Home Health Physical Therapist – AdventHealth Shawnee Mission

All the benefits and perks you need for you and your family:

• Vision, Medical & Dental Benefits from Day One
• Student Loan Repayment Program
• Received Magnet® recognition from the American Nurses Credentialing Center in January 2019

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-Time 40 hours/week

Shift: Monday-Friday

• 8am-4:30pm
• One weekend requirement per quarter
•  One holiday every 2-3 years

Location: AdventHealth Shawnee Mission  

                 9100 West 74th Street, Merriam, KS 66204

The community you’ll be caring for:

At AdventHealth Shawnee Mission, formerly Shawnee Mission Medical Center, you're more than just a number on a chart. You're a whole person, who functions best when physically, emotionally, and spiritually fit. Find whole-person care, dedicated teams and staff, and a wide variety of medical services, all at our hospital in Shawnee Mission, Kansas.

The role you’ll contribute:

The Home Health Physical Therapist (PT) Care Manager is a professional therapist who coordinates and directs the home care patient’s services based on individual patient needs. The PT Care Manager is responsible for independent management of the Home Health patient population requiring the use of advanced assessment, teaching and decision-making skills. The PT is responsible for ensuring that appropriate referrals to other services are made, interdisciplinary conferencing takes pace regularly, and appropriate documentation is completed. Relevant knowledge and experience is consistently applied to new patient populations. The PT Care Manager cares for a caseload of home health patients requiring therapy as the primary service by evaluating the patient for appropriateness of home health and developing the home care plan in conjunction with the physician. S/he educates patients, families, caregivers and community providers to safely perform care. S/he provides follow up by evaluating effectiveness of the home care plan, and monitoring patient/family’s response to the plan to achieve patient/family goals and top decile outcomes. The PT Care Manager also identifies performance improvement and home health standard of care initiatives and assists to design or implement programs to address needed changes.

The value you’ll bring to the team:

• Coordinates and directs the care of a caseload of home patients requiring physical therapy as the primary skill.  Provides comprehensive assessment, planning, implementation and evaluation for that caseload as the primary Care Manager.

• Sets priorities of home care caseload adapting to the changing needs of the home care patients and families. Optimizes schedule daily to support productivity, efficiency and maintain best practice visit utilization.
• Performs an evaluation, assessing function using a method which objectively measures activities of daily living such as, but not limited to, eating, swallowing, bathing, dressing, toileting, walking, climbing stairs, using assistive devices and mental and cognitive factors, documenting the measurement results in the clinical record.
• Utilizing assessment data, formulates a patient specific plan of care along with the patient, family and physician which is feasible within the physical, financial and emotional resources of the family.  Establishes individualized, realistic, measurable patient centered goals in consultation with the patient, family and other health care providers including goals to improve or stabilize patient’s medical condition, functional abilities and promote independence.  Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient when developing the plan of care.
• Periodically reassess the patient every 30 days:  provide the ordered therapy service, functionally reassess the patient and compare the resultant measurement to prior assessment measurements.  Document the measurements in the clinical record along with the therapist’s determination of the effectiveness or therapy or lack thereof. 
• Observes and records activities and findings in the clinical record and reports to the physician the patient’s reaction to treatment and any changes in patient’s condition, or when there are deviations from the plan of care.
• Instructs the patient and caregiver in care and use of assistive devices and the activity modifications; establishes a home program.
• Instructs other health team personnel including, when appropriate, home health aides and caregivers in certain phases of therapy with which they may work with the patient.
• Selects, applies or modifies skilled intervention consistent with training and scope of practice using various procedures and techniques to achieve the best outcome possible for the patient. (Ex:  therapeutic exercise/activity, neuromuscular re-education, fine motor training, perceptual retraining, cognitive retraining, sensorimotor activities, orthosis fabrication, etc.) Assesses patient response to interventions and performs reassessments as required.
• Documents in medical record, accurately reflecting treatment provided.   Updates the care plan as needed including the aide care plan; obtains and documents modified orders for changes in the plan of care, performs and documents the aide supervision by the due date.
• Completes all documentation within the time frame required by the agency, including reassessments, discharge summaries and OASIS documents.
• Participates in clinical record review, agency staff meetings, therapy meetings and other activities as requested.
• Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician’s orders, in compliance with policies and procedures, standards of care, and regulatory requirements.  Delegates appropriately and coordinates nursing intervention in the provision of care to patients when warranted. 

• Uses motivational interviewing/health coaching techniques to engage key stakeholders in the management of care.  Evaluates patient’s and family’s responses to care and teaching and effectiveness of teaching based on a continuing assessment and analysis of therapy interventions and modalities.  Ensures that the home care patient and family demonstrate the knowledge and abilities regarding home care rights and responsibilities, diagnosis, health care status, treatment, skills, medication regime, advance directives, and adaptive behaviors gained as a result of teaching interventions.  Initiates change in the care plan as needed. 
• Informs the physician, clinical manager, and other appropriate members of the health care team of changes in the patient’s condition and needs.  Facilitates and coordinates interdisciplinary care conferences with groups of complex patients.
• Provides care based on the best evidence available and may participate in research activities within clinical practice.  Interacts and participates in the education, role development, and orientation of agency personnel promoting and supporting growth of other through precepting and mentoring as needed.  Takes ownership to optimize agency performance through active involvement in quality improvement activities.

The expertise and experiences you’ll need to succeed:

• Functions with a high degree of independence
• Ability to delegate tasks to appropriate personnel as indicated by skill level and professional standing
• Strong computer and technology skills

KNOWLEDGE AND SKILLS PREFERRED:

• • A working knowledge of community resources and an ability to refers patients and families appropriately
  • Home Care Regulations and Third-Party Reimbursement as it impacts care delivery

EDUCATION AND EXPERIENCE REQUIRED:

• Minimum of one-year relevant clinical physical therapy experience
• Master’s degree in Physical Therapy

EDUCATION AND EXPERIENCE PREFERRED:

• • Recent, relevant experience in a Medicare-certified home health agency as a case-manager

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

• Current Physical Therapy License in KS and MO
• Valid Driver’s License and current car insurance
• CPR certified

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

• Home Health Case-Manager Certification
• COS-C

SUPERVISORY RESPONSIBILITIES

• Field supervision: Effectively delegates and supervises delegated care, e.g., care provided by the home health aide and the physical therapy assistants.