An Occupational Therapist provides occupational therapy services in accordance with the patient’s plan of care as directed by their primary care provider. The Occupational Therapist supervises Certified Occupational Therapy Assistants (COTAs) and Home Health Aides per Medicare, Medicaid, and state regulations, if any.

Supervisor: Clinical Manager

1. Licensed as an Occupational Therapist by the state in which practicing unless licensure does not apply.

2. If licensure does not apply, then must have graduated from an Occupational Therapist education program accredited by:

» Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association, Inc. (AOTA), or

» Successor organizations of ACOTE; and

» Is eligible to take or has successfully completed the entry-level certification examination for Occupational Therapists developed and administered by the National Board for Certification in Occupational Therapy, Inc. (NBCOT).

1. At least one year of acute healthcare experience (hospital, skilled nursing facility, out-patient clinic) preferred.

2. Home health care experience preferred.

1. Provides comprehensive assessments for Medicare and Medicaid patients, including Outcomes and Assessment Information Set (OASIS) items.

2. Completes patient evaluations (initial, re-evaluations, and discharge) as indicated by the plan of care and/or state and federal requirements.

3. Performs assessments and evaluates the patient’s needs and level of functioning.

4. Develop and implement the patient’s plan of care in accordance with the patient’s primary care provider.

5. Provides occupational therapy in accordance with the plan of care.

6. Occupational therapy services may include:

» Assessment of the patient’s rehabilitation needs, including activities of daily living (ADLs) such as bathing, feeding, grooming, toileting, dressing, bed mobility, and transfers. Instrumental activities of daily living (IADLs) include homemaking, home safety, and money management.

» Therapeutic activities to restore physical function include exercises for neuromuscular re-education and cognitive re-training.

» Therapeutic tasks and activities to restore sensory-integrative function.

» Treatments address upper-extremity function; functional mobility including range of motion and strength; safety needs; and energy conservation.

» Compensatory techniques to improve the level of independence in ADLs.

» Designing, fabricating, and fitting orthotic and/or self-help devices to compensate for loss of function.

7. Evaluate the home environment for safety concerns and recommend home equipment, as applicable.

8. Assign and supervise COTAs as required by state regulations, if any, and accreditation standards.

9. Assign and supervise Home Health Aides as required by Medicare/Medicaid and state regulations, if any.

10. Participates in orientation and training of new personnel.

11. Demonstrates competency in providing care/services and provides care/services in accordance with the plan of care.

12. Evaluate and complete competencies for Occupational Therapists and COTAs as directed by the Clinical Manager.

13. Maintains accurate and timely documentation of care/services provided.

14. Notifies the primary care provider, as applicable, when there are changes in the patient’s plan of care or clinical changes.

15. Communicate with other team members, as appropriate, regarding the patient’s plan of care and update team members when there are changes.

16. Attends and participates in staff meetings, case conferences, educational in-services, and committee meetings, as appropriate.

17. Report incidents and grievances/complaints (patients and/or personnel) to the Clinical Manager.

18. Provides education and information to the patient and/or family members as appropriate to their care plan.

19. Evaluate the patient’s progress and effectiveness in meeting goals and outcomes.

20. Participates in and coordinates the patient’s discharge from service.

21. Participates in the agency’s Quality Assessment and Performance Improvement (QAPI) program, as appropriate.

22. Adheres to the agency’s policies and procedures.

23. Maintains confidentiality of all aspects of job performance.

24. Practices proper infection control and utilizes PPE as indicated.

25. Only performs treatments or special procedures authorized by the agency and deemed competent to perform by the Clinical Manager.

26. Comply with all applicable federal, state, and local laws and regulations in performing job functions.

27. Performs other related functions as directed.

The physical requirements described here must be met by an employee to perform the essential functions in this job description successfully.

1. The employee is regularly required to stand, walk, and sit, as well as talk and hear.

2. The employee is required to use hands to operate vehicles and office equipment.

3. The employee must occasionally lift and/or move up to 30 pounds.

4. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus.