This position is responsible for serving as a physical therapist and providing physical therapy services to patients in their homes. This position is responsible for assessing the therapy needs, including the physical, psychosocial, developmental, and environmental needs of patients and families. The Physical Therapist provides home health services which meet all state, federal, accreditation, and payer regulations. The Physical Therapist exercises independent judgment in day to day responsibilities, including the establishment of the plan of care and the provision of home health services. The Physical Therapist assigns and supervises Home Health Aides and/or Physical Therapy Assistants when applicable and collaborates with the patient’s primary and specialty physicians to develop, implement, and evaluate the individual plan of care. The Physical Therapist completes therapy procedures and treatments safely and in accordance with accepted professional standards of care. The therapist is responsible for patient teaching, and counseling patients, patient representatives (if any), and families regarding self-care and evaluating the patient’s response to care. The Physical Therapist initiates appropriate referrals to other home health disciplines as necessary and as a multidisciplinary team member, collaborates to coordinate and evaluate care. The therapist coordinates the daily visit schedule with the office staff and maintains acceptable standards of productivity.
- Ensures patients are eligible for home care services and meet all required program guidelines.
- Exercises independent judgment in day to day responsibilities.
- Completes accurate comprehensive therapy assessments, including OASIS dataset when applicable, to identify physical, psychosocial, developmental, and environmental needs of the patient.
- Educates the patient and family regarding home care services and assists them in independence with care.
- Develops and evaluates Home Exercise Programs and teaches patients, families and home health aides to implement.
- Case Management or as an Associated Team Member
- Ensures that the care provided is safe, effective, patient-centered, timely and efficient. This approach achieves optimum value and desirable outcomes for all – the patients, their support systems, the providers and the payers.
- Facilitates the achievement of patient wellness and autonomy through advocacy, assessment, planning, communication, education, resource management and service facilitation.
- Secures and maintains complete physician orders within regulated time frames.
- Provides services that are ordered by the physician as indicated in the plan of care.
- Develops, evaluates and revises the plan of care based on the initial and ongoing patient assessment, and in partnership with the patient representative (if any) and care givers and meeting all regulatory time frames.
- Communicates and interacts with patients, patient representatives (if any), and families/caregivers in a positive, effective, and professional manner.
- Coordinates the plan of care and participates in ongoing interdisciplinary patient assessment with other nursing staff, physical therapy staff, occupational therapists, speech language pathologists, home health aides, dieticians, and medical social workers, and documents for inclusion in the medical record.
- Provides effective case management of assigned patients including the utilization of appropriate disciplines, achievement of quality metrics, cost-effective services and the appropriate use of medical supplies.
- Patient and Family Centered Care
- Actively engages the patient, patient representative (if any), and family by exhibiting respect and dignity, sharing information in a timely and unbiased manner, and welcoming and encouraging participation to achieve shared decision making.
- Collaborates with other members of the team, including the patient, patient representative (if any) and family, to achieve the ideal patient care experience.
- Delivery of Care—
- Performs and submits complete and timely documentation of physical therapy assessments, procedures, and interventions in the home according to the plan of care.
- Completes documentation according to established department timelines to ensure inclusion in the medical record within regulated time frames.
- Ensures that patients meet insurance requirements for home health services.
- Adheres to all UMHS and department infection control and safety policies.
- Delivers physical therapy according to departmental and professional standards of care.
- Manages assigned patient caseload, and maintains departmental productivity standards.
- Teaches and/or supervises family members and other caregivers in the care of the patient, seeking to encourage the maximum amount of independence with the care.
- Accountable for utilizing all technology and equipment (i.e., cellular phones, point of care devices, computers, etc.) according to department expectations and policies.
- Supervisory and General—
- Supervises and assigns Physical Therapy Assistants and Home Health Aides when applicable.
- Participates in the Quality Assessment and Performance Improvement (QAPI) program.
- Participates in organization sponsored inservice training.
- Rotates schedule to weekends when necessary. Communicates effectively and professionally with colleagues and provides support for smooth functioning of patient care team.
- Updates required employee information as necessary.
Other Related Duties:
- Practices within the scope of license, certification, or registration.
- Complies with all applicable continuing education requirements.
- Complies with all University of Michigan and departmental standards and expectations.
- Supports the department’s commitment to continuous improvement activities and principles through positive and respectful contribution in all problem-solving and change processes at Home Care Services.
- Performs other duties as assigned.
- Current licensure to practice physical therapy in the State of Michigan
- Two (2) or more years of home care physical therapy experience in the last 5 years
- Ability to demonstrate excellent problem solving skills
- Ability to work independently in a multidisciplinary, fast-paced environment as demonstrated by interview, professional references and performance evaluations
- In-depth experience in patient education (i.e. self-care, home exercise programs, home safety and mobility)
- Demonstrated proficiency with computer skills, Microsoft Word, e-mail, and smart phones
- Excellent communication and customer service skills
- Ability to travel from point A to point B throughout the workday as assigned
The employee will be able to perform the assigned duties and responsibilities with or without reasonable accommodations.
The duties include performing skilled physical assessments and various physical therapy activities, finger pricks for PT/INRs, assisting with personal cares, exercises/ambulation, etc. The duties also include the use of equipment for client care, such as oxygen equipment. This position requires knowledge of the use of laptop computers, and cell phones for documentation and communication. These duties require fine motor coordination/dexterity, the ability to grasp, vision with or without corrective aids adequate for fine motor tasks, client assessment, and driving. The job requires the physical demands of occasional lifting greater than 35 pounds, reaching, pushing, walking, going up and down stairs, driving, etc., with or without the use of assistive/adaptive devices. Employee drives personal or University owned vehicle to various work site locations on a regular basis including in-town and highway driving in good and inclement weather.
The job requires the health care professional to work with the patient in the patient’s home. Clinician must be able travel from point A to point B throughout the workday in all kinds of weather as assigned. Environmental factors of the patient’s home are not within the control of the Michigan Medicine (i.e., whether or not there is a smoker in the home, pets, apartment complexes, home entrance, etc.).
OCCUPATIONAL HAZARD INFORMATION:
Staff members may have routine exposure to all chemical inventories, inclusive of hazardous materials, housed at all work sites for Home Care Services, including but not limited to: the office, hospital, clinics, vehicles and warehouse. Chemical inventory reference materials are available to all staff in the form of hard copy and on-line Material Safety Data Sheets.
Staff may carry out assignments in patient’s homes, hospitals, clinics and HCS offices. Staff may drive personal or University owned vehicle and walk on uneven surfaces to these various work site locations in all weather conditions on a regular basis.
This description is intended to indicate the kinds of tasks and levels of work and/or difficulty that will be required of positions given this title and shall not be construed as declaring what the specific duties and responsibility of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of employees under their supervision.
- Experience in acute/medical/surgical settings
- Certification in a home care related specialty
- Masters or Doctorate in Physical Therapy
- LSVT Certified
- Direct care experience with the pediatric population
Temporary position, flexible schedule including Saturday hours.
Under Michigan law, a criminal history check including fingerprinting is required as a condition of transfer or employment for this position.
University of Michigan Health System conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
The University of Michigan conducts background checks on all job candidates upon acceptance of a contingent offer and may use a third party administrator to conduct background checks. Background checks will be performed in compliance with the Fair Credit Reporting Act.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.