Responsible for the daily management of assigned patient caseload, ensuring timely care and documentation to meet the patient needs/services as prescribed in the established plan of care and per MD orders. Collects data pertinent to the healthcare consumer's health or the situation from patient assessments in the home setting, telephonic contacts and/or related EMR information available. Analyzes the data to determine the issues and available resources to seek effective resolution. Identifies patients at high risk for re-hospitalization, falls and/or high utilization of resources that require additional intervention and case conferencing to ensure appropriate care and frequence of service mitigate risk and ensure high quality outcomes. Prioritizes multi-issue, situations appropriate to the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services. Evaluates the PT patient to determine the rehabilitation needs, potential for achievement, and develops a plan of care in conjunction with the patient's physician. Establishes and implements plan of care, performs PT servicescertified by the patient's physician, and directs the care coordination of multidisciplinary clinical team approach, supervision of LPTAs and/or HHAs involved in the care of the assigned patient caseload to promote health and safe outcomes. Maintains communication with multidisciplinary team providing updates and changes in schedules, patient data or needs, and physician orders. Incorporates short and long-term goals established in the plan of care into therapy, as evidenced by documentation in visit notes, monthly progress notes, and discharge summaries. Supports effective communication and collaboration with the physician oversight, and branch supervision to ensure timely feedback regarding patients' conditions and/or need for changes in the plan of care. Remains and performs ordered treatments, therapies and/or procedures in accordance with State Physical Therapy Practice Act and Home Health conditions of Participation, JCAHO, Medicare Guidelines, OASIS and agency policy and procedures.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Ph.D. or professional degree