Lead Certified Hand Therapist - Full-Time

Job Locations US-VT-Morrisville
Posted Date 2 months ago(5/22/2020 12:45 PM)
Job ID
2020-1883
# of Openings
1
Category
Clinical
Type
Full-Time
Shift
Days/Varied
FLSA Status
Non-Exempt

Overview

Functions as the Lead Therapist coordinationg the Hand Therapy service based upon the most current evidence based practice. Responsible for evaluation and treatment of patients with primarily upper extremity dysfunctions shoulder to fingers. Administers appropriate therapy treatments consistent with therapist evaluation upon physician referral. Re-evaluates and revises treatment plans and goals as necessary. Ensures communication of program status to the Director. Communicates and meets with hand surgeon(s) and other providers as appropriate to ensure coordinated therapy programs that meet patient care needs. Participates in activities such as inservices, continuing education and quality assurance. Documents evaluations and treatment rendered in accordance with policies and regulations. Continually evaluates the need for custom fabricated orthoses to be added to the department charge item list, and provides the Director with expert analysis of costs for fabrication. Maintains appropriate inventory of hand service supplies. Participates in professional development in order to continuously improve patient care. Mentors and trains other clinical staff in hand therapy program needs. Provides the Director with hand therapy special knowlege and skills to help ensure appropriate standards of care and compliant billing practices. Supports the needs of the department by providing other services within his her licensure and competencies as needed depending upon department workload and priorities. Performs other duties as assigned.

Responsibilities

  • Evaluates, develops, implements and monitors the Hand Therapy clinical service as assigned by the Director. Functions as the clinical expert in the service in order to facilitate proactive quality care and staff development. Communicates with medical staff, peers and experts in the field to continually maintain and improve the program quality. Develops and implements marketing and community education programs as approved by the Director.
  • Evaluates, develops programs and provides direct therapy and education for a primarily hand and upper extremity therapy service, including orthopedic, musculoskeletal, neurological, developmental, wound care, functional and occupational concerns. Is skilled in the assessment for and fabrication of custom and non-custom Upper Extremity orthoses for surgical and non-surgical patients. Provides all services in accordance with professional standards of practice, Vermont licensure, departmental policies and guidelines, regulatory and ethical practices and evidence based guidelines.
  • Establishes and updates appropriate plan of care for each patient, including time-specific goals, patient goals, treatment frequency and treatment options and parameters appropriate for each patient and diagnosis, in accordance with regulatory standards and standards of practice.
  • Maintains medical records in accordance with department and regulatory requirements, including initial assessment, daily notes, progress notes, re-evaluations, patient home exercies programs, discharge reports and communications with the provider, patient and insurance companies. Completes documentation in electronic and/or paper format in accordance with policy and regulation, including meeting required time elements. Ensures accurate billing that is consistent with regulatory and hospital compliance.
  • Provides superior communication and service coordination with the referring providers and their staff to ensure excellent patient care. Meets as requested with the hand surgeon and midlevel providers  to coordinate care. Communicates with the supervisor and manager as appropriate to inform them of the surgeon's needs and concerns.
  • Annually or as otherwise indicated reviews program and/or discipline CPT-4 and HCPCS code changes and any other payer requirements for reimbursement. Recommends modifications in the chargemaster and program to the department Director. Updates chart documentation as needed to support these changes. Implements changes.
  • Contributes to the departmental Performance Improvement Program. Examples may include: performing peer review, data collection and analysis, program and policy procedure development and implementation, updating EHR or other assessment and documentation tools, functioning as CCCE, mentoring and training other staff in therapy techniques and services, representing the department or discipline in multi-disciplinary teams and committees, and other projects and tasks that require the education and skills of the therapist.
  • Establishes an annual plan for professional performance improvements in consultation with supervisor and/or director, and participates in appropriate onging education pertinent to Copley work assignments. Provides peers with inservice training following continuing education.
  • Follows department and hospital policies and procedures. Examples include but are not limited to: following assigned work schedule and assignments, using the timeclock appropriately and in accordance with the 7 minute rule, working above FTE and in overtime only with advance approval, and submitting ETO requests with sufficient lead time to arrange for coverage and prioritizing care prior to patient scheduling.
  • Participates in and may document multidisciplinary team meetings and conferences. Communicates appropriately to care team members between meetings to ensure continuity of care.
  • Participates in educating students interested in health care careers by interacting with and overseeing shadowing volunteers and other pre-professional students. May participate in the professional clinical student program by acting as clinical instructor for appropriate professional students.
  • Follows appropriate policy and procedures for ensuring cleanliness and safe operation of paraffin unit, splint pan, whirlpool and all other Hand therapy service modalities. Provides recommendations for upgrading and purchasing new equipment and supplies required for safe and quality patient care.
  • Submits all required logs for daily and weekly billing and productivity measurement in accordance with policy, on time.
  • Participates in department staff meetings, inservices and quality improvement activities. Responds promptly and appropriately to changes in policies and procedures announced at staff meetings or via verbal and written communications. Proactively discusses procedural issues and opportunities with management in a professional and constructive manner.
  • Meets productivity standards as established for the service. Initiates timely communications with supevisor or director when circumstances may impact therapist's ability to meet productivitiy expectations. Participates in the development and monitoring of a clinical schedule that balances patient needs, productivity expectations, and therapist practice preferences. Is proactive in managing patient schedules in order to achieve productivity expectations.
  • Assures proper inventory of necessary supplies specific to the clinic. Avoids excessive inventory. Follows policy and procedures for use of inventory. Researches quality and pricing as requested.
  • Participates in orientation and training of employees, including those from other departments. Provides feedback upon request of department management regarding the performance of department support staff related to patient care processes. Initiates immediate direct employee correction and management feedback when any employee action is observed to be a potential patient safety or department procedural issue.
  • Completes required logs for daily and weekly billing and productivity measurement in accordance with policy, on time.
  • Participates in recruitment and interview processes for candidates for the service or discipline. As approved by the Director or Supervisor actively mentors and trains other Rehabilitation clinicians in the discipline or specialty services in order to provide consistent quality and standards in the provision of care, and to assist in developing the skills of less experienced staff in order to meet patient and service needs.Trains and oversees the performance of technical staff assigned to the service or discipline. Provides clinical oversight for staff, and retrains as needed. Advises the Supervisor of potential performance issues and may participate in staff coaching and mentoring and documentation of such as requested by the Supervisor. May provide input to Supervisor or Director into annual performance appraisal of support staff.
  • Coordinates the activities of support staff in the assigned service or discipline to ensure day to day quality patient care. Assesses new referrals for priority evaluations; coordinates services between disciplines and clinicians as needed to allow for a seamless patient experience. Keeps the Supervisor and/or Director apprised of all daily and ongoing program issues.
  • Participates in department staff meetings, inservices and quality improvement activities. Responds promptly and appropriately to changes in policies and procedures announced at department meetings or via verbal and written communications. Proactively discusses procedural issues and opportunities with management in a professional and constructive manner.
  • Assists in providing care to another Rehabilitaton service in your discipline when necessary based on patient census and department staffing restrictions.
  • Meets individual clinical productivity expectations for the discipline, service and site. Initiates timely communications with supervisor when circumstances may impact clinician's ability to meet expectations. Participates in the development and monitoring of a clinical schedule that balances patient needs, productivity expectations and clinician practice preferences. Is proactive in managing patient schedules in order to achieve productivity expectations.
  • Participates in the Rehabilitation Department Clinical Education program by serving as Clinical Instructor for appropriate professional students in the specialty program or discipline specific program. Participates in educating students interested in health care careers by interacting with and overseeing shadowing volunteers and other pre-professional students.
  • Assures proper function of modalities and equipment and follows appropriate procedures for correction of malfunctioning equipment. Ensures day to day operations by managing appropriate supplies and inventory. Participates in annual operating and capital budget processes by recommending appropriate staffing resources and equipment needs to meet patient and service needs, based on documented best practices for the service.
  • Follows departmental policies and procedures. Examples include but are not limited to: following assigned work schedules and assignments, using timeclock appropriately and in accordance with the 7 minute rule, working above FTE and in overtime only with advance approval, submitting ETO requests with sufficient lead time to arrange for coverage and prioritizing prior to patient scheduling.
  • Develops, reviews, maintains and implements Policies and Procedures as assigned by the Supervisor and/or Director to ensure accurate and clinically appropriate procedures. Utilizes published best practices to evaluate, develop and update policies and procedures. Educates other staff as needed to ensure all policy changes are known and followed.
  • Establishes annual plan for personal professional improvement in consultation with Supervisor and/or Director, and participates in appropriate ongoing continuing education. Provides peers with inservice training following CE.Utilizes this knowledge to advance the clinical practice and quality of the program.
  • Maintains CHT Certification in accordance with the HTCC, and provides this evidence to the Director prior to certification expiration.

Qualifications

Education Required:

Bachelor’s Degree or Master’s Degree in Occupational Therapy or Physical Therapy, or a DPT in Physical Therapy, from an accredited school.

 

Education Desired:

Professional education that meets the HTCC requirement for CHT (Certifiied Hand Therapist).

 

Experience Required:

Five years of work experience as a therapist, including 4000 hours or more in direct practice in hand therapy, including custom orthoses evaluation and fabrication.

 

Experience Desired:

Seven years experience including one year as a Certified Hand Therapist. Experience as a Lead clinician.

 

License and Certification Required:

Vermont licensure in Occupational Therapy or Physical Therapy. NBCOT certification if OT. CHT Certification by the Hand Therapy Certification Commission (HTCC). Valid driver's license. CPR certification within 6 months.

 

Skills  Required:

Superior communication skills with the Orthopaedic medical providers and rehabilitation management team. Ability to independently provide all necessary therapy evaluation, treatment, education and documentation for the upper extremity patient population while following regulatory requirements and hospital policies. Demonstrated ability to coordinate a Hand Therapy service, including guidance of support staff, maintaining/updating the CDM for hand orthoses and training generalist therapy providers in appropriate hand therapy techniques. Orthopedic, musculoskeletal, neurological and post-operative patient skills, for all ages infant through geriatric. Custom orthosis assessment and fabrication. Modality skills.

 

Skills Desired:

Wound care management.

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