Relief Occupational Therapist

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Day - 08 Hour (United States of America)

Provides services to develop, enhance or restore functional capacity of patients whose abilities to cope with tasks of daily living are threatened or impaired by physical illness or injury, psychosocial disabilities, aging process, or by developmental deficits. Assesses and provides treatment in consultation with the individual patient, family and other appropriate persons. Duties may include the assessment, development, application and/or training in the use of assistive technology devices; training in the use of orthotic or prosthetic devices; pre-vocational evaluation, psychosocial re-conditioning for reentry into the community; dysphagia evaluation and treatment; and the adaptation of environments and processes to enhance functional performance.

The Occupational Therapist provides expertise and experience in developing treatment plans for simple to complex cases and for a wide variety of ages and diagnoses, utilizing and applying innovative and advanced skills and techniques to solve patient care needs in an accurate and efficient manner. The Occupational Therapist takes a leadership role in multi-disciplinary care team discussions, representing and recommending the most appropriate treatment plan for the needs of the patient. The Therapist serves as a clinical care advisor/guide to less experienced therapists by answering questions, reviewing treatment plans and collaborating to develop and implement complex occupational therapy care plans. Supervises patient care responsibilities of Occupational Therapy interns, Assistants and duties of Rehabilitation Aide. Participates in program development, performance improvement, development of departmental policies and procedures, and other specialized programs.

Essential Functions
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

  • Performs complex patient care tasks under minimal supervision with advanced skills in clinical reasoning, problem-solving and treatment interventions. Assesses and treats patients within the CA Licensing Board and AOTA (American Occupational Therapy Association) scope of practice including but not limited to ADL's (Activities of Daily Living), cognitive and perceptual status, swallow evaluation and treatment, splinting, wheelchair fitting and seating, and functional mobility.
  • Provides direct patient care that meets department and professional standards of practice, including patient assessment, development of physical therapy care plan, patient treatment, family/caregiver training and discharge planning. May serve as a clinician in both the inpatient and outpatient settings.
  • Observes actual performance of activities and tasks to identify specifically what supports or hinders performance including motor skills (e.g., mobility, posture, coordination, strength) and process skills (e.g. attention, pace, organization, sequencing).
  • Analyzes findings to determine therapy diagnosis and prognosis and designs a program to maximize outcomes and alleviate impairment and functional limitations; identifies the frequency and duration required to meet goals. Selects and administers appropriate assessment and treatment techniques.
  • Performs age appropriate competency skills in area of practice and with respect to individual patient's problems.
  • Evaluates the need for, recommends, and trains in use of complex durable medical equipment, orthotics, prosthetics, and adaptive devices; Fabricates orthotic and adaptive devices.
  • Performs all necessary patient care documentation, including assessment, plan of care, progress notes, discharge summaries, and charges for evaluation and treatment. Documentation reflects patient status, progress or change, participation by patient and family in goal setting and delivery of care.
  • Discharges patient from treatment when appropriate with adequate discharge planning including equipment procurement and family training, and communicates this appropriately to patient, family and health care team.
  • Organizes and maintains a patient caseload consistent with department productivity standards. Schedules patients and informs supervisor if problems arise related to the delivery of patient care or caseload volume. Ensures documentation and billing are timely, accurate and complete, including precautions, monthly and discharge summaries.
  • Participates in clinical teaching, including the clinical instruction of occupational therapy interns and other staff. Prepares and presents an in-service (at least one per year) at a department meeting.
  • Provides input regarding the educational needs of the staff and serves as a resource in meeting those needs. With the support of the supervisor, may initiate clinical research within area of clinical expertise. Provides mentoring to others when appropriate and serves as a role odel/resource/teacher/mentor to less experienced occupational therapists.
  • Initiates and participates in a leadership role in the multidisciplinary care planning to meet the needs of each patient and family, including participation in rounds and patient care conferences, communicating with and teaching other care providers. May contact community agencies as necessary to provide continuity of service between hospital and community.
  • Identifies departmental performance improvement issues and participates in performance improvement activities, e.g. chart reviews, revision of documentation forms, workflow studies, etc.
  • Regularly re-evaluates patient care services and programs, and completes assignments in the departmental plan to improve services. Contributes to the development of departmental policies and procedures.
  • Participates in new program development, for example by developing treatment protocols for new patient populations.
  • Identifies needs for equipment repair or upgrade to maintain quality of care. Makes recommendations for selection and purchase of specific equipment and supplies.
  • Participates in Department, team, and discipline and/or unit meetings.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patients' rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Minimum Qualifications
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education
Graduate of an approved Occupational Therapy curriculum with either a Bachelor's, Master's or Doctorate Degree License/Certification: Current AHA/BLS for Health Care Provider required (Code: BLS)

Experience

None Required

License/Certification

License: Occupational Therapy in the State of California by California Board of Occupational Therapy (Code: L)

Current Certification by the National Board of Occupational Therapy Certification (Code: OTR)

BLS - Basic Life Support

Knowledge, Skills, and Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
  • Knowledge of principles, methods, equipment and theory of the practice of occupational therapy
  • Knowledge of pathologies and injuries that result in physical impairment
  • Knowledge of evaluation and treatment methodologies as applied to complex patients
  • Knowledge of regulatory practice requirements
  • Knowledge of legal issues affecting the practice of Occupational Therapy
  • Knowledge and adherence to Code of Ethics and performance standards as outlined by the AOTA
  • Knowledge of basic business aspects of occupational therapy services, such as utilization management, charging practices and regulatory compliance
  • Knowledge of available equipment and vendors used in assigned area
  • Knowledge of computer systems and software used in functional area
  • Knowledge of basic principles of clinical supervision and clinical instruction.
  • Ability to provide appropriate care and progress treatment based on professional standards of practice, and on the needs of the specific individual, including age, cultural and psychosocial issues, precautions and medical condition
  • Ability to utilize advanced clinical reasoning in treating difficult and complex cases; to determine degree and extent of patient evaluation required; appropriate patient interventions; demonstrates good safety awareness, judgment and problem analysis and resolution
  • Ability to communicate, both verbally and in writing, clearly, concisely and effectively with patients, families, co-workers, visitors, supervisors and other health professionals
  • Ability to develop, implement and adapt treatment programs
  • Ability to clinically supervise, train and evaluate students/interns
  • Ability to evaluate patients and interpret clinical data and make clinical judgments
  • Ability to establish and maintain effective relationships with others
  • Ability to instruct and provide consultation to therapists and other team members in designated clinical specialty.

Physical Requirements
The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

The work requires some physical exertion such as long periods of standing, walking considerable distances and occasional lifting of moderately heavy items such as lifting and positioning patients, and pushing patient care equipment. The work may require specific, but common, physical characteristics and abilities. Must be able to lift 40 pounds.

Working Conditions
The working conditions outlines the environment in which the employee will typically work.

Office and clinical environment, both inpatient and/or outpatient settings

Able to work in a fast-paced high-volume environment with frequent interruptions.

Exposure to Blood Borne Pathogens

Category I: Tasks involve exposure to blood, fluids or tissue

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.