Physical Therapist

Job Category: Physical Therapist
Job Type: Full Time
Job Location: CA Fair Oaks

Full-time position, 35-40 hours/wk expectation, Monday-Friday (flexible): Physical Therapist, active license in California required.

Starting hourly rate: $55/hr

Interpersonal, Teamwork & Misc. 

  • Communicates unresolved work-related issues productively & effectively solves problems 
  • Handles confidential information appropriately and is HIPAA compliant 
  • Friendly and courteous to residents, co-workers etc, and takes ownership in solving problems (taking initiative where appropriate) 
  • Works well in a team, owning personally assigned work and assisting wherever needed to get the job done 
  • Follows established policies and guidelines 
  • Reliable and predictable attendance
  • Other Duties as assigned

Administrative Functions 

  • Plan, develop, organize, implement, evaluate, and direct our facility’s physical therapy, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern nursing care facilities. 
  • Meet with administration, medical and nursing staff, as well as other related departments in planning therapy services. 
  • Represent the facility at and participate in meetings as directed. 
  • Develop and maintain physical therapy standards. 
  • Assist in standardizing the methods in which physical therapy will be accomplished. 
  • Maintain a reference library of written therapy material, laws, standards of practice, etc., necessary for complying with current standards and regulations, and that will aid in maintaining quality resident care. 
  • Assist in developing, implementing, and coordinating policies and procedures, resident care plans, physical therapy procedure manuals, job descriptions, etc. 
  • Review physical therapy policies, procedures, manuals, job descriptions, etc., at least annually, and participate in making recommended changes. 
  • Interpret physical therapy policies and procedures to personnel, residents, family members, etc., as necessary. 
  • Participate in discharge planning, development and implementation of resident care plans, resident assessments, etc., as necessary. 
  • Assist the Quality Assessment and Assurance Coordinator in developing, implementing, and maintaining an ongoing quality assurance program for physical therapy services. 
  • Assist the Quality Assessment & Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies. 
  • Assume the authority, responsibility, and accountability of directing the physical therapy department. 
  • Maintain treatment records, resident files, and progress notes as required. 
  • Work with the facility’s consultants as necessary and implement recommended changes as required. 
  • Assist in arranging transportation to other facilities when necessary. 
  • Ensure business office receives charges for physical therapy rendered to residents. 
  • Make written and oral reports/recommendations to the administrator, as necessary/required, concerning the operation of the physical therapy department. 
  • Maintain an adequate liaison with families and residents. 
  • Interview residents, or family members, as necessary. 
  • Perform administrative requirements such as completing necessary forms, reports, etc., and submitting to the administrator as required. 
  • Others as deemed necessary and appropriate, or as may be directed by the administrator. 
  • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. 
  • Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
  • Report any known or suspected unauthorized attempt to access facility’s information system.

Committee Functions

  • Serve on, participate in, and/or attend various committees of the facility as required.
  • Provide written and/or oral reports of the physical therapy programs and activities as required.
  • Evaluate and implement recommendations from established committees as they may pertain to physical therapy services.

Personnel Functions

  • Determine the staffing needs of the physical therapy department necessary to meet the needs of the residents.
  • Recommend the number and level of physical therapy personnel to be employed.
  • Assist the administrator and/or the HR director in the recruitment and selection of competent physical therapy personnel.
  • Provide guidance and training for new and/or less experienced personnel.
  • Develop work assignments and schedule duty hours.
  • Develop, maintain, and periodically update the written procedure for ensuring that professional physical personnel have valid and current licenses as required by this state.
  • Review complaints and grievances made or filed by department personnel.
  • Make written and oral reports/recommendations to the administrator concerning the operation of the physical therapy department.
  • Maintain an excellent working relationship with the medical profession and other health related facilities and organizations.
  • Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the department.
  • Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to assure that services and activities can be properly maintained to meet the needs of the residents.
  • Meet with and solicit advice from other department supervisors concerning physical therapy; assist in identifying and correcting problem areas and/or the improvement of services.
  • Coordinate physical therapy with other departments.
  • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.
  • Conduct departmental performance evaluations in accordance with established policies and procedures.
  • Report known or suspected incidents of fraud to the Administrator.
  • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screensaver activates within established facility policy guidelines.

Therapy and Consultation Functions

  • Review request for physical therapy and physicians’ orders.
  • Interview resident to determine type of treatments needed and schedule therapy as ordered.
  • Evaluate type of therapy most desirable after consulting with physician.
  • Participate in the development and implementation or resident assessments (MDS) and care plans, including quarterly reviews.
  • Brief resident of procedures involved in physical therapy and prepare necessary equipment.
  • Assist in transporting resident to and from physical therapy room/area.
  • Demonstrate to residents and staff personnel, as necessary, the use of medical appliances involved in physical therapy (e.g., wheelchairs, crutches, canes, braces, and prosthetic appliances and devices).
  • Perform physical therapy in resident’s room, as necessary.
  • Reassure resident before and during therapy treatment.
  • Prepare resident for treatment by dress/position and administer physical therapy in accordance with established policies and procedures.
  • Determine proper equipment usage, application, and body position, and make adjustments as necessary in the administration of physical therapy treatments (e.g., gait training, traction, whirlpool, etc.).
  • Apply agents such as diathermy, ultrasound, infrared, massage, therapeutic exercise, etc., as required.
  • Recommend modifications or changes in the resident’s therapy program based on own evaluation of progress.
  • Ensure that all therapist notes are informative and descriptive of the care provided and of the resident’s response to the care.
  • Make rounds with attending physician/medical director, etc., as necessary.
  • Encourage attending physician(s) to record and sign progress notes, as well as review treatment plans, etc.

Staff Development

  • Develop and participate in programs designed for in-service education, on the job training and orientation classes for newly assigned personnel. (Includes maintaining appropriate recordkeeping requirements of when classes were held, subject matter, attendance, etc.)
  • Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties.
  • Participate and assist in departmental studies and projects as assigned or that may become necessary.
  • Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the health care field, as well as to maintain a professional status.
  • Ensure that therapy personnel attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).

Safety and Sanitation

  • Assist in developing safety standards for the physical therapy department.
  • Ensure that physical therapy personnel, residents, visitors, etc., always follow established policies and procedures, including appropriate dress codes.
  • Be alert for resident safety during any/all therapy.
  • Ensure that therapy personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents.
  • Assist the Infection Control Coordinator in the development, implementation, and revision of written aseptic and isolation techniques.
  • Assist in identifying and classifying departmental procedures that involve exposure to blood or body fluids. Update, as necessary.
  • Ensure that therapy personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
  • Ensure that adequate supplies of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.
  • Ensure that therapy personnel follow established infection control procedures when performing duties.
  • Inspect physical therapy areas and practices for compliance with current applicable regulations at least monthly.
  • Ensure that the therapy area is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services.
  • Develop, implement, and maintain a procedure for reporting hazardous conditions or equipment.
  • Report missing/illegible labels or MSDSs to the safety officer or other designated person.

Equipment and Supply Functions

  • Recommend to the administrator the equipment and supply needs of the department.
  • Provide necessary material/equipment for resident to perform required therapy.
  • Develop and implement procedures that ensure physical therapy supplies are used in an efficient manner to avoid waste.
  • Ensure that MSDSs are on file for hazardous chemicals used in the therapy department.

Care Plan and Assessment Functions

  • Assist in developing physical therapy plans for individual residents in coordination and conjunction with the resident assessment (MDS).
  • Review the physical therapy requirements of each resident admitted to the facility and assist the attending physician in planning for the resident’s care.
  • Involve the resident/family in planning objectives and goals for the resident.
  • Ensure that physical therapy treatments are indicated on the care plan.
  • Participate in the development and implementation of care plans, including quarterly reviews.

Budget and Planning Functions

  • Prepare and plan the physical therapy budget and submit to the administrator for his/her review, recommendation, and/or approval.
  • Keep abreast of economic conditions/situations and recommend to the administrator adjustments in physical therapy that ensure the continued ability to provide quality care.
  • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.

Resident Rights

  • Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.
  • Ensure that resident’s rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights, including the right to wage a complaint, are well established and maintained at all times.
  • Ensure that therapy personnel knock before entering the resident’s room.
  • Ensure that all physical therapy personnel are knowledgeable of the residents’ responsibilities and rights including the right to refuse treatment.
  • Ensure that therapy personnel honor the resident’s refusal of treatment request. Report such requests to the Director of Nursing Services.
  • Abide by the resident’s participation in treatment decision.
  • Inform the resident of consequences of not participating in prescribed therapy and document such action in the resident’s clinical record.
  • Review complaints and grievances made by the resident, families, and/or visitors and make oral/written reports to the administrator indicating what action(s) were taken to resolve the complaint or grievance.
  • Maintain a written record of the resident’s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.
  • Allow the resident to participate in the planning and scheduling of his or her treatment.

Physical Capabilities

  • Must be able to move intermittently throughout the workday.
  • Frequent bending and reaching.
  • Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
  • Must meet the general health requirements set forth by the policies of this facility which includes an annual TB screening and physical examination.
  • Must be able to sit for extended periods of time and walk for extended periods of time.
  • Must be able to lift up and over 100 pounds with assistance according to resident’s abilities.
  • Must be able to travel to reach assigned destination in a reasonable time frame.
  • Must be able to bend, squat, push, stoop and pull as needed especially in fulfilling resident care activities.
  • Must be able to cope with the mental and emotional stress of the position.

Environment Conditions

  • Inside work, normal temperatures, some noise, occasional fumes/odors, chemical exposure, and potential exposure to bloodborne pathogens.
  • This job cannot be performed without exposure to the stresses associated with an intimate, 24-hour skilled care environment that delivers care and services primarily to disabled and cognitively impaired residents in an aging population.
  • Examples of these stresses include, but are not limited to: emergency health or safety response, weekend and holiday duty, unusual or impaired behavior by residents, family reactions to having a loved one in a nursing home, death and dying, oversight of state surveyors, ombudsmen and federal officials, presence of consultants and attorneys, and variable involvement of medical staff.
  • HIPAA is a law that must be followed by all healthcare personnel at every level. This position is a Mandated Reporter regarding the suspicion of elder abuse and may have access to Protected Health Information (PHI).

ACKNOWLEDGEMENT:

Every effort has been made to identify the essential functions of this position. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from this position.

I hereby accept the position and agree to perform this position in a safe manner and in accordance with the facility’s established procedures. I understand that as a result of my employment, I may be exposed to blood, body fluids, burn, infectious diseases, air contaminants (including tobacco smoke), hazardous chemicals, and to the Hepatitis B virus, and that I will be responsible for following company policies and procedures when in contact with any of the situations described above.

I understand that my employment is at will. My employment is for no definite or determinable period and may be terminated at any time with or without prior notice at the option of either myself or the company. No promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the facility Administrator.

 

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Employee Signature                                                  Date