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Duties and Responsibilities:
·Adherence to infection control practices and all agency policies and procedures.
·Use of Chronic Disease management and health promotion strategies.
·Use of Motivational Interviewing Techniques.
·Use of telehealth especially for pulmonary and cardiac rehabilitative services to assess and interpret response to therapy.
·Notifies and collaborates with the home care physician and clinical team and maintains physician orders.
·Notifies and collaborates with the hospice IDT as appropriate for hospice patients.
·Initial evaluation focuses on the assessment of functional limitations, bodily malfunction, pain from injury or disease and any other bodily and mental conditions as established by the physical therapy practice act.
·POC focus on patient centered goals.
·Clear documentation of skilled interventions and patient’s progress towards or revision of goals as indicated.
·Identifies patient centered goals and an interdisciplinary team approach to meet these goals, under the direction of the home care physician, with the most efficient use of resources and avoidance of re-hospitalization.
·Upon completion of care management, appropriately projects, prioritizes and delegates patient visits for the coming week.
·Updates visit schedule by 8:30 am each weekday morning.
·Initial joint visit made with the PTA to assess client and instruct on the therapeutic POC with follow up visits no less frequently than every 6th visit, every30 days or upon planned discharge.
·Documentation of routine conferencing regarding patients’ needs and progress towards goal.
·Oversight of PTA documentation.
·OASIS walk evaluations with clinical manager.
·Scores an average of 92% or better in OASIS chart review.
·Attendance at weekly meetings.
·Interacts and is prepared to discuss his/ her entire case load to include patient’s reason for home care and progress towards patient centered goals; follows up on Care manager and / or Interdisciplinary group recommendations.
·Effective use of voice mail and email.
·Use of the computer in the home.
·Notes containing OASIS data are available for review/ coding, etc within 24 -48 hours of visit; re-visit notes locked for processing within 24 hours of visit and timely discharges and transfers.
·Completion of HHA supervisions when indicated.
·Provides mandated federal and state notices to patients to include, but not limited to, NYS Provision of Care, Home health Beneficiary notice and Notice of Medicare non –coverage. Maintains and collaborates with other rehabilitation therapists caring for the same patient to ensure timely documentation and assessment of patient progress towards goals as mandated by CMS.
·Supports and promotes the mission of VNSHS.
·Represents the agency in a professional manner and follows the uniform policy.
·Flexibility in scheduling with a focus on meeting patient needs.
·Participation in continuing education (minimum of 3 hours per calendar year) and attending all mandatory in-services.
·Attendance at team meetings.
Qualifications:
Full Time
$121k-145k (estimate)
02/17/2024
08/21/2024
visitingnurseservice.org
Northport, WA
200 - 500