Physical Therapist (PT) – Mobile/Home-Based Care

West Coast Wound•Fresno, CA
•Onsite

About The Position

We are seeking a skilled, compassionate, and dependable Physical Therapist to provide high-quality physical therapy services to patients in their homes throughout the Fresno region. The therapist travels to patients’ homes to perform comprehensive evaluations, develop individualized plans of care, deliver skilled therapeutic interventions, monitor progress, and educate patients and caregivers on strategies to improve mobility, function, safety, and independence. The position involves working independently in a home-based environment and managing a mobile patient caseload. This is a full-time 1099 independent contractor position with a four-day, 10-hour-per-day schedule. Typical start time is between 7:30 AM and 8:30 AM, depending on patient scheduling and geographic coverage; daily schedules may vary. Pay includes guaranteed base compensation of $1,320 per week, calculated at $55 per patient visit based on a minimum of six patient visits per day, plus $55 for each additional visit beyond the daily base of six. Compensation is subject to the independent contractor agreement. The role is mobile and home-based in the Fresno region. The therapist must travel throughout the assigned service area, carry necessary clinical equipment and supplies, adapt treatment to different home environments, and provide professional care while respecting patients’ homes, privacy, routines, and preferences. The therapist is responsible for accurate and timely clinical documentation and compliance with applicable regulations, professional standards, payer requirements, and company policies.

Requirements

  • Current and valid California Physical Therapist license in good standing.
  • Graduate of an accredited Physical Therapy program.
  • Strong knowledge of anatomy, physiology, kinesiology, biomechanics, and rehabilitation principles.
  • Strong clinical reasoning and patient assessment skills, including the ability to independently perform comprehensive evaluations and develop appropriate plans of care.
  • Strong knowledge of therapeutic exercise, gait training, balance training, functional mobility, neuromuscular re-education, and fall prevention.
  • Excellent patient assessment and acute and chronic pain management skills.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and effectively manage a mobile patient caseload.
  • Punctual, dependable, organized, and professional.
  • Comfort entering and providing care in 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 manage travel time, maintain an efficient daily schedule, carry clinical equipment and supplies, and adapt treatment approaches to different home environments.

Nice To Haves

  • Experience treating patients with orthopedic, musculoskeletal, neurological, balance, gait, weakness, mobility, or functional limitations.
  • CPR/BLS certification, preferred or required according to company policy.
  • Previous home health, mobile therapy, outpatient, orthopedic, neurological, geriatric, or community-based experience.

Responsibilities

  • Travel to patients’ homes throughout the assigned service area to provide physical therapy services.
  • Perform comprehensive physical therapy evaluations in patients’ homes, assessing strength, range of motion, balance, gait, mobility, coordination, endurance, pain, functional limitations, activities of daily living, and home safety risks.
  • Develop individualized plans of care based on evaluation findings, physician orders or referrals, patient needs, clinical judgment, and functional goals; establish measurable short- and long-term goals.
  • Provide appropriate skilled interventions, including therapeutic exercises and activities, neuromuscular re-education, gait and mobility training, balance and coordination training, functional strengthening, manual therapy when clinically appropriate, transfer training, and fall prevention and safety training.
  • Train patients in the safe use of assistive devices such as walkers, canes, and other mobility equipment.
  • Develop and instruct patients in individualized home exercise programs.
  • Educate patients and caregivers about diagnoses, treatment, exercises, mobility, safety, fall prevention, and strategies to promote independence.
  • Monitor responses to treatment, make appropriate clinical modifications, perform reassessments, and communicate changes in patient condition or functional status as appropriate.
  • Coordinate care with physicians, nurses, caregivers, physical therapist assistants, occupational therapists, and other healthcare professionals; communicate patient progress, concerns, and recommendations to referring providers.
  • Complete accurate, thorough, and timely evaluations, treatment notes, reassessments, progress reports, recertifications when applicable, discharge documentation, home exercise programs, provider communications, and other required documentation.
  • Comply with applicable federal and state regulations, professional standards, payer requirements, and company policies.
  • Recognize changes in patient condition that may require physician notification, further medical evaluation, or treatment modification.
  • Maintain patient confidentiality and professional boundaries, and provide compassionate, respectful, professional care to patients and families.
  • Arrive for scheduled visits within expected timeframes, manage travel time and daily scheduling efficiently, and communicate promptly about cancellations, schedule changes, or patient concerns.
  • Carry and transport necessary clinical equipment and supplies, adapt treatment to available home space, and maintain a safe, professional environment during each visit.
  • Work independently in the community, demonstrating sound clinical judgment and respect for patients’ homes, privacy, routines, and preferences.
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