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Category: Rehabilitation
Facility: Erie County Medical Center Corporation
Department: Home Health Service - Administration
Schedule: Per Diem
Shift: Day Shift
Hours: may include weekends & holidays
Job Details:

POSITION TITLE- Occupational Therapist – Related Service Contractor                            

DEPARTMENT- Rehab Home Health – P.E.D.S.

DATE OF ISSUE-   11/98 

JOB SUMMARY-

Occupational Therapist – Related Service Contractor is a direct provider of occupational therapy services to Early Intervention (EI) and Committee on Preschool Special Education (CPSE) children in Erie County.  S/he administers occupational therapy treatment of disabilities, according to Individual Family Service Plan (IFSP) or Individual Education Plan (IEP).  S/he functions under the direction of the Coordinator of Rehabilitation Services (Youth)

WORK RELATIONSHIPS-    

 

            Responsible To:        Coordinator of Rehabilitation Services (Youth)

 

            Supervises:                NA

                                      

            Interrelationships:  Children, families, caregivers, childcare providers, 

                                        physicians, supervisor, coworkers, ongoing service 

                                       coordinators (EI), CPSE members (PS)

QUALIFICATIONS-  

            1)         Education:  Completed the academic requirements of an

                      educational program in occupational therapy recognized by the

                      NYSED board.

 

            2)         Experience:  2 years of experience in occupational therapy with an

          early childhood/preschool (0-5) population

 

            3)         License/Registration: Must possess a current license to practice

                     Occupational therapy issued by the New York State Department of

                     Education.

 

            4)       Certification: National Board for Certification in Occupational

                    Therapy, Inc.

 

            5)         Other:  Before signing contract:

                        a)  Evidence of immunity to rubella, rubeola; evidence of

                           completion of hepatitis vaccine or a signed declination form.

                        b)  Copy of Social Security Card

                        c)  Evidence of Professional License

                        d)  Current resume

                        e)  Official transcript

                        f)  U.S. Department of Justice Eligibility Verification Form I-9

                        g)  Copy of current Driver License

                        h)  W9

                        i)  Release of Information forms signed and notarized for

                          Background Check; clear background check.

                        j)  State Central Register Database clearance.

                        k)  Individual DOH approval to provide EI services

                        l)  Drug testing

                        m)  Three relevant professional/personal references

            n) Sign Business Associate Agreement agreeing to comply with    

                         HIPAA regulations.

           

6)         Other:  Before signing contract and annually thereafter:

                      a)  Current registration certificate (of professional license) from the 

                           New York State Education Department

                        b)  Current professional liability insurance (at least

                           $1,000,000/$3,000,000,000)

                        c)  Health assessment including PPD within past twelve months

                        d)  Evidence of continuing Education within the last 12 months.

 

7)         Exceptions:    PPD if therapist is pregnant or breast feeding.

                                    MMR if therapist is pregnant or breast feeding.                                     

CUSTOMER RELATIONS-

The position of Occupational Therapy – Related Service Contractor interacts primarily with children and their families/caregivers, childcare providers, school districts, and community agencies. Needs to demonstrate courteous and respectful communication skills, acknowledging children’s age-specific and cultural/religious needs.  Needs to demonstrate good teaching skills and ability to motivate child and/or caregiver.  In addition, maintains positive and professional interpersonal relations with supervisors, coworkers, and child care staff, school districts, and community agencies as evidenced by positive commendations and/or lack of complaints.

TEAM PARTICIPATION- 

1.      Makes appropriate contacts with parents/caregivers, school districts, ongoing service coordinators, child care providers, and community agencies

2.      Documents the results and recommendations of his/her assessment.

3.      When indicated, participates in establishing, in collaboration with EI/CPSE team, an IFSP/IEP based on evaluation findings, and establishes short- and long-term goals which are congruent with child’s needs.

4.      Maintains communication with the parents/caregivers, childcare providers, ongoing service coordinator, Coordinator, and other disciplines involved with the child.

5.  Integrates therapy plan into the total IFSP/IEP.

6.      Possesses an understanding of interdisciplinary care and makes referrals for assessment by other disciplines when appropriate.

7.      Maintains accurate documentation of child’s treatment and progress, conferences, and telephone calls.

8.      Conferences regularly with the parents/caregivers, service coordinator and other disciplines involved with the child.

9.      Participates in mandatory departmental meetings.

ATTENDANCE & WORK HABITS-

Is able to work independently and problem-solve on the job.  Is able to schedule children to meet the IFSP and IEP mandates and to manage time effectively. Is able to utilize professional judgment in an unsupervised setting and to seek guidance when necessary.  Is able to recognize harmful situations and to act accordingly. Wears proper attire, including wearing ID badge at all visits.

ESSENTIAL JOB FUNCTIONS-  

 

Assessment- Evaluates the strengths and needs of a child in his/her home or child care center, within the scope of practice, on at least an annual basis, as requested by EI/CPSE.

1.      At the initial visit, compares his/her clinical observations to the initial

     evaluation.

2.  Provides a comprehensive assessment of child in the service environment

     and documents according to established procedures.

2.      Assesses strengths and needs according to established procedures.

 

Planning- 

1.      Interprets evaluation results considering the child’s diagnosis, developmental

     and/or educational needs, and age.

2.      Addresses goals and objectives/ outcomes, considering the child's cultural

     background, gender, values, and socioeconomic level, and documents 

     according to established procedure.

3.      Plans for discharge with parent/caregiver, childcare provider, ongoing service

     coordinator, Coordinator, physicians when indicated, and  

     other disciplines and documents according to established procedures.

 

Implementation-

1.      Contacts parent/child care provider and initiates treatment according to policies.

2.      Performs treatment according to IFSP/IEP and according to accepted professional standards and practices.

3.      Performs effective therapeutic handling

4.      Provides age-appropriate treatment activities.

5.      Performs effective transfer training.

6.      Performs effective activities of daily living (ADL) training.

7.      Teaches effective home carry-over activities.

8.      Provides appropriate child, parent/caregiver and/or child care provider education.

9. Carries out a treatment session in a manner that exhibits safety for the child,

      parent/caregiver, childcare provider and therapist.

10.   Submits documentation of visits bimonthly according to Billing/Payroll Schedule.

11.  Maintains accurate log of time, and child visit schedule.

 

Evaluation- 

1.  Documents response to therapeutic intervention monthly on Progress Note.

2.  Conducts ongoing assessment of child during each visit, and modifies plan 

     and short term goals/outcomes accordingly. Submits Amendment Form 

     according to Procedure.

3. Terminates therapy when goals are met, or child no longer meets eligibility     

     criteria for services, and submits documentation for discharge to Coordinator.

Documentation – Provides adequate documentation in accordance with regulations specified by the New York State Department of Health, New York State Education Department, and Erie County Department of Health.

SYSTEMS IMPROVEMENT- 

 Can identify the basic elements of the Performance Improvement Program.  Attends mandatory inservice and reorientation programs.  Participates in inservice and continuing education programs annually to maintain and improve professional skills.  Participates in departmental meetings, and, when requested, in utilization review, audit , research.  Recognizes harmful situations and acts accordingly.

JOB ENVIRONMENT-

Are there any particular working conditions associated with this position that should be noted (i.e., working environment, hours of work, travel, work space, etc.)?  Yes_XX_   No_____ If yes, Must provide own transportation to childs' home or service site.  Must be able to work in all kinds of environments (children’s homes, child care centers).  May come in contact with communicable diseases and/or blood and body fluids.

CHECK PHYSICAL DEMANDS THAT APPLY

DESCRIBE JOB RESPONSIBILITIES THAT REQUIRE PHYSICAL DEMANDS CHECKED

1.  Strength – Medium Work

     a.  Standing_20-40_% of time

 

          Walking__20-40__%  of time

 

          Sitting__30-50__%  of time

 

      b.  Lifting_<50__lbs. occasionally

                    _<20__lbs. frequently

 

          Carrying__10-20__lbs.

 

          Pushing__10__lbs.

 

          Pulling__10__lbs.

 

Traveling to children’s homes/child care settings.

Assessing and administering treatments.

Completing documentation.

 

Assisting children to stand, transfer, move about in environment.  Lifting equipment in/out of car.

Carry equipment into homes or child care settings.

 

Push wheelchairs. 

 

2.  Climbing    XX

 

       Balancing  XX

 

Ability to climb stairs as needed to enter/exit child’s home or child care setting.  Assisting children on ramps, stairs, and gym equipment.  Assisting children in standing balance, ambulation, transfers, and stairs.

3.  Stooping    XX

 

       Kneeling   XX

 

       Crouching  XX

 

       Crawling   

Assisting children to don/doff orthotics, prosthetics, and shoes.

Measuring range of motion, applying manual resistance or resistive equipment.

Adjusting equipment, wheelchairs.

4. Reaching  XX

 

     Handling  XX

 

Maneuvering equipment in/out of car. Assisting children with exercises, mobility. Reaching to cupboards, closets in service sites.  Adjusting durable medical equipment, wheelchairs, adaptive equipment. 

5.  Seeing  XX

 

       Depth Perception

 

       Color Vision 

 

Evaluate and administer treatment to children.  Assess environment for safety and accessibility/mobility.

 

6. Speaking  XX

 

     Hearing    XX

Impart information and instructions to children, parents/caregivers, child care providers. 

Receive information and questions from children, parents/caregivers, child care provider.

Communicate with other disciplines, Coordinators, and members of the IEP/IFSP team.

 

PATIENT CARE AGE SPECIFICITY-   

 

XX Neonate:  Birth to 1 month

 

XX Infants:  >1 month to 1 year

 

XX Toddlers:  >1 year to 2 years

 

XX Pediatric:  >2 years to 12 years   (>2 years to 5 years)

 

 Adolescent:  >12 to 17 years

 

 Adult:  >17 years to 64 years

 

 Geriatric:  >65 years

 

  All age groups

 

  No patient contact



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