Occupational Therapist - Outpatient (Relief)

Department Overview

The purpose of this job/position is to function as a member of the Rehabilitation Services patient care team by providing occupational therapy services such as ADL training, energy conservation, splint fabrication, exercise, sensory integrations and perceptual/cognitive training to assist patients in improving their function in work, leisure and self-care. Therapists evaluate each patient referred, establish treatment goals and objectives, develop and implement the treatment plan, and assist in the process of obtaining DME, assistive devices and post-therapy follow-up. Therapists are expected to supervise therapy interns and to assist with other educational and research activities conducted by the department or the hospital.

Function/Duties of Position

Provides a Safe Therapeutic Environment

• Ensures the safety and welfare of patients and fellow employees

• Utilized proper posture and sound body mechanics and principles for safe patient handling

• Maintain general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the workplace.

• Maintains a clean, safe, and orderly environment for patients, family and personnel. Includes but not limited to maintaining organization of supplies and equipment, notifying appropriate personnel when cleaning or repair is needed, follows infection control policies, maintains knowledge of life safety, fire and electrical safety and disaster plan. Maintains a high degree of courtesy, discretion and respect for patients and fellow employees.

• Ensures the safety and welfare of patients and fellow employees. Utilizes proper posture, sound body mechanics and principles. Considers the needs of patients, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner.

Professionalism

• Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues which affect their practice.

• Conducts on self in an ethical and legal manor upholding the AOTA code of ethics, OHSU Code of Conduct, federal privacy policies, state statutes and OARs, complies with hospital and departmental policies and procedures.

• Manage use of time effectively to complete professional and technical tasks within realistic time constraints.

• Takes responsibility for special projects and assignments, additional caseload when needed/ adapts to changing and demanding environments.

• Displays mature, effective professional relationships by accepting appropriate suggestions and constructive criticism and responding with modification of behaviors and exhibiting concern for others.

• Pursues continuing education opportunities, applies and shares new knowledge, participates in staff meetings and in-services. Directs/guides occupational therapy and occupational therapy assistant students. Assists in the supervision and training for students from other disciplines, including physical and speech therapy, medicine and nursing.

Service

• Demonstrates excellent customer service and communication skills in all interactions with patient and family, internal and external customers, including telephone, electronic and face to face situations

• Addresses complaints and problems promptly and courteously, involving management when indicated.

• Communicates using active listening skills in a supportive courteous, professional manner at all times to patients, family and staff.

• Uses AIDET for introduction and closing

Evaluation and Treatment of Patients

• After chart review, performs individualized skilled occupational therapy evaluation, including general screening for indications for other therapy disciplines rehabilitation needs.

• Establishes treatment goals including functional outcomes, quantitative measures and target dates. Discusses goals for treatment with patient and includes family as appropriate, seeks agreement with plan and goals.

• Develops treatment plan directed at achieving identified goals.

• Provides occupational therapy procedures in a highly skilled and competent manor including clear explanations to patients the purpose for selected procedures. Includes patient, family, caregiver training and education in treatment plan. Provides comprehensive handouts as indicated. Adjusts treatment plan specific to patient progress toward established goals.

• Works closely with vendors for DME assessments and prescriptions.

• Documents evaluation, treatment plan and goals, treatment modalities and procedures in compliance with OHSU, OTAO, OAR, CMS JCAHO and other 3rd party standards. All charts closed within three days without reminders.

• Develops and/or improves patient care programs for specialty area.

• Competently and safely demonstrated use of therapy equipment for treatment modalities and procedures.

• When indicated and approved, perform skilled home safety and ADLs assessment with patient and family/ caregivers to help ensure good functional carry over from rehab to the home setting.

• Assesses patients for discharge from care when goals met, functional progress plateaus, PT noncompliance with treatment plan or change in medical status.

• Enters appropriate billing for care provided

• Facilitates patient scheduling therapy appointments with follow up section in Cadence, MyChart communication.

• Medicare certifications and recertifications completed accurately and sent to referring provider for signature. Monitors chart for timely co-signature of plan.

• Ensures patient has home program in place to continue after discharge.

• Expected to meet productivity expectation for work group.

Care Coordination/ Interdisciplinary Communications

• Communication to referring provider as indicated; provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation.

• Participates in interdisciplinary meetings as needed for care coordination.

• Timely communication to MCC as needed for insurance authorization requests or to clarify coverage for set treatment plan.

• Arrange for any necessary rehabilitation or home care equipment, communicating with vendors, 3rd party payors. May include coordinating rehab visits with another provider, writing letters of justification.

Clinical Education

• Provides evidence based clinical instruction experiences and supervision for OT students.

• Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives

• Provides regular feedback, completes CPI on schedule

• Participates in the supervision and training for student from other disciplines, student volunteers.

• All employees post 1 year at OHSU take students, all staff participate and host shadowers, volunteers.

Departmental Operations/ Quality Improvement/ Professional Development

• Participates in ongoing professional development, mentoring and competency assessment for self and other staff. Includes but not limited to:

• attends educational classes, communicates additional trainingneeds to supervisor, attends staff meetings, assists in orientation of new staff, cross trains for other teams as needed, performs peer reviews, pursues independent learning for new developments in patient care area.

• Reports program development needs to supervisor, assists in departmental quality improvement.

• Actively works with team members, leads, and supervisor for continuous improvement of department operations as identified.

• Responsible for self- monitoring own PT schedule in Cadence. Reports schedule conflicts to supervisor and assists in problem solving for good customer service.

Required Qualifications

• Completion of an occupational therapy educational program that is recognized by the Oregon Occupational Therapy Licensing Board; BS, BA MS or OTD in Occupational Therapy

• Competency and experience with assessment and intervention activities for medically complex populations, for example patients with neurologic conditions (for example stroke, brain injury, chronic neuromuscular disease).

• Current State of Oregon Occupational Therapy License, Current American Heart BLS certification

• Compliance with Code of Conduct, Respect in the workplace and Applicable policies, procedures and agreements related to position, department or OHSU as a whole

• Must be able to perform the essential functions of the position with or without accommodation

Preferred Qualifications

• BS, BA or MS in Occupational Therapy

• Recent experience in an Ambulatory Care Setting or intensive clinical affiliation. Certification or traning and exerpience in neurological rehabilitation techniques.

Additional Details

• Locations: CHH1, CHH2, Beaverton - Graystone, Murray Scholls

• Ability to lift 40 lbs., to repeatedly carry equipment weighing more than 5 lbs. and to walk extensively on hard and soft surfaces. Frequent bending and reaching to navigate medical equipment or perform treatment is required. Requires ability to respond quickly and appropriately to urgent medical situations that may arise with high risk or unusual patient populations.Able to use keyboard and mouse frequently for documentation and communications

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.