Home Health Physical Therapist Case Manager

Major Responsibilities:

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  Assuring and Improving Quality of Care: Facilitates the patient and family's right to receive quality cost-effective care following Advocate's MVP of Stewardship.
  
  
  
  
  
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    Utilizes appropriate resources to respond to situations that have the potential to negatively impact outcomes.
    
    
  
  
  
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    Adapts practice to the latest standards according to evidence based literature. Utilizes appropriate tests and measures, and interventions to achieve outcomes.
    
    
  
  
  
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    Participates in quality/process improvement initiatives.
    
    
  
  
  
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    Promotes efforts to reduce risk and improve patient safety.
    
    
  
  
  
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    Consistently demonstrates the ability to thoroughly and decisively document to support reimbursement and regulatory requirements.
    
    
  
  
  
  
  



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  Care and Service Coordination: Practices as an effective member of the patient care team to formulate an integrated approach to care following Advocate's MVP of Partnership.
  
  
  
  
  
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    Participates in staff meetings, agency in services, and educational activities to enhance development and support organizational initiatives.
    
    
  
  
  
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    Utilizes available resources to maintain current knowledge base relevant to practice.
    
    
  
  
  
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    Demonstrates effective communication, feedback, and conflict resolution skills promoting collaboration among healthcare team members.
    
    
  
  
  
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    Seeks out opportunities to enhance knowledge, skill, and competency of self and other department members.
    
    
  
  
  
  
  



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  Leadership/Collaboration/Professional Development: Demonstrates respect and understanding for peers and other clinical disciplines and participates as an effective member of the patient care team to formulate an integrated approach to care following the Advocate MVP of Excellence.
  
  
  
  
  
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    Consistently makes sound clinical decisions, demonstrating the ability to care for all patients, including those with complex problems.
    
    
  
  
  
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    Recognizes changes in clinical situations. Evaluates and implements changes to the plan of care.
    
    
  
  
  
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    Prioritizes and organizes patient care, ensures clear hand-off communication to achieve optimal health outcomes for patients, utilizing excellent communication techniques like SBAR and 5P's.
    
    
  
  
  
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    Initiates referrals and discharge planning for assigned patients and actively coordinates care utilizing the interdisciplinary approach. (As appropriate based on employment status).
    
    
  
  
  
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    Actively participates in interdisciplinary case conferences. (As appropriate based on employment status).
    
    
  
  
  
  
  



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  Patient Relationship: Develops and maintains a restorative relationship throughout the healthcare continuum, following Advocate's MVP of Compassion.
  
  
  
  
  
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    Provides care that routinely exceeds patients and families expectations, as measured by survey instruments.
    
    
  
  
  
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    Promotes patient/family knowledge and confidence to safely manage self-care, disease process, medications, procedures and infection control prevention.
    
    
  
  
  
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    Incorporates an individualized approach to the plan of care, which includes assessment of physical, psychosocial, comfort and wellness needs.
    
    
  
  
  
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    Incorporates AHHS Standards of Behavior into interactions with patients, other associates, and physicians.
    
    
  
  
  
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    Assesses patient and family readiness and involves them in goal setting, planning and implementation of care. Seeks consultation and outside referrals as needed.
    
    
  
  
  
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    Demonstrates adaptive communication styles based on individual patient needs.
    
    
  
  
  
  
  



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  Business Development and Growth: Demonstrates behaviors that enhance productivity and an understanding of financial and economic conditions in the health care environment.
  
  
  
  
  
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    Demonstrates adherence to personnel and operational policies.
    
    
  
  
  
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    Collaborates and plans patient care with others in organization to maximize efficiencies and conserve resources.
    
    
  
  
  
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    Monitors utilization of resources to achieve excellent health outcomes for patients.
    
    
  
  
  
  
  



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  Patient Education: Demonstrates a commitment to meet the learning needs of patients and their families. Application of a systematic process involving optimal level of self care for patients and optimal quality of life for patient, family and significant others following Advocate's MVP of Equality.
  
  
  
  
  
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    Assesses patient and family readiness to learn and modifies approach as necessary.
    
    
  
  
  
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    Provides and adapts appropriate resource material to achieve patient education outcomes, employing health literacy assessments and principles.
    
    
  
  
  
  
  

Licensure, Registration, and/or Certification Required:

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  Physical Therapist. Licensed in the State of Illinois (or eligible for licensure)
  
  

Education/Experience Required:

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  Master's Degree in Physical Therapy.
  
  



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  Licensed in the State of Illinois (or eligible for licensure) Able to demonstrate compliance with state continuing education requirements 1 year of clinical experience or demonstration of strong spectrum of clinical affiliation experience
  
  



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  Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required
  
  

Knowledge, Skills & Abilities Required:

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  Basic knowledge of computer use (i.e. Microsoft Word, email access and use) Ability to learn to use computer based scheduling and documentation system Ability to communicate professionally both verbally and through written reports, with strong documentation skills Good interpersonal skills Good time management and self organization skills Proficient use of all home based therapy equipment and assistive devices, (balls, bands, weights, Hoyer lifts, etc)
  
  



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  Licensed as Physical Therapist in the State of Illinois.
  
  

Physical Requirements and Working Conditions:

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  Extensive travel within geographical boundaries in all extremes of weather and on all types of roads including expressways. Must be able to provide/arrange own transportation to and from patients homes and branch offices. Ability to work rotating weekends and holidays. Requires adherence to scheduled days and hours of work based on commitment to patient/client and work load assigned. Ability to attend mandatory informational/education/branch meetings. Work environment includes patient or family homes, or assisted living facilities. Requires full range of body motion including: a. Bending, sitting and standing b. Climbing stairs while carrying objects c. Pulling, pushing, reaching, carrying and lifting; (must be able to lift/carry at minimum 25 pounds). d. Assisting and maintaining patient's safety with ambulation on flat surfaces and stairs; and transferring patients using standard pivot transfers or with use of transfer board of Hoyer lift e. Providing treatment on standard beds in the home environment.
  
  



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  This requirement supersedes any previous lifting requirement effective 08/01/2014. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.
  
  

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.











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