Physical Therapist Assistant (PTA) – Mobile/Home-Based Care

West Coast Wound•Fresno, CA

11d•Onsite

About The Position

We are seeking a skilled, compassionate, and dependable Physical Therapist Assistant (PTA) to provide high-quality physical therapy services to patients in their homes throughout the Fresno region. The PTA works under the direction and supervision of a licensed Physical Therapist to provide skilled therapeutic interventions, implement established plans of care, monitor patient response and progress, reinforce home exercise programs, and educate patients and caregivers on strategies to improve mobility, function, safety, and independence. The role involves traveling to patients’ homes, delivering care within the PTA’s scope of practice, adapting treatment to home environments, coordinating with healthcare professionals, and completing accurate and timely clinical documentation. The PTA must follow the established plan of care and applicable California licensure and supervision requirements. This is a full-time, 1099 independent contractor position with a four-day, 10-hour schedule. Typical start time is 7:30 AM–8:30 AM, depending on patient scheduling and geographic coverage. The position serves the Fresno region and requires travel to assigned patients’ homes. Compensation includes guaranteed base pay of $1,080 per week, calculated at $45 per patient visit based on a minimum of six visits per day, plus $45 per additional visit beyond the daily base of six. Compensation is subject to the independent contractor agreement.

Requirements

Current and valid Physical Therapist Assistant license in good standing.
Graduate of an accredited Physical Therapist Assistant program.
Strong knowledge of anatomy, physiology, kinesiology, biomechanics, therapeutic exercise, and rehabilitation principles.
Strong understanding of physical therapy treatment techniques and functional mobility principles.
Ability to safely and effectively implement a Physical Therapist’s established plan of care.
Knowledge of therapeutic exercise, gait and balance training, functional mobility, neuromuscular re-education, strengthening, transfer training, and fall prevention.
Strong observation and patient-monitoring skills.
Ability to recognize and appropriately communicate changes in patient condition or functional status.
Excellent communication and interpersonal skills.
Ability to work independently and effectively manage a mobile patient caseload while maintaining appropriate communication with the supervising Physical Therapist.
Punctual, dependable, organized, and professional.
Comfort entering patients’ homes and working with patients and caregivers in a home-based environment.
Valid driver’s license and reliable transportation.
Ability to travel throughout the assigned service area.
Ability to carry and transport necessary clinical equipment and supplies.
Ability to adapt treatment approaches to different home environments and available space.
Ability to demonstrate sound clinical judgment within the PTA’s scope of practice while working independently in the community.
Ability to complete required clinical documentation accurately and within established timeframes.
Ability to practice within the scope of a California Physical Therapist Assistant license, applicable supervision requirements, and the supervising Physical Therapist’s established plan of care.

Nice To Haves

CPR/BLS certification is preferred or may be required according to company policy.
Previous home health, mobile therapy, outpatient, orthopedic, neurological, geriatric, or community-based experience is preferred.

Responsibilities

Travel to patients’ homes throughout the assigned service area to provide treatment under the direction of the supervising Physical Therapist.
Review each patient’s established plan of care, goals, precautions, and relevant clinical information before treatment.
Provide skilled interventions consistent with the Physical Therapist’s plan of care, including therapeutic exercises and activities, neuromuscular re-education, gait and mobility training, balance and coordination training, functional strengthening, transfer training, fall prevention, and appropriate manual therapy within the PTA’s scope of practice.
Help patients improve strength, range of motion, balance, coordination, endurance, gait, mobility, and functional performance.
Train patients in safe and appropriate use of assistive devices as directed by the Physical Therapist.
Implement and reinforce individualized home exercise programs established by the Physical Therapist.
Educate patients and caregivers about exercises, mobility strategies, safety precautions, fall prevention, positioning, transfers, and promoting independence.
Monitor patient response and recognize changes in pain, functional status, mobility, tolerance, or overall condition.
Communicate significant changes, treatment response, progress, concerns, and barriers to the supervising Physical Therapist in a timely manner and provide feedback about progress under the plan of care.
Assist with reassessments and clinical follow-up activities as appropriate and permitted within the PTA’s scope of practice.
Modify treatment activities within the established plan of care and PTA scope of practice, while communicating clinically significant changes to the supervising Physical Therapist.
Reinforce body mechanics, transfer techniques, positioning, and safety strategies with patients and caregivers.
Adapt treatment to the home environment, available space and equipment, functional abilities, and individual needs while following the established plan of care.
Coordinate and communicate professionally with Physical Therapists, physicians, nurses, caregivers, occupational therapists, and other healthcare professionals as appropriate.
Communicate promptly about patient concerns, cancellations, scheduling changes, and other issues that may affect care.
Complete accurate, timely, and thorough daily treatment notes and other required clinical documentation, including treatment response, progress toward goals, interventions, education, home exercise program instruction, and relevant communications or changes in condition.
Follow applicable federal and state regulations, professional standards, payer requirements, PTA supervision requirements, and company policies.
Recognize changes in patient condition that may require notification of the supervising Physical Therapist, referring provider, or another healthcare professional.
Maintain patient confidentiality, professional boundaries, and a safe, respectful, and professional environment during visits.
Respect patients’ homes, privacy, routines, and preferences, and provide compassionate, respectful care to patients and families.
Arrive for scheduled visits within the expected timeframe, manage travel time, maintain an efficient daily schedule, and carry necessary clinical equipment and supplies.
Maintain appropriate communication with the supervising Physical Therapist when working independently in the community.