To determine plan of care and rehabilitation goals based on functional deficits and to provide prescribed and necessary treatments in accordance with the treatment plan to improve and/or restore the patient to safe and independent functioning.
- Adheres to all Envision Health Partners’ policies and procedures and maintains standards of practice and documentation that are consistent with State and Medicare regulations and accreditation standards.
- Works as pay per visit at employees’ discretion, as requested by the Director of Therapy.
- Upon acceptance of a patient, follows through with all visits ordered throughout patient episode. Reports to the office after the last visit, completes paperwork, and gives Director of Nursing / Director of Therapy frequent and as needed updates on patients.
- Completes comprehensive assessments incorporating the OASIS data set, as required by Medicare, utilizing OASIS information to assist in the development of the plan of care.
- Maintains confidentiality of OASIS data set, patient medical records, all patient protected health information, and Envision health Partners’ material and business.
- Evaluates patients, families, home environment for appropriateness of admission and verifies the patient’s eligibility for the Medicare home care benefit, including homebound status, at the time of initial assessment visit and comprehensive assessment.
- Contacts physician following evaluation to discuss patient status and obtain orders for ongoing physical therapy visits, as indicated.
- Assists the physician in evaluating the patient’s level of function, and helps develop, and revise as necessary, the plan of care, in collaboration with the home health team.
- Identifies goals, interventions and expected outcomes, and involves the patient and/or caregivers in the plan of care and any changes in plan depending on ability of patient/caregiver.
- Establishes, develops and revises, as necessary, the plan of treatment in collaboration with the physician and the home health team, to fully address the patient’s overall needs based on evaluation of deficits and pertinent to medical history.
- Evaluates effectiveness of program outcomes of care, and patient progress.
- Provides Physical Therapy services as prescribed by the physician, which can safely be provided in the home.
- Assists the physician in evaluating patients by applying diagnostic and prognostic muscle, nerve, joint and functional abilities tests, as indicated by subjective complaints and objective findings of the evaluation.
- Assists the physician in evaluating disability, injury or disease process of individual patients, and in determining the patient’s level of function.
- Designs, establishes and implements rehabilitation programs, based on patient assessment, identified patient goals/outcomes, and needed interventions, in accordance with physician orders.
- Consults with physician when necessary and documents contents of conversation. Creates change orders to reflect changes in Plan of Care orders.
- Follows the physician’s Plan of Care and communicates changes to all appropriate disciplines/caregivers involved in the patient’s care.
- Communicates with the physician at least every sixty (60) days, when patient’s condition changes or there is a deviation in the plan of care, regarding the patient’s status, obtaining additional orders if necessary.
- Prepares records and submits clinical and progress notes in a timely manner following visit, or communication.
- Provides patient/caregiver education with a focus on goal and outcome achievement as established in the plan of care, documenting patient response to teaching in clinical notes.
- Teaches and supervises staff, including home health aides when appropriate, patients and caregiver regarding rehabilitation program, therapeutic activities to restore safe physical function, and use of physical therapy assistive devices, as appropriate to pt’s level of need.
- Evaluates the patient for appropriate orthotic device, prosthetic device and/or assistive devices, communicates DME needs with Physician and designs and fits or orders equipment, as indicated.
- Assumes responsibility for equipment, cleaning, and maintenance, as appropriate.
- Develops and implements ongoing discharge plans starting at admission, including coordination of care with other disciplines and evaluation of patient/caregiver understanding and response.
- Supervises Physical Therapy Assistants and Home Health Aides, as required. Remains readily available and accessible at all times by two way communication for consultation during the delivery of care.
- Attends mandatory staff meetings and participates in patient case conferences/coordination of care communication.
- Submits necessary and required documentation on company approved forms in a timely manner.
- Participates in staff orientation and clinical continuing education programs as required/requested. 29. Participates in Performance Improvement activities and identifies areas for improvement.
- Participates in clinical record review as directed by the Director of Nursing / Director of Therapy.
- Acts as a consultant to Agency staff and Home Health Team, as necessary, to effectively coordinate patient’s rehabilitation treatment regimen and overall care.
- Additional duties as assigned by the Director of Therapy and/or Director of Nursing. Including, but not limited to the supervision of the PTA assigned to cases opened by the Physical Therapist every 30 days per company policy.
- Complies with Departmental and Company Policies and Procedures.
EDUCATION AND EXPERIENCE:
- Must be a graduate of a PT curriculum approved by: a. The American Physical Therapy Association (APTA), or b. The Committee on Allied Health Education and Accreditation of the American Medical Association, or c. The American Physical Therapy Association (APTA), or d. The Council on Medical Education of the American Medical Association and the APTA.
- Physical Therapist currently licensed in the State, with license in good standing.
- Minimum Requirements: a. Doctoral Degree educated with one year of experience as a Physical Therapist, or b. Master’s Degree educated with one year of experience as a Physical Therapist, or c. Bachelor’s Degree educated with 5 years of experience
- Maintains current continuing education as required by state licensure.
MINIMUM TOOLS AND EQUIPMENT REQUIRED:
Stethoscope, Blood Pressure Cuff, Thermometer, Personal Protective Equipment, Car Stock, Pen, Home and Cell Telephone, and reliable transportation.
SKILLS AND ABILITIES:
- Able to communicate with scheduling staff and patients/pt caregivers to set up appropriate schedule and report to appointments as scheduled.
- Visual and hearing ability sufficient to comprehend written and verbal communication, including excellent assessment skills.
- Able to perform transfers of various levels with patients of variable functional ability and maneuver around the patient’s home environment safely and with ergonomically correct posturing.
- Able to lift between 50 and 100 pounds safely and with appropriate posturing.
- Able to push or pull between 100-200 pounds safely and with appropriate posturing.
- Able to travel up to 200 miles per day.
- Effective time management and organizational skills.
- Able to maintain a positive, supportive attitude with various patient personality types in various environments.
- Demonstrates excellent, and positive interpersonal communication (written and verbal) with the ability to effectively communicate with internal and external customers.
- Able to competently assess and communicate with patients of various cognitive levels, internal and external customers, while maintaining professionalism.
- Manual dexterity skills sufficient, to work with patients of various diagnoses, including but not limited to neuropathic and orthopedic patients of various cognitive levels.
- Evaluative knowledge base to appropriately and accurately assess patient progress and/or change in overall medical condition.
- Ability to effectively manage time including patient care, paperwork and staff responsibilities.
- Able to work confidently, calmly and positively in emergent situations.
- Follows all Universal Precautions and OSHA regulations.
- Able to professionally, sympathetically and objectively analyze situations involving patient- caregiver, patient-staff and staff-staff relationships.
- Can perform appropriate testing to determine functional deficits, set realistic goals and carry out plan of treatment as decided upon between the Physician and the Home Health Team and document findings accordingly.
- Access to and ability to operate reliable personal transportation.
- Ability to write legibly.
- Reports to work on time and as scheduled
- Exhibits professional conduct toward internal and external customers, including management staff.
- Displays a positive attitude relative to the company, employees and conduct on the job.
- Assists outside agencies readily when dealing with them.
- Has a good attitude toward the work of the company and is loyal to the operations of the company and its affiliates.
- Represents the Agency at all times in a professional manner.
- Participates in Family Home Health Services business development program in the local service area.
- Dresses professionally and complies with the company’s dress code.
- Assist, cope and manage high levels of stress and emotional situations, when needed.
- Reports all unsafe conditions whether in the office or elsewhere to appropriate individuals as per policy.
- Identifies needs for further orientation, education or information and takes steps to assure their need is resolved. 12. Assumes responsibility for self-development by continually striving to improve his/her therapy knowledge through educational programs, workshops, active participation in professional and related organizational meetings and medical literature.
- Maintains knowledge required for position and performs the job expectations.
- Attends all required in-services and meetings.
- Accepts additional workload/responsibility willingly.
- Is a self-starter and requires minimal amount of direction.
- Offers new suggestions to improve operation and/or improve corporate operations.
- Maintains confidentiality on all patients as prescribed by Agency’s policy and procedure.
- Maintains the values of Envision Health Partners.
Kelly Fiala MOTR/L 636-695-4330