellence
Physical Requirements
Must be able to speak, write, read, and understand English
Must be able to travel without restrictions in the assigned geographic area/territory, and intermittently across the location service area as business needs arise
Able to tolerate being physically active the entire working day.
Able to transfer, lift and guard patients safely with appropriate level of assistance and without any likelihood of injury to the patient or self.
Able to bend, stoop, squat and lift numerous times daily.
Able to carry out fine motor and manual dexterity skills required to perform treatments/care for the assigned caseload.
Mental acuity and judgment skills to perform job requirements and assure patient safety adequately and safely.
Able to see and hear adequately to respond to auditory and visual needs and clinical indications of the assigned caseload.
No medical problems that could endanger self or others if such should occur while providing patient care.
Must be able to sit and climb stairs
Environment
Performs duties in an office environment during agency operating hours and/or patient homes
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice
Vaccination Requirements
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.