Livingston Manor Inc·Onalaska, Texas
The Physical Therapist provides comprehensive evaluations and individualized treatment plans for home health and hospice patients to improve functional independence and quality of life. Responsibilities include implementing therapeutic interventions, educating caregivers, and maintaining detailed clinical documentation in compliance with regulatory standards.
401(k) Dental insurance Health insurance Vision insurance Physical Therapist (PT) – PRN / Independent Contractor
Position Title: Physical Therapist (PT) – PRN / Independent Contractor
Reports To: Director of Nursing (DON) / Clinical Supervisor
The Physical Therapist (PT) is responsible for providing physical therapy services to home health and hospice patients in accordance with physician orders, agency policies, state regulations, and professional standards of practice. The PT evaluates patients, develops individualized treatment plans, implements therapeutic interventions, and educates patients and caregivers to promote optimal functional independence, comfort, safety, and quality of life.
This position is offered on a PRN (as-needed) or Independent Contractor basis and requires travel to patient homes within the agency's service area.
Duties and Responsibilities: Patient Assessment and Evaluation
Perform comprehensive physical therapy evaluations of patients in their homes.
Assess functional limitations, mobility status, strength, balance, coordination, pain levels, and rehabilitation needs.
Identify patient goals and develop individualized treatment plans.
Evaluate home environments for safety and accessibility.
Treatment Planning and Implementation
Develop and implement appropriate physical therapy treatment programs based on physician orders and patient needs.
Provide therapeutic exercises, gait training, transfer training, balance activities, strengthening exercises, and mobility interventions.
Utilize evidence-based therapeutic techniques to improve patient function and independence.
Modify treatment plans as patient conditions change.
Patient and Caregiver Education
Educate patients and family members regarding disease processes, treatment plans, home exercise programs, safety precautions, and fall prevention. Instruct caregivers on proper patient handling, transfers, positioning, and mobility assistance techniques. Promote patient self-management and independence whenever possible. Documentation and Compliance
Complete all clinical documentation accurately and timely in accordance with agency policies and regulatory requirements.
Document evaluations, treatment plans, progress notes, reassessments, and discharge summaries.
Participate in care conferences and interdisciplinary team meetings as required.
Maintain compliance with Medicare, Medicaid, state, federal, and accreditation standards.
Home Health Responsibilities
Collaborate with physicians, nurses, occupational therapists, speech therapists, social workers, and other healthcare professionals.
Monitor patient progress and communicate significant findings to the physician and clinical supervisor.
Recommend durable medical equipment and assistive devices when appropriate.
Participate in discharge planning and continuity of care activities.
Hospice Responsibilities
Provide physical therapy interventions focused on comfort, safety, symptom management, and quality of life.
Assist patients in maintaining the highest possible level of functional independence and comfort.
Educate families regarding safe mobility, positioning, transfers, and fall prevention.
Collaborate with the hospice interdisciplinary team to support patient-centered end-of-life care.
Additional Responsibilities
Maintain current professional knowledge through continuing education. Adhere to agency policies, procedures, ethical standards, and confidentiality requirements. Perform other duties as assigned within the scope of practice.
Graduate of an accredited Physical Therapy program approved by the Commission on Accreditation in Physical Therapy Education (CAPTE). Doctor of Physical Therapy (DPT) degree preferred. Bachelor's or Master's degree in Physical Therapy accepted if eligible for licensure. Licensure and Certifications
Current and unrestricted Physical Therapist (PT) license in the State of Texas. Current CPR/BLS Certification required. Valid Texas driver's license. Current automobile insurance as required by state law. Experience
Minimum one (1) year of clinical experience as a Physical Therapist preferred. Home Health experience preferred. Hospice experience preferred. Experience with geriatric patients and rehabilitation services strongly preferred. Knowledge, Skills, and Abilities
Knowledge of physical therapy principles, techniques, and standards of practice.
Ability to assess, plan, implement, and evaluate patient care effectively.
Strong communication and interpersonal skills.
Ability to work independently and manage time efficiently.
Knowledge of Medicare Conditions of Participation and home health regulations preferred.
Ability to maintain accurate and timely documentation.
Ability to establish and maintain effective working relationships with patients, families, physicians, and healthcare team members.
Physical Requirements
Ability to stand, walk, bend, lift, push, and pull during patient care activities.
Ability to lift and transfer patients with or without assistance as appropriate.
Ability to travel to patient homes within the agency service area.
Ability to use standard clinical equipment and electronic medical record systems.
Work Environment
Patient homes, assisted living facilities, nursing facilities, and hospice settings. Exposure to varying environmental conditions while traveling between patient locations. Frequent local travel required. Employment Status
PRN (As Needed) or Independent Contractor. Flexible schedule based on patient census and agency needs. Compensation per visit or according to contractual agreement. Equal Employment Opportunity Statement
The Agency is committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under applicable law.
Candidates must be graduates of an accredited Physical Therapy program with a current, unrestricted PT license in the State of Texas and CPR/BLS certification. A Doctor of Physical Therapy (DPT) degree and at least one year of clinical experience, particularly in home health or hospice, are preferred.
Market context
Physical Therapist roles in Texas are commonly competitive because employers look for a degree in Physical Therapy, a current unrestricted state license, and often at least one year of clinical experience with CPR/BLS certification. Demand is typically steady across outpatient, hospital, and rehab settings, and candidates who can show strong patient outcomes and adaptable caseload experience often stand out. Review the AI-summarized requirements and benefits here to quickly compare fit, then confirm licensure, BLS status, and recent clinical experience before applying.