OBRA/PASRR Occupational Therapist EvaluatorCT

Detroit Wayne Integrated Health Network

Job Description

Job Title

OBRA PASRR Occupational Therapist Evaluator CT

Department: Reporting Structure

OBRA Administrator

Pay Grade/Salary

Contingent/Per Assessment

Exempt/Non-Exempt

Non-Exempt

Bargaining Unit

n/a

Work Location: Varies

Employment Status (FTE)

CT

Job Summary

Under the general supervision of the Director of Integrated Care, the OBRA/PASRR Evaluator will determine if qualifying Pre-Admission Screening Resident Reviews (PASRR) conditions are present and if a nursing home is the appropriate level of care based on individual needs.

Essential Duties & Responsibilities

• Provides outreach mental health assessments pursuant to PASRR regulations.
• Performs and documents PASSR initial examinations.
• Determines if a nursing facility is the most appropriate care setting or if the individual has a need for specialized services.
• Uses client’s social history, medical reports, patient care, plan of treatment, current physician’s orders, current medications and ongoing therapy reports to make medical determinations.
• Identifies and documents a client’s functional goals, anticipated progress and plans for re-evaluation, discharge, or admission to nursing care facility.
• Performs evaluations and therapeutic occupational treatments, activities and patient care according to hospital, state and federal regulations and professional guidelines.
• Plans, prepares and carries out individually designed programs of therapy to restore, improve or maintain functions, alleviate pain and progress to maximize daily living.
• Assesses the patient's physical, communication and cognitive skills to create or validate a specific treatment plan for each patient based on individual needs.
• Gathers data pertinent to a client’s functioning ability and history.
• Conducts evaluations prior to nursing facility admissions.
• Contacts providers, nursing facility staff and others to obtain information and records of clients to conduct a comprehensive clinical review of cases and to make final assessments and determinations.
• Makes determinations and service recommendations, authorizes services and monitors service plans.
• Submits formal recommendations and reports that contain clinical summaries.
• Determines medical necessity and the need for specialized services for individuals with serious mental illnesses seeking transfer to nursing facilities.
• Documents significant changes that signify the need for an updated evaluation.
• Completes evaluations on an individualized basis in accordance with federal guidelines and regulations.
• Provides provisional diagnosis formulation, disposition and treatment recommendations.
• Assures that dispositions and treatment recommendations are consistent with the data base.
• Communicates all evaluation findings to clients and guardians.
• Responds to Level II referral assignments within contract guidelines as evidenced by submission of all assessments within 7 days of assignments.
• Responds to clinical matters as directed by Supervisors.
• Attends clinical meetings as scheduled by Supervisors.
• Maintains individual records, HIPAA regulations and client confidentiality.
• Performs related duties as assigned.

Knowledge, Skills and Abilities (KSA’S)

• Provides outreach mental health assessments pursuant to PASRR regulations.
• Performs and documents PASSR initial examinations.
• Determines if a nursing facility is the most appropriate care setting or if the individual has a need for specialized services.
• Uses client’s social history, medical reports, patient care, plan of treatment, current physician’s orders, current medications and ongoing therapy reports to make medical determinations.
• Identifies and documents a client’s functional goals, anticipated progress and plans for re-evaluation, discharge, or admission to nursing care facility.
• Performs evaluations and therapeutic occupational treatments, activities and patient care according to hospital, state and federal regulations and professional guidelines.
• Plans, prepares and carries out individually designed programs of therapy to restore, improve or maintain functions, alleviate pain and progress to maximize daily living.
• Assesses the patient's physical, communication and cognitive skills to create or validate a specific treatment plan for each patient based on individual needs.
• Gathers data pertinent to a client’s functioning ability and history.
• Conducts evaluations prior to nursing facility admissions.
• Contacts providers, nursing facility staff and others to obtain information and records of clients to conduct a comprehensive clinical review of cases and to make final assessments and determinations.
• Makes determinations and service recommendations, authorizes services and monitors service plans.
• Submits formal recommendations and reports that contain clinical summaries.
• Determines medical necessity and the need for specialized services for individuals with serious mental illnesses seeking transfer to nursing facilities.
• Documents significant changes that signify the need for an updated evaluation.
• Completes evaluations on an individualized basis in accordance with federal guidelines and regulations.
• Provides provisional diagnosis formulation, disposition and treatment recommendations.
• Assures that dispositions and treatment recommendations are consistent with the data base.
• Communicates all evaluation findings to clients and guardians.
• Responds to Level II referral assignments within contract guidelines as evidenced by submission of all assessments within 7 days of assignments.
• Responds to clinical matters as directed by Supervisors.
• Attends clinical meetings as scheduled by Supervisors.
• Maintains individual records, HIPAA regulations and client confidentiality.
• Performs related duties as assigned.

Required Education & Experience

Education

• A Master’s Degree in Occupational Therapy or a closely related field from a recognized college or university.

Experience

• Three (3) years of full-time paid professional experience performing Occupational Therapy evaluations.

Required License(s)/Certifications

• A Valid State of Michigan license as an Occupational Therapist.
• A Valid State of Michigan Driver’s License with a safe and acceptable driving record.

Working Conditions

• Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan. This position can work remotely with supervisory approval.

EEOC Statement

DWIHN is an Equal Employment Opportunity Employer committed to fair, consistent, and merit-based hiring practices. All qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, marital status, veteran status, sexual orientation, gender identity, or any other status protected under applicable federal, state, local law.

Employment decisions are based solely on job-related qualifications, demonstrated competencies, and organizational needs. DWIHN maintains policies and procedures designed to ensure that recruitment, selection, promotion and all other employment actions are conducted in a manner that is objective, equitable and non-discriminatory.