Occupational Therapist

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					                                             The Commonwealth of Massachusetts
                                                  The Human Resources Division
                                                    Classification Specification

                                                                OCCUPATIONAL THERAPIST SERIES




                                                      DRAFT

JOB TITLE & SUMMARY OF SERIES


    •    DISTINGUISHING CHARACTERISTICS

    •    KEY ACCOUNTABILITIES

    •    RELATIONSHIPS WITH OTHERS

    •    WORKING ENVIRONMENT

    •    PHYSICAL ABILITIES

    •    COMPETENCIES

    •    KNOWLEDGE, EDUCATION AND EXPERIENCE




The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
OCCUPATIONAL THERAPIST LEVELS I-III:

         There are three levels in the Occupational therapist series. Incumbents of classifications in this
         series evaluate clients’ needs for occupational therapy, develop and implement treatment for
         clients, and conduct individual and group occupational therapy activities.

         The basic purpose of this work is to provide occupational therapy services to facilitate the
         rehabilitation of clients with mental, physical or emotional disabilities or disorders.

  I.     OCCUPATIONAL THERAPIST I:

         Distinguishing Characteristics:

         This is the entry-level classification in this series. Incumbents of classifications in this series
         provide occupational therapy services to clients in state-operated facilities to provide
         rehabilitation, health, safety and well-being.

         Supervision Received:

         Incumbents receive close supervision from an Occupational Therapists II or employees of a
         higher grade, who assign casework, provide guidance on procedures and client care, provide
         training, and complete performance reviews through frequent formal and informal verbal and
         written reports for conformance to standard procedures and professional standards.

         Supervision Exercised:

         Incumbents may provide supervision to certified occupational therapist assistants, certified
         occupational therapist aides to train, monitor and evaluate interventions, and ensure proper
         patient care.

         Incumbents also provide functional guidance and support to peers, students, volunteers and
         support staff and may participate in the training and mentoring of new employees.

         Functions Performed:

         Incumbents perform the following:

         •    Evaluate clients’ needs for occupational therapy through interviews, observation, examination
              of clients' records and by conducting diagnostic tests (e.g., manual dexterity, range, motion,
              attention span, perceptual motor) to establish and/or modify treatment plans.

         •    Develop and implements treatment plans for clients by selecting therapeutic activities,
              including manual arts and crafts, prevocational, vocational and homemaking skills, activities
              of daily living, etc. designed to achieve objectives.

         •    Conduct individual and group occupational therapy activities to meet treatment requirements
              and ensure effectiveness of program.

         •    Coordinate occupational therapy treatment activities with other disciplines through meetings
              and reports.

         •    Prepare and maintain documentation on treatment plans, client progress and evaluation
              results.

The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
         •    Attends in-service training programs relating to the health and wellness of the client, (e.g.,
              smoking cessation, patient empowerment, recovery-falls prevention, etc.) and provides
              training to staff and students.

         Key Accountabilities:

         Incumbents at this level have the have the decision-making authority to:

         •    Schedule and coordinate appointments for occupational therapy work.
         •    Determine clinical decisions regarding the assessment, intervention, and follow-up care
              with clients in collaboration with supervisor, and according to clinical protocols.
         •    Initiate action in response to unusual or complex cases, situations or concerns and refers
              concerns to employees of a higher grade, and/or appropriate individual(s) as necessary.
         •    Recommend to inter-disciplinary team members other services outside of occupational
              therapy discipline that the client may need.

         •    Assign work to certified occupational therapist assistants, certified occupational therapist
              aides, students and volunteers.

         Relationships with Others:

         Key contacts and relationships for incumbents include agency staff, clients, family members,
         guardians students and volunteers, medical/mental health professionals other state agencies,
         facilities, club houses; outpatient clinics, day programs, outside educational services, vendors,
         and lawyers.

         Working Environment:

         While performing the duties of this classification, incumbents work in a patient care facilities. The
         noise level is usually quiet. Occupational Therapists work under stressful situations and may be
         subject to verbal and/or physical violence/confrontations from unpredictable or combative clients.
         Incumbents may be exposed to blood born pathogens, communicable diseases, bodily fluids and
         strong-smelling cleaning agents. Incumbents typically work a standard work week; however, may
         be required to work extended hours, nights, holidays and weekends; and may be on call 24
         hours. Incumbents may be required to travel and be exposed to traffic and other roadway
         hazards.

         Physical Abilities:

         While performing the duties of this classification, incumbents are regularly required to stand, sit,
         walk and bend, handle materials and reach with hands and/or arms. Incumbents may be
         required to lift, carry, push or pull at least 40 pounds with or without the use of devices and/or
         equipment to assist in the lifting effort. Incumbents may need to transfer or lift clients from one
         location to another. Incumbents must be ambulatory so that they can engage clients in tasks.
         Work assignments may be performed with or without reasonable accommodation to a known
         disability.




The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
         Required Competencies:

         •    Customer Service Orientation – The ability to discover and meet the customer’s or client’s
              needs.

         •    Flexibility – The ability to adapt to and work effectively as the situation changes.

         •    Information Gathering – The ability to investigate a situation, to seek out additional
              information and to resolve discrepancies.

         •    Integrity – Takes actions that are consistent with what one says are important, that is, he or
              she “walks the talk.”

         •    Interpersonal Understanding – The ability to understand the behavior of others and the
              underlying drivers for that behavior.

         •    Persistence – The ability to remain positive and resilient in pursuing goals despite obstacles
              and setbacks.

         •    Relationship Building – The ability to build and/or maintain friendly, reciprocal, warm
              relationships and networks of contacts.

         •    Teamwork – The ability to work cooperatively with others, to be part of a team, to work
              together.

         Knowledge, Education and Experience:

         Applicants must possess a current and valid Occupational Therapist License issued by the
         Commonwealth of Massachusetts Division of Professional Licensure by the Board of Registration
         of Allied Health Professions.

         Incumbents may be required to have a current and valid Massachusetts Motor Vehicle Driver’s
         License at a Class level specific to assignment.

         Incumbents are required to have the following at the time of hire:
         1. Knowledge of current occupational therapy theories, principles and practices.
         2. Knowledge of the treatment methods, techniques and procedures used in occupational
            therapy.
         3. Knowledge of the terminology used in connection with occupational therapy.
         4. Ability to gather information through observing clients.
         5. Ability to use a computer to type and perform basic computer tasks.
         6. Ability to maintain accurate records and write reports.




The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
    II.   OCCUPATIONAL THERAPIST II

.         Distinguishing Characteristics:

          This is the fully competent professional and first level supervisory classification in this series.
          Incumbents have thorough knowledge of occupational therapy policies, practices, and techniques
          and have mastered the technical job content, perform work of greater complexity, and exercise
          greater independence in making decisions. Incumbents in this classification may develop new
          programs or curriculum, as well as train and provide guidance to Occupational Therapist Is.

          Supervision Received:

          Incumbents receive general supervision from an Occupational Therapists IIIs or employees of a
          higher grade who assign casework, meet regularly or as needed to discuss clients’ care.
          Frequent performance reviews are both formal and informal meetings for conformance to
          standard procedures and professional standards. Incumbents review more complex issues with
          supervisors but exercise more independence in making decisions and receive less supervision
          and review Incumbents may receive functional guidance from other employees of a higher grade
          who provide guidance and training; and from interdisciplinary team members who provide
          consultation concerning clinical needs of a case.

          Supervision Exercised:

          Incumbents may provide close supervision to Occupational Therapist Is, or employees of lower
          grade through regular meetings, or meetings as needed to review of cases, monitor and evaluate
          treatment, and ensure proper patient care.

          Incumbents may provide functional supervision to certified occupational therapist assistants,
          certified occupational therapist aides, students and volunteers, to train, monitor and evaluate
          interventions, and ensure proper patient care.

          Incumbents may also provide functional guidance and support to peers and support staff and may
          participate in the training and mentoring of new employees.

          Additional Functions Performed:

          Incumbents perform the following:

          •   Review, approve and generate reports on occupational therapy treatment plans.
          •   Secure authorization and obtain medical equipment for clients.
          •   Conduct on-the-job training for department employees to ensure the effective delivery of
              services in compliance with agency programs and policy.
          •   Recommend the establishment or revision of policies, procedures and standards governing
              unit activities.
          •   Tests equipment for calibration.




The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
         Additional Key Accountabilities:

         Incumbents at this level have the decision-making authority to:

         •    Prioritize patient care, and establish deadlines.

         •    Delegate staff assignments.

         •    Make recommendations for supplies and client equipment needs.

         •    Resolve unusual or complex cases referred from Occupational Therapist I’s, and/or refers
              concerns to an appropriate individual(s).


         Relationships with Others:

         Key contacts and relationships for incumbents include agency staff, clients family members,
         guardians students and volunteers, medical/mental health professionals other state agencies,
         facilities, club houses; outpatient clinics, day programs, outside educational services, vendors,
         and lawyers.


         Working Environment:

         While performing the duties of this classification, incumbents work in a patient care facilities. The
         noise level is usually quiet. Occupational Therapists work under stressful situations and may be
         subject to verbal and/or physical violence/confrontations from unpredictable or combative clients.
         Incumbents may be exposed to blood born pathogens, communicable diseases, bodily fluids and
         strong-smelling cleaning agents. Incumbents typically work a standard work week; however, may
         be required to work extended hours, nights, holidays and weekends; and may be on call 24
         hours. Incumbents may be required to travel and be exposed to traffic and other roadway
         hazards.

         Physical Abilities:

         While performing the duties of this classification, incumbents are regularly required to stand, sit,
         walk and bend, handle materials and reach with hands and/or arms. Incumbents may be
         required to lift, carry, push or pull at least 40 pounds with or without the use of devices and/or
         equipment to assist in the lifting effort. Incumbents may need to transfer or lift clients from one
         location to another. Incumbents must be ambulatory so that they can engage clients in tasks.
         Work assignments may be performed with or without reasonable accommodation to a known
         disability.

         Required Competencies:

         •    Holds People Accountable – The ability to ensure others accept responsibility for delegated
              tasks and are focused on achieving objectives.

         •    Organizational Commitment – The ability and willingness to align one’s own behavior with the
              needs, priorities and goals of the organization.




The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
         Knowledge, Education and Experience:

         Applicant must possess a current and valid Occupational Therapist License issued through the
         Commonwealth of Massachusetts Division of Professional Licensure by the Board of Registration
         of Allied Health Professions and one year of full-time or equivalent part-time professional
         experience as an occupational therapist

         Incumbents may be required to have a current and valid Massachusetts Motor Vehicle Driver’s
         License at a Class level specific to assignment.

         Incumbents are required to have the following at the time of hire:

          1. Knowledge of the principles, practices and techniques of supervision.

         2.    Knowledge of billing processes such as Medicare and Medicaid and other third party billing.

          3.   Ability to act as a mentor and provide guidance to others.




The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
III.     OCCUPATIONAL THERAPIST III

         Distinguishing Characteristics:

         This is the fully competent professional and second-level supervisory classification in this series.
         Incumbents perform more advanced and specialized work based on thorough knowledge of the
         specialized area with the primary focus on providing formal and informal supervision to
         Occupational Therapist Is and IIs. Incumbents oversee occupational therapy departments at
         state facilities by providing direction and ensuring compliance with agency policies and programs.

         Supervision Received:

         Incumbents receive general supervision from employees of a higher grade who provide guidance,
         work assignments, and performance reviews through both formal and informal communications
         for effectiveness and conformance to laws, regulations and facility policy.

         Supervision Exercised:

         Incumbents provide general supervision to Occupational Therapist Is and II’s, or employees of
         lower grade through regular meetings to monitor and evaluate treatment, and ensure proper
         patient care.

         Incumbents may provide functional supervision to certified occupational therapist assistants,
         certified occupational therapist aides, students and volunteers, to train, monitor and evaluate
         interventions, and ensure proper patient care.

         Incumbents may also provide functional support and guidance and to peers and other health care
         professionals, such as speech and language pathologists, rehabilitation counselors,
         administrative staff, and students interns.

         Additional Functions Performed:

         Incumbents perform the following:

         •    Supervise employees to ensure quality of care provided to clients.

         •    Participate in multi-disciplinary teams and provide consultation as necessary.

         •    Administer an occupational therapy program for a district, region or facility by assessing
              needs and resources; collecting data, developing plans and programs; reviewing results of
              occupational therapy treatment with facility staff; and by authorizing revisions to services,
              procedures and standards to maximize effectiveness and efficiency.

         •    Facilitate in-service training by planning and developing training programs and by approving
              in-service training programs to promote staff development; provide consultation to
              occupational therapy staff regarding problems or difficulties encountered in the treatment of
              patients.

         •    Discharge clients in consultation with physician and inter-disciplinary team, and facilitate
              community integration activities for clients.

         •    Participate and provide documentation for Joint Commission on Accreditation of Healthcare
              Organizations (JCAHO) site visits, and internal facility audits.

         Additional Key Accountabilities:
The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
         Incumbents at this level have the decision-making authority to:

         •    Schedule patient programs and staff availability to ensure efficient and accurate clinical
              operations.

         •    Allocate resources to support patient care services, programs and departmental goals.

         •    Create policies and procedures relevant to delivery of therapy services.

         •    Provide statewide consultation regarding occupational therapy services and professional
              standards.

         •    Participate in multi-disciplinary teams as needed or provide consultation as needed


         Relationships with Others:

         In addition to the contacts at listed for the Occupational Therapist I and IIs, key contacts and
         relationships for incumbents include community providers and resources, (e.g.,Friends of the
         Mentally Ill, Disability Law Center, Visiting Nurses Association), state and federal regulatory
         agencies, colleges/universities, Massachusetts Association for Occupational Therapy, and
         American Occupational Therapy Association (AOTA) and other facility departments.

         Working Environment:

         While performing the duties of this classification, incumbents work in a patient care facilities. The
         noise level is usually quiet. Occupational Therapists work under stressful situations and may be
         subject to verbal and/or physical violence/confrontations from unpredictable or combative clients.
         Incumbents may be exposed to blood born pathogens, communicable diseases, bodily fluids and
         strong-smelling cleaning agents. Incumbents typically work a standard work week; however, may
         be required to work extended hours, nights, holidays and weekends; and may be on call 24
         hours. Incumbents may be required to travel and be exposed to traffic and other roadway
         hazards.

         Physical Abilities:

         While performing the duties of this classification, incumbents are regularly required to stand, sit,
         walk and bend, handle materials and reach with hands and/or arms. Incumbents may be
         required to lift, carry, push or pull at least 40 pounds with or without the use of devices and/or
         equipment to assist in the lifting effort. Incumbents may need to transfer or lift clients from one
         location to another. Incumbents must be ambulatory so that they can engage clients in tasks.
         Work assignments may be performed with or without reasonable accommodation to a known
         disability.

         Required Competencies:

         Organizational Awareness – The ability to understand, learn and leverage the power relationships
         in one’s own organization or in other organizations (customers, suppliers, etc.). This includes the
         ability to identify who are the real decision-makers and the individuals who can influence them.

         Knowledge, Education and Experience:

         Applicants must possess a current and valid Occupational Therapist License issued by the
         Commonwealth of Massachusetts Division of Professional Licensure by the Board of Registration
The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.
         of Allied Health Professions and have at least three years of full-time, or equivalent part-time
         professional experience a an occupational therapist of which at least two years must have been
         in a supervisory, administrative or managerial capacity.

         Incumbents may be required to have a current and valid Massachusetts Motor Vehicle Driver’s
         License at a Class level specific to assignment.

         Incumbents are required to have the following at the time of hire:

         1. Knowledge of the principles, practices and techniques of supervision.

         2. Knowledge of training methods and techniques.

         3. Knowledge of American Occupational Therapy Association (AOTA) standards, familiarity with
            AOTA standard practice guidelines, and AOTA’s Code of Ethics

         4. Ability to plan, assign and coordinate the activities of others.




The Commonwealth of Massachusetts is an equal opportunity/affirmative action employer. Women, minorities, veterans, and
people with disabilities are strongly encouraged to apply. The Commonwealth of Massachusetts is committed to providing
reasonable accommodation to qualified people with disabilities.