Within an Interdisciplinary Care Team setting, the Physical Therapist promotes and maintains the functional status, physical mobility and well-being for participants, both in the Center and at home. He/she conducts assessments, and provides treatment, teaching and counseling. The Physical Therapist assists other PACE staff to support restorative care in both the PACE Center and in the home setting.
Essential Duties and Responsibilities:
1. Using all information sources available, assesses participants’ physical mobility and restorative potential.
2. Completes assessments at admission and for routine care planning according to regulatory requirements and as condition change indicates.
3. Determines participant and family needs related to function and physical mobility.
4. Confers with the participant and family to identify participant goals and expectations.
5. Coordinates with the Interdisciplinary Team to develop a comprehensive care plan for each participant.
6. Assesses the participant’s home environment and makes recommendations for adaptations to improve independence or enhance safety.
7. In coordination with the Interdisciplinary Care Team, plans and performs therapeutic interventions designed to keep the participant in the community to enhance the quality of the participant’s life to the greatest extent possible.
8. Provides individual therapy for participants, as needed or prescribed in the care plan, to increase or maintain strength, range of motion, endurance or dexterity in the upper extremities.
9. Assesses and provides treatment to improve fine and gross motor function and strength, including ambulation and transfers.
10. Provides treatment to increase self-care skills, including ambulation, bed mobility, and transfer ability as needed.
11. Carries out accepted principles and practices of physical therapy for prevention of deformities and functional decline, and supports improved or maintained function, whenever possible.
12. Instructs participants, family members and other caregivers regarding the physical therapy and rehabilitative procedures according to individual care plans.
13. Constructs and/or arranges for orthotic and adaptive equipment, as needed.
14. Facilitates continuity in care management through communication and education with related agency providers and caregivers. Works with contracted nursing homes to coordinate care planning and discharge planning for PACE participants in short-term rehab therapy.
15. Instructs family caregivers and caregivers from home care and home health agencies for therapeutic continuity.
16. Instructs caregivers (staff and informal) in proper body mechanics for safety and improved participant mobility.
17. May participate in inter-agency meetings, as needed.
18. Facilitates or participates in family meetings, support groups, and family caregiver meetings, as required.
19. Provides leadership within the Care Team to ensure continuity and coordination of care.
20. Ensures the Home Care Coordinator, Transportation Coordinator, and other pertinent IDT members are informed of care plan changes related to mobility, durable medical equipment, orthotics, or home modifications.
21. Works with the Center Manager to provide orientation and in-service programs for the Care Team to enhance adherence to regulatory requirements and support performance improvement.
22. Coordinates with medical equipment and orthotics providers to arrange appointments and share pertinent information.
23. Ensures the proper ordering, labeling, and maintenance of durable medical equipment and other devices.
24. In cooperation with the Quality Improvement Coordinator, participates in the Quality Management Program to support continued performance improvement.
25. Completes and ensures completion of documentation of clinical services, and reviews medical records for continuity and completeness.
26. Participates in quality studies according to the quality plan.
27. Participates in committees that support performance improvement.
28. Develops and maintains physical therapy standards.
29. Assists the Quality Improvement Committee in developing and implementing appropriate plans of action to correct identified deficiencies.
30. In conjunction with the Program Director, reviews physical therapy policies, procedures, manuals, job descriptions, etc., at least annually, and participates in making recommended changes.
31. Participates in completing assessments in electronic medical records, as required. Maintains a current record of participants treated.
32. Assists in standardizing the methods in which physical therapy will be accomplished.
33. Maintains communication with families and participants.
34. Assumes the authority, responsibility, and accountability of directing physical therapy assistants and rehabilitation aides under his/her direct supervision.
1. Serves on, participates in, and/or attends various committees of the program, as required.
2. Provides written and oral reports of the physical therapy programs and activities, as required.
3. Evaluates and implements recommendations from established committees as they may pertain to physical therapy services.
1. Makes recommendations regarding the staffing needs of the Physical Therapy Department necessary to meet the needs of participants, including number and level of personnel.
2. Assists the Center Manager in the recruitment and selection of competent physical therapy personnel.
3. Provides guidance and training for new and/or less experienced personnel.
4. Develops work assignments and schedules duty hours for physical therapy staff, as needed.
5. Makes appropriate reports to the team as required or as may be necessary, including departmental performance evaluations.
6. Maintains an excellent working relationship with the medical profession and other health-related facilities and organizations.
7. Creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the department.
8. Meets with and solicits advice from other departments concerning physical therapy; assists in identifying and correcting problem areas, and/or the improvement of services.
1. Develops and participates in programs designed for in-service education, on-the-job training, and orientation classes for newly assigned personnel, including maintaining appropriate recordkeeping requirements of when classes were held, subject matter, attendance, etc.
2. Participates and assists in departmental studies and projects as assigned or that may become necessary.
3. Attends and participates in workshops, seminars, etc., to keep abreast of current changes in the healthcare field, as well as to maintain a professional status.
SAFETY AND SANITATION:
1. Assists in developing safety standards for the Physical Therapy Department.
2. Assures that therapy personnel follow established departmental policies and procedures at all times, including appropriate dress codes.
3. Is alert for participant safety precautions at all times.
4. Ensures that therapy personnel follow established infection control procedures and universal precautions when performing duties.
5. Assures that the therapy area is maintained in a clean and safe manner for participant comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties and services.
6. Follows procedures for reporting hazardous conditions or equipment.
7. Assists in identifying and classifying departmental procedures that involve exposure to blood or body fluids. Updates as necessary.
EQUIPMENT AND SUPPLY FUNCTIONS:
1. Provides necessary material and equipment for participants to perform required therapy.
2. Recommends to the Center Manager the equipment and supply needs of the department.
3. Develops and implements procedures for the safe operation of all physical therapy equipment.
4. Ensures that all personnel operate physical therapy equipment in a safe manner.
5. Develops and implements procedures that ensure physical therapy supplies are used in an efficient manner to avoid waste.
CARE PLAN FUNCTIONS:
1. Develops physical therapy plans for individual participants in coordination with the Interdisciplinary Care Team.
2. Reviews the physical therapy needs of each participant admitted to the program and assists the Interdisciplinary Care Team with planning for the participant’s care.
3. Participates in the development and implementation of care plans, including reviews, as required.
BUDGET AND PLANNING FUNCTIONS:
1. Prepares and plans the physical therapy budget and submits recommendations to the Center Manager for his/her review, recommendations and/or approval.
2. Keeps abreast of economic conditions/situations, and recommends to the Center Manager adjustments in physical therapy that ensure the continued ability to provide care.
1. Maintains the confidentiality of all participant care information.
2. Maintains knowledge of participant rights and responsibilities.
3. Ensures that participant rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights, including the right to file a grievance, are well-established and maintained at all times.
4. Is knowledgeable of and participates in the grievance process as per PACE Your LIFE policy.
5. Abides by the participant’s decision whether or not to participate in treatment.
6. Informs the participant of the consequences of not participating in prescribed therapy and documents such action in the participant’s clinical record.
7. Allows the participant to participate in the planning and scheduling of his or her treatment.
8. Provides direct supervision to departmental support staff.
9. Participates in the Interdisciplinary Care Team.
1. Must work the days and hours necessary to perform all assigned responsibilities and tasks. Must be available (especially during regular business hours or shifts) to communicate with supervisors, customers, vendors and any other person or organization with whom interaction is required to accomplish work and employer goals.
2. Must be punctual and timely in meeting all requirements of performance, including but not limited to, attendance standards and work deadlines, beginning and ending assignments on time, and scheduled work breaks, where applicable.
3. Must maintain courteous, professional and effective working relationships with employees at all levels of the organization.
4. Must develop and maintain courteous and effective working relationships with clients, vendors and/or any other representatives of external organizations.
5. Must assume responsibility for providing timely, appropriate responses to requests/suggestions/complaints or refer such comments to the appropriate person. When referring requests/suggestions/complaints to another individual, the employee must follow-up in writing to the individual and must maintain an accessible copy of the referral, or follow company guidelines.
6. Must communicate information and state problems or challenges to be resolved in a clear, concise, courteous, nondiscriminatory and professional manner, and be able to provide clarification, as necessary.
7. Must show respect for the opinions of others and behave in such a way as to ensure an atmosphere free from needless interruptions, difficulty and/or discrimination.
8. Must receive and provide clear, constructive feedback regarding work performance (to/from individuals or groups) and be able to clarify, as necessary.
9. Must handle in a constructive, non-disruptive manner, the multiple business, organizational and interpersonal changes or stresses that may exist in the employee’s work, work processes, dealings with other personnel, and supervision (provided or received). (“Work processes” include but are not limited to, how work is performed, supervised or distributed, how problems are solved, and how decisions are made.)
10. Must be sufficiently adaptable to accept and perform, in a timely and effective manner, work assignments that are outside the normal (day-to-day) routine.
11. Must adapt, with minimal or no advance notice, to changes in how business is conducted and work is accomplished.
12. Performs related duties as required. (“Related duties as required” are duties that may not be specifically listed in the class specification or position description, but are within the general occupational series and responsibility level typically associated with the employee’s class of work.)
a. Master’s degree in Physical Therapy from an accredited college or university
2. Credentials/Licensure Required:
a. Must possess a current Delaware Physical Therapist