1. Completes an evaluation of patients with basic and complex conditions utilizing standardized tests and measures, including outcome measures.

2. Develops goals that are functional, measurable, and attainable based on the patient’s limitations.

3. Creates and follows a treatment plan per policy for each patient based on daily assessment and patient goals, adjusting treatment based on the patient’s response, needs, objective findings, desired goals, and available resources. Determines functional prognosis and reasonable treatment duration based on diagnosis and evaluation findings.

4. Obtains and reviews all sources of pertinent information, including but not limited to physician orders, the patient’s medical/social history, available reports, and test results prior to initiation of treatment and periodically as indicated.

5. Develops, instructs, and reassesses appropriate individualized Home Exercise Program (HEP) as necessary. HEP instruction reflects patient age, psycho/social resources, cultural factors, level of understanding, and ability to read, and is documented as per department policy.

6. Follows facility/site policy regarding documentation, ensuring that it meets minimal payer/regulatory requirements. Uses only common abbreviations that have been approved by the facility/site and documents the use of any patient restraint.

7. Records information only on proper forms and writes legibly. Records date and time and signs every note. Does not change documentation after the fact; any changes or revisions to documentation are in accordance with facility/site policy. Documentation is factual, objective, and organized in a chronological manner.

8. Completes documentation for each therapy visit, recording information as close as possible to the time that care is delivered; does not document in advance.

9. Documents all telephone calls that contain pertinent patient information, including all attempts to contact the referral source and/or payment source, and other communications relevant to the patient.

Requirements

Position Qualifications

Education: SLP degree from an accredited school by the accrediting body of the American Speech and Hearing Association.

Experience: Prefer candidates with one or more years of experience in a work setting similar to the work setting at which they will be primarily working.

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Mcachamber

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