Looking for Speech Therapist in Hernando, Pasco and Citrus County
To ensure delivery of quality speech therapy services and to provide Case Management for patients through comprehensive assessments and coordination of agency services. To assure compliance with current physician's orders, appropriate interventions and reports to the physician, and complete and accurate documentation in the clinical record.
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Complies with agency's Policy Manual, Personnel Manual, and VNAA Procedure Manual.
2. Provides quality and safe delivery of home health care services by implementing current standards of practice. Demonstrates competency in necessary clinical skills.
3. Evaluates and admits patients to service after conducting a comprehensive assessment (including the OASIS data), taking a pertinent health history, and evaluating the home situation to determine if the case is appropriate for home care. Initiates appropriate clinical interventions to meet the goals of care. Consults with Supervisor and the physician as appropriate.
4. Conducts OASIS assessments accurately, according to instructions in Chapter 8 of the OASIS Implementation Manual, and corresponding to documentation contained elsewhere in the assessment note.
5. Understands the home health coverage guidelines for Medicare/Insurance and determines whether the care required meets those guidelines. Advises the patient of the coverage, of any potential out of pocket costs, and of options available. Presents and explains the Medicare Advance Beneficiary Notice form to Medicare patients when necessary.
6. Is responsible for establishing a plan of care and clinical pathway based on the physician's orders, with periodic revisions as necessary, and assuring that those physicians orders are followed. Is responsible for reducing any Verbal Order to writing (the day it is given) to be signed by the physician.
7. Develops reasonable, specific and measurable goals that commensurate with the plan of care, are agreed upon by the patient/care giver. Counsels and instructs in order to accomplish goals.
8. Assesses the patient's condition and reports significant changes to the physician, supervisor and other team members. Assures that written progress reports are made to the physicians as needed.
9. If nursing is not on the case, acts as Case Manager to coordinate and direct the course of care, by all disciplines, for all patients in case load. Is responsible for scheduling patient visits, and efficiently managing the type and amount of care provided.
10. Initiates discharge planning with patient/care giver at time of admission and throughout the case.
11. If nursing is not on the case, prepares home health aide assignments and guidance to the aides. Performs supervisory visits at least every 14 days to update the Aide assignment and evaluate the effectiveness of the care.
12. Complies with agency regulations regarding documentation and maintains clinical record for each patient. Will attain necessary proficiency in use of agency computer system for clinical documentation. Will communicate clinical notes/contacts as prescribed by the agency, however no later than the end of the day of service.
13. Attends Team Conferences regularly, is prepared to participate in discussions for specific problem solving measures for patients in case load, and follows through on recommendations.
14. Consults with Supervisor whenever goals are not being met, cases fall outside expected parameters, and prior to Recertifications or Discharges.