OCCUPATIONAL THERAPIST- ACUTE CARE

Job Summary

An Occupational Therapist completes Occupational Therapy Evaluations and establishes plans of care for patients based upon age specific considerations and patient / family goals in various treatment arenas throughout the hospital. The occupational therapist continually assesses the treatment program and patient's discharge planning needs, recommending changes to the program as appropriate. He / She also supervises certified occupational therapy assistants or aides as assigned, participates actively in work process and program development to enhance the work environment, and participates in other duties as assigned. Utilizes time efficiently and effectively. Adheres to scheduling and productivity guidelines. Staff schedules require flexibility as they are dependent on patient care needs, which may include weekend and evening hours as necessary, to meet demand in their primary are or the needs across the system. Promotes and attend community outreach events as necessary.

Essential Job Functions

• Regular, consistent, on-site, and timely attendance.
• Engages in using the LEAN methodology for process improvement.
• Participates in daily meetings, use of "Just-do-its" and A3's as appropriate.
• Develops an awareness and understand of the department objectives on the CI board and participates in collecting data for the board.
• Participates in LEAN projects as assigned.
• Follows standard work as set forth for the position.
• Attends LEAN 101 & other LEAN functions / training as assigned.
• Documents on the white boards in the patient rooms to improve and aid in interdisciplinary communication and continuity of care (where applicable by location).
• Understands and upholds the mission, vision and values of the organization. Demonstrates and adhere to the missions, vision, value and Independence Health System Credo in all aspects of position.
• Performs clinical responsibilities in a manner that provides effective age- specific patient care while achieving optimal outcomes.
• Completes evaluations within appropriate time frame per policy.
• Sets goals with measurable outcomes and appropriate time frames.
• Demonstrates appropriate use of various treatment modalities in patient care.
• Recommends discontinuation of treatment when appropriate.
• Initiates discussions with physician and other medical team members when appropriate to modify the treatment program.
• Supervises COTA and Home Health Aide in a professional manner.
• Adheres to ethical and legal practice standards.
• Abides by relevant ethical codes and standards of practice guidelines.
• Abides by State and Federal laws and regulations, including state licensure laws.
• Reports any concerns to rehab leadership, or compliance line as appropriate.
• Maintains records that are accurate, concise, timely and legible in accordance with System, IT or Payor policies.
• Documents therapy care in format and accordance with practice setting on EMR including : evaluations, treatment provided, response to treatment, patient progress, education, family conferences, discharge planning and discharge summary as appropriate.
• Completes reassessments at appropriate intervals and documents accordingly.
• Communicates post-discharge needs to appropriate resources.
• Documents patient care that is consistent with guidelines and requirements of agencies and third-party payers.
• Educates all patients and families in a manner consistent with their level of understanding and therapeutic needs.
• Involves patient and family members in establishing a plan of care.
• Provides patient and family members with educational materials as needed.
• Documents education and training as well as patient and / or family level of achievement with training provided.
• Captures maximum revenue for quality services provided while maintaining established standards of care.
• Utilizes appropriate documentation including CPT and CDM codes to match services provided.
• Maintains adherence to established efficiency standards.
• Checking for accuracy in charging based on therapeutic intervention provided prior to signing and finalizing daily documentation.
• Provides relevant information to insurance provider to insure proper authorization is secured prior to initiation of treatment (when indicated).
• Assures treatment does not extend beyond last covered date.
• Promotes continual performance improvement both within the Rehabilitation department and throughout Independence Health System.
• Demonstrates individual initiative for performance improvement both within the department and throughout Independence Health System.
• Actively identifies needs for improvement in the department and system wide and discusses with manager.
• Collaborates with patients, families, and other health team members to provide excellence in patient care.
• Communicates regularly with other team members via verbal, written, and / or established electronic communication methods.
• Attends interdisciplinary team meetings when indicated.
• Attends all required staff meetings. If absent or unable to attend, reads minutes and signs appropriate sign-in sheets to indicate review of material.
• Participates actively in the ongoing development of new therapy programs and in the enhancement of established programs.
• Attends appropriate internal or external education opportunities to promote growth and expansion of specific programs
• Researches appropriate innovative ides via journal and internet exploration and discusses these with manager leads, and peers.
• Implements a self-directed plan for professional development.
• Demonstrates an awareness of strengths and weaknesses and seeks guidance as needed to address limitations.
• Initiates and participates in continuing education : lectures, video / audio conferences, written and online courses.
• Develops and conducts in-service as appropriate to share information gained from external resources.
• Upholds fiscal and operational responsibility
• Utilizes supplies and equipment in a fiscally responsible manner.
• Maintains adherence to established efficiency standards.
• Maximizes utilization of non-direct patient care time
• Maintains responsibility for reporting accuracy of hours worked.
• Travel to other entities or sites within the System as patient census dictates, in order to provide quality necessary care where patient need is greatest.
• Staff schedules require flexibility as they are dependent on patient care needs, which may include evening and weekend hours, as necessary to meet demand in their primary area or the needs across the System.
• Participates in supervision of students as appropriate.
• Other duties as assigned.

Specialty Essential Functions

Required Qualifications

Preferred Qualifications

License, Certification & Clearances

Supervisory Responsibilities

Position Type / Expected Hours of Work

LEAN

AAP / EEO

Work Environment

Effective March 2020 or during pandemic : goggles, face shield and mask are required according to CDC guidelines

When lift requirement is in excess of 50#, lift assistance (2 person) and / or transfer device is required.

Essential - Absolute Necessity.

Marginal - Minimal Necessity.

Constantly - 5.5 to 8 hours or more or 200 reps / shift.

Frequently - 2.5 to 5.5 hours or more or 32-200 reps / shift.

Occasionally - 0.25 to 2.5 hours or 2-32 reps / shift.

Rarely - Less than 0.25 hours or less than 2 reps / shift.

Physical Condition

Essential

Marginal

Constantly

Frequently

Occasionally

Rarely

Never

Extreme Heat

Extreme Cold

Heights

Confined Spaces

Extreme Noise(>

85dB)

Mechanical Hazards

Use of Vibrating Tools

Operates Vehicle (company)

Operates Heavy Equipment

Use of Lifting / Transfer Devices

Rotates All Shifts

8 Hours Shifts

10-12 Hours Shifts

On-Call

Overtime(+8 / hrs / shift; 40 / hr / wk)

Travel Between Sites

Direct Patient Care

Respirator Protective Equipment

Eye Protection

Head Protection (hard hat)

Hearing Protection

Hand Protection

Feet, Toe Protection

Body Protection

Latex Exposure

Solvent Exposure

Paint (direct use) Exposure

Dust (sanding) Exposure

Ethylene Oxide Exposure

Cytotoxic (Chemo) Exposure

Blood / Body Fluid Exposure

Chemicals (direct use) Exposure

Mist Exposure

Wax Stripper (direct use)

Non-Ionizing Radiation Exposure

Ionizing Radiation Exposure

Laser Exposure

Physical Demands

When lift requirement is in excess of 50#, lift assistance (2 person) and / or transfer device is required.

Essential - Absolute Necessity.

Marginal - Minimal Necessity.

Constantly - 5.5 to 8 hours or more or 200 reps / shift.

Frequently - 2.5 to 5.5 hours or more or 32-200 reps / shift.

Occasionally - 0.25 to 2.5 hours or 2-32 reps / shift.

Rarely - Less than 0.25 hours or less than 2 reps / shift.

Physical Condition

Essential

Marginal

Constantly

Frequently

Occasionally

Rarely

Never

Bending (Stooping)

Sitting

Walking

Climbing Stairs

Climbing Ladders

Standing

Kneeling

Squatting (Crouching)

Twisting / Turning

Keyboard / Computer Operation

Gross Grasp

Fine Finger Manipulation

Hand / Arm Coordination

Pushing / Pulling(lbs. of force)

10#

50#

Carry

10#

Transfer / Push / Pull Patients

Seeing Near w / Acuity

Feeling (Sensation)

Color Vision

Hearing Clearly

Pulling / Pushing Objects Overhead

Reaching Above Shoulder Level

Reaching Forward

Lifting Floor to Knuckle

25#

Lifting Seat Pan to Knuckle

50#

Lifting Knuckle to Shoulder

10#

Lifting Shoulder to Overhead

5#

When lift requirement is in excess of 50#, lift assistance (2 person) and / or transfer device is required.