Evaluates assigned patients and establishes appropriate treatment goals and treatment programs.
Provides ongoing evaluation of patients status and goals, modifying treatment program for timely progression.
Develops comprehensive goals for patient treatment to maximize patient outcomes and return to community activities.
Coordinates treatment program in conjunction with other clinical/therapeutic services, as well as available community resources.
Attends appropriate clinical meetings to facilitate coordination.
Provides for patient education to include development of comprehensive and progressive home programs with instruction to patient, family and other caregivers as appropriate to facilitate a safe and effective discharge.
Prepares for patient discharge inclusive of ordering of necessary equipment and recommendations for therapeutic services ensuring the continuum of care.
Evaluates patient in actual or simulated home, school, work or community environments as necessary to facilitate return to community activities, making recommendations for necessary adaptations or training.
Identifies and manages various levels of care necessary to insure care plan delivery.
Delegates and supervises the utilization of COTAs, as well as supportive personnel to maximize patient outcomes and insure effective utilization of services.
Carries full patient caseload, ensuring management of patient schedule.
Notifies supervisor of scheduled openings and concerns with caseload management.
Completes medical record documentation in a clear, concise, accurate and timely manner and ensures accurate and timely charge entry using approved formats in compliance with state, federal and intermediary guidelines and in accordance with established policies and procedures.
Ensures care is provided under valid physician orders and within insurance approval, as indicated and necessary for clinical care of the patient.