Provides occupational 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.

• 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. 
• Demonstrates ability to interpret data about patients status.
• Assesses patients physical, functional and psychosocial status.
• Identifies problems accurately.
• 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.
• Implements care, as ordered.
• Determines whether other services such as nursing, PT, SLP, HCA or MSW are indicated.
• Establishes discharge planning in conjunction with the care planning process.
• Provides occupational therapy services as prescribed by patients physician and in compliance with Kaiser Permanente Home Health Agency standards, policies and procedures.
• 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, e.g., hospital, clinic, emergency department, out-patient rehab, etc., and/or patient denial of home health, if warranted.
• Provides case management, as caseload assigned.
• Coordinates all necessary services to be provided to patients. Integrates all services into plan of care.
• Documents according to Home Health standards, Federal and State regulations.
• Maintains medication profile (as case manager) for all medications patient is taking. 
• Documents communication in care planning/coordination.
• Assures the medical record is accurate, legible and complete.
• Completes accurate daily visit log.
• Submits documentation in timelines specified by Home Health standards, Federal and State regulations.
• Supervises care provided by Home Care Aide (HCA) and Certified Occupational Therapy Assistant (COTA).
• 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.
• Demonstrates evidence of professional growth through active participation in the following: patient conferences, chart audits, meetings, in-services, research and teaching, continuing education courses, staff orientation and training, and clinical preceptorships with students and volunteers.
• Exercises positive listening and communication skills.
• Serves as team player and role model for other employees in Organization.
• Conducts oneself in service-oriented manner that is attentive, cooperative, and respectful when dealing with members, visitors, public and all employees.
• Demonstrates critical thinking such as problem solving, reflective practice, clinical reasoning, prioritizing.
• Participates in performance improvement.
•  Identifies and presents improvement opportunities to the organization and implements the Quality Improvement process(es). 
• Assists with development and implementation of departments work plan.
• Maintains productivity levels per the home health standards.
• Prepares weekly schedule of patient visits and keeps Intake Coordinator apprised of schedule changes and openings for admissions and/or other added visits.
• Follows all applicable laws, rules and recommendations for safe driving while on duty.
• Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to populations served.