OBRA/PASRR Occupational Therapist EvaluatorCT

Detroit Wayne Integrated Health Network•Detroit, MI

10d•Hybrid

About The Position

Under the general supervision of the Director of Integrated Care, the OBRA/PASRR Evaluator determines whether qualifying Pre-Admission Screening Resident Review (PASRR) conditions are present and whether a nursing home is the appropriate level of care based on an individual’s needs. The role conducts outreach mental health assessments, PASRR evaluations, and occupational therapy evaluations and treatments. It gathers and reviews clinical and historical information to make determinations about medical necessity, appropriate care settings, and specialized services for people seeking nursing facility admission or transfer. The evaluator develops or validates individualized therapy and treatment plans, identifies functional goals and expected progress, and documents recommendations, dispositions, and plans for follow-up, discharge, or nursing facility admission. The role communicates findings to clients and guardians, coordinates with providers and nursing facility personnel, completes assigned Level II assessments within contract timelines, and maintains individual records and client confidentiality in accordance with HIPAA and applicable regulations. Work is usually performed in an office, with travel to sites throughout Wayne County and Michigan; remote work is possible with supervisory approval.

Requirements

Master’s degree in Occupational Therapy or a closely related field from a recognized college or university.
Three years of full-time paid professional experience performing Occupational Therapy evaluations.
Valid State of Michigan license as an Occupational Therapist.
Valid State of Michigan driver’s license and a safe, acceptable driving record.

Responsibilities

Provide outreach mental health assessments pursuant to PASRR regulations.
Perform and document PASRR initial examinations.
Determine whether a nursing facility is the most appropriate care setting or whether an individual needs specialized services.
Review social history, medical reports, patient care information, treatment plans, physician’s orders, medications, and therapy reports to make medical determinations.
Identify and document clients’ functional goals, anticipated progress, and plans for reevaluation, discharge, or nursing facility admission.
Perform evaluations and therapeutic occupational treatments, activities, and patient care in accordance with applicable regulations and professional guidelines.
Plan and deliver individualized therapy programs to restore, improve, or maintain function, alleviate pain, and maximize daily living.
Assess patients’ physical, communication, and cognitive skills to create or validate individualized treatment plans.
Gather information about clients’ functional abilities and histories.
Conduct evaluations before nursing facility admissions.
Contact providers, nursing facility staff, and others to obtain records and information for comprehensive clinical reviews and final determinations.
Make determinations and service recommendations, authorize services, and monitor service plans.
Submit formal recommendations and reports containing clinical summaries.
Determine medical necessity and the need for specialized services for individuals with serious mental illnesses seeking transfer to nursing facilities.
Document significant changes indicating that an updated evaluation is needed.
Complete individualized evaluations in accordance with federal guidelines and regulations.
Provide provisional diagnosis formulation, disposition, and treatment recommendations.
Ensure dispositions and treatment recommendations are consistent with the available database.
Communicate evaluation findings to clients and guardians.
Respond to Level II referral assignments within contract guidelines by submitting assessments within seven days of assignment.
Respond to clinical matters as directed by supervisors and attend clinical meetings as scheduled.
Maintain individual records and comply with HIPAA and client confidentiality requirements.
Perform related duties as assigned.