Provides occupational therapy evaluation, management, and treatment services to patients referred by physician departments. Provides services in a manner that is consistent with the departments mission statement and responsive to unique needs of customers including favorable clinical outcomes, quality of service and access, and fiscal accountability.

• Evaluates patients, families and home environment on admission to home health and subsequent home visits.


• Determines if home environment is safe and appropriate for provision of home health services. 


• Demonstrates ability to interpret data about patients status.


• Assesses patients physical, functional and psychosocial status.


• Identifies problems accurately.


• Establishes reasonable/measurable goals. 


• Develops and/or revises an appropriate plan of care.


• Communicates and coordinates plan of care with physician, patient, caregivers, and other health care providers.


• Implements care, as ordered.


• Determines whether other services such as nursing, PT, SLP, HCA or MSW are indicated.


• Establishes discharge planning in conjunction with the care planning process.


• Provides occupational therapy services as prescribed by patients physician and in compliance with Kaiser Permanente Home Health Agency standards, policies and procedures.


• Evaluates patient response to interventions.


• Recognizes and interprets significant physiological and behavioral changes in patients condition.


• Modifies/updates/changes plan of care when indicated by patients condition and/or physicians orders.


• Determines in conjunction with physician, when patient care needs to be shifted to another setting, e.g., hospital, clinic, emergency department, out-patient rehab, etc., and/or patient denial of home health, if warranted.


• Provides case management, as caseload assigned.


• Coordinates all necessary services to be provided to patients. Integrates all services into plan of care.


• Documents according to Home Health standards, Federal and State regulations.


• Maintains medication profile (as case manager) for all medications patient is taking. 


• Documents communication in care planning/coordination.


• Assures the medical record is accurate, legible and complete.


• Completes accurate daily visit log.


• Submits documentation in timelines specified by Home Health standards, Federal and State regulations.


• Supervises care provided by Home Care Aide (HCA) and Certified Occupational Therapy Assistant (COTA).


• Reevaluates patient per Home Health standards; performs and documents supervisory visits.


• Understands and applies infection control procedures.


• Maintains clean and safe environment for patient care supplies and/or equipment.


• Demonstrates evidence of professional growth through active participation in the following: patient conferences, chart audits, meetings, in-services, research and teaching, continuing education courses, staff orientation and training, and clinical preceptorships with students and volunteers.


• Exercises positive listening and communication skills.


• Serves as team player and role model for other employees in Organization.


• Conducts oneself in service-oriented manner that is attentive, cooperative, and respectful when dealing with members, visitors, public and all employees.


• Demonstrates critical thinking such as problem solving, reflective practice, clinical reasoning, prioritizing.


• Participates in performance improvement.


•  Identifies and presents improvement opportunities to the organization and implements the Quality Improvement process(es). 


• Assists with development and implementation of departments work plan.


• Maintains productivity levels per the home health standards.


• Prepares weekly schedule of patient visits and keeps Intake Coordinator apprised of schedule changes and openings for admissions and/or other added visits.


• Follows all applicable laws, rules and recommendations for safe driving while on duty.


• Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to populations served.