Physical Therapist-PRN in Muleshoe, Texas at Muleshoe Area Hospital District

Job Description: PRN Physical Therapist (PT)

Department: Rehabilitation Services Reports To: Director of Rehabilitation FLSA Status: Non-Exempt (PRN/As Needed) Location: Critical Access Hospital (CAH) – Texas

Position Summary

The PRN Physical Therapist (PT) evaluates, plans, and implements individualized physical therapy programs for patients across the continuum of care in a Critical Access Hospital (CAH) setting, including acute care, swing bed, outpatient, and long-term care. The PT promotes optimal functional independence, mobility, and quality of life while ensuring compliance with federal, state, and regulatory standards.

Essential Duties and Responsibilities

• Perform comprehensive physical therapy evaluations, assessments, and re-assessments.

• Develop individualized treatment plans based on physician orders and patient needs.

• Implement therapeutic interventions, including:

• Therapeutic exercise

• Gait and balance training

• Manual therapy techniques

• Neuromuscular re-education

• Functional mobility training

• Monitor, document, and modify treatment plans based on patient response and progress.

• Provide patient and family education regarding treatment, home exercise programs, and safety.

• Collaborate with interdisciplinary team members (physicians, nursing, case management, etc.) to ensure coordinated care.

• Complete accurate and timely documentation in the Electronic Health Record (EHR) in compliance with CMS, Medicare, and Texas regulations.

• Participate in discharge planning, including recommendations for equipment and post-acute services.

• Ensure adherence to infection control, patient safety, and quality improvement initiatives.

• Maintain productivity standards while ensuring high-quality care delivery.

• Supervise Physical Therapist Assistants (PTAs) and support staff as applicable.

• Participate in departmental meetings, quality initiatives, and regulatory readiness activities when requested.

Knowledge, Skills, and Abilities

• Strong clinical evaluation and treatment planning skills.

• Knowledge of CMS Conditions of Participation (CoPs) for CAHs and therapy services.

• Familiarity with Medicare Part A/B therapy guidelines and documentation requirements.

• Ability to work independently in a rural healthcare setting with limited resources.

• Strong communication and interpersonal skills.

• Ability to prioritize workload and adapt to fluctuating patient volumes (PRN environment).

• Competency with EHR systems.

Work Environment

• Functions in a rural Critical Access Hospital environment including:

• Acute inpatient units

• Swing bed program

• Outpatient rehabilitation

• Long-term care/skilled nursing units

Physical Demands

• Frequent standing, walking, bending, stooping, and lifting.

• Ability to lift and/or assist patients (up to 50–100 lbs with assistance).

• Manual dexterity and physical stamina required to perform therapeutic interventions.

• Ability to respond quickly in emergency situations.

Schedule Expectations (PRN)

• Works on an as-needed basis to cover:

• Patient volume fluctuations

• Staff absences (PTO, illness, vacancies)

• Must maintain flexibility in scheduling, including potential weekend or holiday coverage.

Compliance and Regulatory Requirements

• Adheres to:

• CMS Conditions of Participation (CAH)

• Texas Physical Therapy Practice Act

• Hospital policies and procedures

• HIPAA and patient privacy regulations

• Participates in ongoing competency validation and continuing education.

Supervisory Responsibilities

• May supervise Physical Therapist Assistants (PTAs), rehab technicians, and students in accordance with Texas law and facility policy.

Performance Standards

• Timely documentation completion (same-day or per policy).

• Achievement of quality, patient satisfaction, and productivity benchmarks.

• Compliance with all regulatory and safety standards.

Qualifications

Education

Graduate of an accredited Physical Therapy program (DPT or equivalent).

Licensure/Certification

Current, active Texas Physical Therapist License (required).

Current CPR/BLS certification (required).

Must meet all credentialing requirements for a Critical Access Hospital.

Experience

Preferred:

1–2 years of clinical experience (acute care, outpatient, or SNF/LTC setting).

New graduates may be considered based on staffing needs.