Occupational Therapist Home Health

Company:

Providence at Home with Compassus

 

Position Summary

The Home-Based Acute Care Occupational Therapist is responsible for therapy evaluations, treatment planning, implementation, and discharge planning for inpatient hospital at home patients in the home setting in accordance with established policies while maintaining the highest degree of quality patient care. As a member of the multi-disciplinary team the therapist assumes responsibility for communication of patient-related issues with appropriate team members or other staff and participates in collection and evaluation of data necessary to assess appropriateness of care at home. The Occupational Therapist may also be assigned to orient staff and students. The Occupational Therapist works with the patient and family/caregivers in the home setting without direct supervision.

Position Specific Responsibilities

• Demonstrates competency in providing quality therapy services including assessment, intervention, program planning and implementation, discharge planning, related documentation and communication.
• Also demonstrates competency with identifying and making appropriate referrals regarding medical, social and emotional factors influencing care.
• Evaluates physical and functional status as well as cognitive, psychological and perceptual function to determine the client's capabilities to function safely at home.
• The home and family/caregiver are assessed for safety risks, and ability to support and care for the client at home.
• Develop a therapy plan of care in collaboration with clients/families.
• The plan of care is communicated with the multidisciplinary team to form a collaborative client care plan.
• Provides care in accordance with physician orders and the established plan of care.
• Assesses the effectiveness of treatment and modifies treatment to achieve goals.
• Documents all evaluations, treatment and coordination of care contacts in appropriate facility/agency format.
• Meets agency time guidelines for completing documentation.
• Documentation reflects good clinical documentation as well as meeting agency billing and reimbursement requirements.
• Produces expected results given present skills, knowledge, abilities, training and education for the following age groups: neonate, pediatric, adolescent, adult and geriatric.
• Demonstrates an ability to treat the wide range of diagnoses and be knowledgeable in therapy treatments, goals and contraindications for treatment.
• Treatments are adapted to the unique home setting and to the client and/or caregiver's ability to follow through safely and correctly.
• Request consultation supervision or continuing education when appropriate, to learn specialized techniques or treatment approaches.
• Provides client/family education and counseling regarding issues related to treatments and goals, safety risks and/or other issues within scope of practice.
• Teaches home exercise programs and compensatory techniques or skills for managing ongoing physical or functional deficits in the home.
• Communicates pertinent medical and clinical information to the Interdisciplinary team, including information regarding the client's care plan, implementation of changes per physician order and assuring adequate medical follow-up.
• Also communicates pertinent information to team members, supervisor, facility/agency staff and external sources as appropriate.
• Plans for discharge.
• Participates in team reassessments and discharge planning.
• Teaches client or family discharge therapy program.
• Recommends and facilitates appropriate medical and/or rehabilitation followed up once Home Services/Home Infusion/Hospice services have been discontinued.
• May provide bereavement visits to family members.
• Evaluates recommends and assists in obtaining adaptive equipment.
• Fabricates adaptive equipment as needed.
• Adapts equipment and techniques for use to the home setting assuring optimum function and safety.
• Provides consultation or makes appropriate referrals regarding resources and barriers in the community.
• Independently manages own case load, plans and schedules home visits coordinating with other team members as needed to maximize effectiveness of overall care plan.
• Organizes weekly schedule to attend required meetings within schedule of client care needs.
• Responds to urgent client needs by prioritizing and triaging treatments.
• Communicates schedule and work plan to scheduling coordinator, supervisor and other team members as appropriate.
• Organizes and coordinates transfer of client information when additional complementary therapies are requested and when client care is provided by another clinical facility/agency.
• Educates