Physical Therapist – Lifestyle Medicine

UW Medicine - Valley Medical Center

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Job Description
Lifestyle Medicine

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.
TITLE: Physical Therapist – Lifestyle Medicine
JOB OVERVIEW: The Physical Therapist in Lifestyle Medicine has the unique requirement of working in an interdisciplinary care team to provide comprehensive lifestyle modification and behavior change programming. They have specific knowledge and understanding of the lifestyle medicine field and the physical therapists' role in exercise prescription and active rehabilitation. As a member of the Lifestyle Medicine clinical team, this position requires competency in health risk assessment measurements and assessment of values, with incorporation of these results into an integrated plan of care.
The position requires current Physical Therapy skills to evaluate, plan, implement and/or delegate a comprehensive plan of patient care in the orthopedic, pre/post-surgical and health/wellness service areas.
Provide therapy that meets the needs of the patients with a safe discharge plan including re-assessment/re-evaluation of the patient/client functional abilities. Ability to assess the impact of simple to complex therapeutic modalities and procedures as outlined in the patient/client plan of care. Excellent communication with all types of patients/clients, caregivers and the healthcare team is required. An understanding of VMC/Rehab Services Policies and Procedures, state/federal regulations and guidelines allows for ethical and appropriate provision and billing of services.

AREA OF ASSIGNMENT: Lifestyle Medicine Center

HOURS OF WORK: Hours may vary; Lifestyle Medicine Center hours of operation is 7:00 am – 7 pm Monday – Friday.

RESPONSIBLE TO: Lifestyle Medicine Center Manager, designee – Supervisor or Lead.

LEVEL I PREREQUISITES:
Current or in process Washington State PT License or Interim License
Graduate of an accredited Physical Therapy program
Current BLS certification within 90 days of hire

LEVEL II & III PREREQUISITES (In Addition to Level I):
1. Has successfully completed a Medical Fitness or Lifestyle Medicine focused certification or credential, approved by department leadership.
2. Provide an additional 2 activities in marketing, community education and staff education per year. (required)
QUALIFICATIONS:
Professional appearance
Effective interpersonal skills
Demonstrates ability to prioritize multiple tasks, set priorities and work accurately and independently
Demonstrates ability to communicate and to work effectively with the physical, emotional, socioeconomical, and developmental abilities and needs of all age groups, cultural and social backgrounds, and other diversity related contributors

UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS:
Occasionally requires transfer of patients weighing up to or exceeding 200 lbs. needing maximum assistance from bed to wheelchair and back to bed. This position requires the ability to recognize own limitations with regards to load handling and regularly seeks assistance when demand of transfer or lift exceeds individual physical abilities. This position requires standing, sitting, crouching, bending and walking for extensive periods of time. This position requires the ability to assist in transporting patients to various locations on the VMC campus for evaluations, treatments or discharge. This position requires hand dexterity for manual treatment techniques and to operate equipment (i.e. ROM, manual therapy treatments, ultrasound, or electrical stimulation unit, etc.) Must be able to lift, carry a minimum of 40 pounds to complete patient care responsibilities.

UNIQUE JOB FUNCTIONS: Physical Therapist II:
The Physical Therapist II has learned and mastered the tasks listed in the Generic and Unique Job Functions sections of the job description. They may have specific skills dependent upon specific teams, projects, committees and services. They will be able to see all types of patients and clients served through the VMC Lifestyle Medicine and Medical Wellness service lines. The Physical Therapist II will have mastered skills in multiple service areas and will be expected to provide guidance and leadership skills in program development, quality management, time management, day to day scheduling, community education, student and volunteer supervision and training, staff training and provider marketing activities and will be a resource to other staff members.

UNIQUE JOB FUNCTIONS: Physical Therapist III:
The Physical Therapist III has learned and mastered many of the tasks listed in the Generic and Unique Job Functions sections of the job description. They may have specific skills dependent upon specific teams, projects, committees and services. They will be able to see all types of patients and clients served at VMC Lifestyle Medicine. The Physical Therapist III will have mastered skills in multiple service areas and will be expected to provide overall guidance and leadership skills in program development, quality management, and multiple patient care areas. They will have excellent skills in their own day to day scheduling, time management, resource utilization, delegation of services and customer service recovery. The PT III will have a major role in the development of new services, student and volunteer clinical programs, supervision and training. They will also have a large role in staff training and provider marketing activities and will be seen as a resource to other staff members.
PERFORMANCE RESPONSIBILITIES:
A. Generic Job Functions: See Job Description for Clinical Partner
B. Essential Responsibilities and Competencies:

PATIENT ASSESSMENT
Perform accurate, appropriate and timely with completion of patient/client evaluations with completion of documentation according to the standards, protocols and pathways as appropriate.
Perform evaluations that include patient/client functional status appropriate to the patient/client diagnosis, needs or condition, and incorporate pain level if identified.
Ability to collect, analyze and integrate the information in the evaluations from all sources of the health care team including sources such as but not limited to; patient/family interview, patient observation, RN, MD and other discipline specific assessments. Ability to integrate this information to set appropriate plan of care for therapy services.
Ability to elicit information from patients/client on the identified patient needs and priorities and incorporate this into the assessment and plan of care.
Ability to set specific goals or discharge criteria in the plan of care as determined at the time of the evaluation. Specific goals will assist each patient/client in restoring, improving or maintaining each patient/client optimal level of functional performance in self-care, self-responsibility, independence and quality of life.
Independent performance and assessment of Health Risk Stratification to be incorporated into the patient assessment and plan of care design.

CARE OF PATIENTS
Adheres to the Lifestyle Medicine Policies/Procedures and Treatment Protocols in all clinical areas.
Ability to perform and document re-evaluations or re-assessments with the revision of treatment plans and goals according to standards and at regular intervals. This is dependent upon the patient/client significant change in condition or diagnosis, or per standards of care intervals.
Ability to perform and document re-evaluations or re-assessments that include the patient's/client's response to care, pain level management as identified by the patient and appropriate to the treatment plan.
Ability to perform and document re-assessment or re-evaluation – of the patient/client functional performance and completion of goals set at evaluation.
Determine the need for further treatment, discharge or referral to appropriate services including prescribed fitness or independent exercise programming.

CONTINUUM OF CARE
Collaborates with the full care team to provide appropriate patient care information and altars treatment plan as needed by incorporating information obtained by other team members into the treatment plan.
Ability to appropriately document discharge or continuation of care in a timely and accurate manner.
Acts as a resource for staff as a member of the Lifestyle Medicine Care Team and serves as a musculoskeletal and movement expert in the department.
Ability to provide appropriate information to subsequent providers related to the patient/client's plan of care and services when a patient moves to different services.

IMPROVING ORGANIZATIONAL PERFORMANCE
Assists Lifestyle Medicine Center Manager, Supervisor or Clinical Lead in setting goals and objectives for the Lifestyle Medicine Center services for specific programs or overall service and program delivery.
Creates, collects, analyses data to complete quality improvement activities as related to program evaluations, patient care needs or as directed by Director, Manager, Clinical Lead or designee
Understands and values research in critically looking at individual patient care and program development and process or outcome improvement. Shares this with others and show evidence of growth in practice area.

PATIENT AND FAMILY EDUCATION
Provide patient/client education that will assist them in meeting their goals and increase their functional skills and improve their quality of life and health.
Act as a resource for the development, refinement and revision of patient educational materials for quality service delivery.

LEADERSHIP
Assist in the development of new programs or program changes and methods by which a specific service department or program can expand and better serve the community.
Ability to learn new business of service delivery as appropriate and as they arise.

MANAGEMENT OF INFORMATION
Completes authorization or certification for care in a timely manner to allow for continuity of care for outpatient physical therapy.
Initiates and maintains information on the progress summary list as appropriate for each patient.
Assists in obtaining verbal orders and written prescriptions for appropriate therapy. Follows up as necessary in accordance with developed standards.
Completes documentation – within 2 days of the completed visit.
Follows policies and procedures for appropriate billing in a timely manner for patient care. Understands and incorporates rules, laws and regulations pertaining to patient billing and documentation for quality patient care.
Utilizes technology for communication with team as appropriate. Utilize email, internet, voicemail and other technology to create an efficient environment for teamwork and quality patient care.
Ability to utilize all technology to assist with meeting patient care needs, quality management reviews, and outcome information and improving quality patient care outcomes. Technology can include: email, Internet, voice mail, Fax, online educational opportunities and other technology to create an efficient environment for teamwork and quality patient care.
Able to utilize technology in monitoring patent information, quality improvement processes, and program evaluation.

ENVIRONMENT OF CARE
Maintains a safe and efficient patientcare areas at all times to ensure safety of patients, visitors and staff.
Interacts appropriately with equipment vendors and gathers information on new products, evaluations, supplies, tests and provides this information to Director/ Supervisor or Clinical Lead as appropriate for quality patient care.
Actively seeks new ways to work with patients via. new equipment or supplies, new treatment or evaluation methods, and serve as a resource to other staff in the use of equipment and treatment techniques.

HUMAN RESOURCES
Provide direct supervision to Physical Therapy Assistant and Exercise Specialist staff for patient/client treatment and programs.
Delegate patients appropriately to assistant and exercise staff with clear communication and guidance as needed for successful patient care outcomes.
Provide answers to the Assistant Therapist/Exercise Specialist questions and provides feedback and education for treatment techniques and treatment progression.
Provide clear and concise information to Support Staff for accurate assistance in patient scheduling, registration and financial information.
Orient new staff, students and volunteers as appropriate after completion of orientation to service, team or clinical area.

DEPARTMENT LEADERSHIP
All lifestyle medicine physical therapists:
Provide 1 staff educational activity per year.
Develops 2 protocol or procedures/year to improve patient care activities.
Provide 1 community educational program that is professional and up to date patient/client education in either one on one setting or in groups. These educational groups may be conducted on VMC campus or off campus.
Participate in 1 marketing activity per year to promote Lifestyle Medicine clinics or programs.

Level II Therapist (In addition to requirements above):
Provide an additional 2 activities in marketing, community education and staff education per year

Level III Therapist (In addition to requirements above):
Serve as the senior Physical Therapist and provide liaison communication between department leadership and the clinical team.
Lead Staff Meetings as appropriate or participate in All Staff Meetings to provide unit specific reports and staff development.
Assist department staff with clinical supply ordering and inventory.
Oversees the onboarding of new clinical staff members in the department.
Serve as an organization liaison and point of contact with providers, VMC leaders and community.
Accountable to track/manage the Key Performance Measures for the department and provide feedback and training, as needed, to the clinical team.

Created: 9/18
Grade: 26, 27, 28
FLSA: NE
CC: 7255
LEVEL I PREREQUISITES:
Current or in process Washington State PT License or Interim License
Graduate of an accredited Physical Therapy program
Current BLS certification within 90 days of hire

LEVEL II & III PREREQUISITES (In Addition to Level I):
1. Has successfully completed a Medical Fitness or Lifestyle Medicine focused certification or credential, approved by department leadership.
2. Provide an additional 2 activities in marketing, community education and staff education per year. (required)
QUALIFICATIONS:
Professional appearance
Effective interpersonal skills
Demonstrates ability to prioritize multiple tasks, set priorities and work accurately and independently
Demonstrates ability to communicate and to work effectively with the physical, emotional, socioeconomical, and developmental abilities and needs of all age groups, cultural and social backgrounds, and other diversity related contributors

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