REPORTS TO:  Clinical Services Manager

SUPERVISES:  Home Care Aides assigned to specific cases; Occupational Therapist Assistant, if applicable.

WORKS CLOSELY WITH:  VNA Health Care Delivery Staff, Quality Manager.

SUMMARY OF DUTIES:  Provides comprehensive Occupational Therapy services to individuals in the home setting for the purpose of increasing and maximizing functional abilities to perform daily self-care tasks, accepting primary care responsibilities and coordinating with other disciplines and community agencies.

JOB REQUIREMENTS:  Baccalaureate graduate from an approved School of Occupational Therapy, registered and licensed in the State of Iowa.  One year experience providing direct patient service in a health care setting.  Car, driver's license and adequate insurance as outlined in the personnel policies is required.  A physical examination completed at the time of employment is required with a physician's statement of the employee's ability to perform the duties of the job.  Annual TB screening is required.  All offers of employment are conditioned upon the result of a criminal background check conducted by the Iowa Division of Criminal Investigation, as required by law and a negative finding on the Office of Inspector General’s Excluded Provider List.

WORK ENVIRONMENT AND EQUIPMENT:  Work is performed in clients' homes with the employee driving from home to home during the work period.  The clients' homes are throughout the service area, including Iowa City, small towns and rural areas.  The driving requirements include in-town and highway driving in good and inclement weather.

SKILLS AND KNOWLEDGE:  The employee will demonstrate skill and knowledge in providing professional therapy services for the treatment of the effects of acute and/or chronic illnesses.  The employee will demonstrate organizational skills required to manage several clients appointments and necessary follow-up each day; the employee will be expected to demonstrate the ability to communicate effectively in the English language, both orally and in writing.

PHYSICAL/COGNITIVE DEMANDS:  The employee will perform the duties of the job at the client's home during employed hours.  The duties may include performing prescribed exercises, assisting with transferring clients from one place to another, assisting with ambulation, etc.  These duties require the physical demand of lifting, reaching, pushing, walking, going up and down stairs, driving, etc.

The job requires you to have the ability to lift 35 lbs from floor to counter 3 times (to simulate lifting into trunk of car).  Lift 50 lbs from floor to counter 1 time.  Lift 50 lbs from counter to floor 1 time.  EE needs to be able to sit on floor fully and get back up.  Ability to carry 35 lbs up and down a flight of stairs.  Push/pull 35 lbs on a 2 wheel cart.  Must be able to reach, push, walk, go up and down stairs, drive, etc., with or without the use of assistive/adaptive devices.

ESSENTIAL DUTIES:  To be performed satisfactorily with or without reasonable accommodation.  The following duties are normal for this position.  While this list is intended to be an accurate reflection of the job, it is not to be construed as exclusive or all-inclusive.  Other duties may be required and assigned by the employer.

  1. Provides comprehensive Occupational Therapy services to individuals and families, assessing the home setting and making recommendations and/or initiating change to facilitate home accessibility and patient functioning within the home.
  1. Accepts primary care responsibilities, coordinates services of all disciplines as needed.
  1. Plans, coordinates and provides services to special groups as assigned.
  1. Complies with agency standards on visit productivity.
  1. Complies with agency policies on frequency of home visits to meet individual and family needs.
  1. Complies with agency policies regarding the maintenance and preparation of records and reports.
  1. Provides patient medical, geographical, financial and statistical information as needed by the agency.
  1. Manages a caseload or group of patients efficiently and effectively, reporting appropriately to the management team, physician, etc.
  1. Participates as necessary in orientation of new staff and in demonstration of agency services to other staff, students and visitors.
  1. Maintains knowledge of community resources, utilizes appropriately and coordinates services to meet needs of individuals and families.
  1. Represents the agency in community activities, meetings as required.
  1. Promotes optimal independence of patients when feasible, while meeting their needs.
  1. Participates in in-service programs as required, both as presenter and learner.
  1. Participates in agency group meetings, staffing, and projects as required.
  1. Participates in evaluation of agency services, as assigned.
  1. Maintains, up-grades knowledge through continuing education programs, review of literature, etc., applicable to home and community health.
  1. Seeks ways to develop Occupational Therapy services as integral part of home health care.
  1. Maintains current CPR training and knowledge of expected performance in emergency situations.
  1. Performs other duties as necessary, including required participation in VNA emergency/ disaster plans.