Job Summary: Provides physical 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. Essential Responsibilities: • 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. Assesses patients physical, functional and psychosocial status. 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. Determines whether other services such as nursing, OT, SLP, HCA or MSW are indicated. Establishes discharge planning in conjunction with the care planning process. • Provides physical therapy services as prescribed by patients physician . 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 and/or patient denial of home health, if warranted. • Provides case management. Coordinates all necessary services to be provided to patients. Documents according to Home Health standards, Federal and State regulations. Maintains medication profile (as case manager). Documents communication in care planning/coordination. Completes daily visit log. • Supervises care provided by Home Care Aide (HCA) and Physical Therapy Assistant (PTA). 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. • Identifies and presents improvement opportunities to the organization and implements the Quality Improvement process (es). Assists with development and implementation of departments work plan. • Prepares weekly schedule of patient visits. • Follows all applicable laws, rules and recommendations for safe driving while on duty.