Physical Therapist, Start of Care

Physical Therapist Start of Care (SOC) | Adult Homecare I Onondaga County

Delivering Personalized Rehabilitation Excellence from the First Visit Be the First. Set the Direction. Make the Difference Up to $12,500 Sign-On Bonus * Fleet Vehicle Program Available


As a Start of Care Physical Therapist, you play a critical role in launching a patient's homecare journey. You complete comprehensive initial assessments, establish the physical therapy plan of care, and ensure the interdisciplinary team has a clear clinical picture to guide treatment moving forward.


At Nascentia Health, SOC therapists enjoy a high level of autonomy, modern mobile technology, and the full support of an experienced office-based clinical team. You'll focus on thorough, high-quality start-of-care visits, document efficiently in the field, and move confidently through your day knowing your clinical judgment shapes patient outcomes from day one. You'll provide one-on-one care to adult patients in their homes, supported by a collaborative team, and a structure designed to promote work-life balance.


Is This You?

• You're confident, decisive, and comfortable leading the initial patient's visit
• You enjoy comprehensive assessments and setting a strong clinical foundation
• You make patients feel at ease while gathering detailed clinical information
• You communicate clearly and understand the importance of precise documentation
• You value independence in your work, with reliable support when needed

About Us

• Nascentia Health is a leader in post-acute and long-term community-based care
• We deliver innovative, patient-centered care where patients want to be at home
• We support our clinicians with the tools, technology, and teamwork needed to succeed
• Nascentia Health was ranked the 13th Best Company to Work for in New York for 2025!

What You'll Do as a Start of Care Physical Therapist


Provide high-quality, comprehensive physical therapy assessments and establish patient-centered plans of care during start-of-care visits.


Your responsibilities include:

• Determine patient appropriateness for homecare services
• Perform thorough start-of-care and comprehensive assessments
• Develop individualized physical therapy plans of care using an interdisciplinary approach
• Communicate findings, recommendations, and plans to physicians and the care team
• Ensure documentation meets all quality and regulatory standards, including:

o OASIS completion in accordance with CMS guidelines


o Clear, concise, and timely clinical documentation

• Coordinate internal and external resources to support patient goals
• Maintain established productivity expectations

Care Coordination & Team Collaboration

• Identify patient needs and initiate referrals to additional services as appropriate
• Report on findings and plans to the Case Manager, Care Team, and Clinical Supervisor
• Collaborate with supervisors and designated staff to manage patients efficiently
• Develop care plans for paraprofessional staff as applicable and:

o Provide oversight and supervision of home health aides


o Communicate relevant care information to the home health aide department


What We're Looking For!

• Current New York State Physical Therapy license
• Registered with NY State and APTA (as applicable)
• Valid driver's license, auto insurance, and reliable vehicle (Fleet Program available)
• Minimum one year of home health experience required
• Strong assessment, critical thinking, and independent decision-making skills
• Proficient computer skills, including electronic medical records
• Excellent written and verbal communication skills
• OASIS Certification or willingness to obtain within one year of hire

Physical Requirements:

• Ability to sit or stand for long periods during work day
• Ability to perform tasks involving physical activity (including but not limited to): Pushing/pulling on average 50 lbs. with a max of 150 lbs.; lifting/carrying on average 25 lbs. with a max of 50 lbs.; patient transfers, extensive bending, standing, kneeling, walking in various weather conditions and ability to go up and down stairs.
• Ability to drive in ALL weather conditions (rain, sleet, snow, wind).
• Visual/hearing ability sufficient to comprehend written or verbal communication
• Ability to use telephone and communicate over the phone
• Frequently uses a laptop computer to enter orders and obtain product information
• Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.

Compensation & Benefits:

Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87,138.92/annually] with:

• $12,500 Sign-On Bonus
• Retention Bonuses
• Internal Mentoring Program
• 401K with generous Employer match
• On-Site Gym (free for all employees)
• Flexible Work Schedule
• Medical, Dental, Vision plans
• Tuition Reimbursement
• Partially funded HSA
• Employee Recognition Platform
• Paid Time Off, Holidays, Sick and Extended Sick Leave
• Short/Long term Disability
• Employee Assistance Program (EAP)
• Much More!

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About Nascentia Health:


Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.


Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.


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Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent upon negative results of a pre-hire drug screen and background check clearance

* Subject to specific terms and conditions*