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Speech Therapist - Hourly in Lemon Grove, CA at Ensign Services

Date Posted: 1/21/2019

Job Snapshot

Job Description

Duties and Responsibilities:

  • All duties and responsibilities shall be performed as set forth in our established policies and procedures.
  • Adheres to and assures compliance with Code of Conduct, facility policies and procedures and all applicable rules, regulations and standards as promulgated by Federal, State, and accrediting agencies or regulating bodies.  This includes, but is not limited to, Department of Health, Centers of Medicare and Medicaid Services, and other applicable regulatory agencies.
  • Completion of required compliance training and processes
  • Covers as Clinical and Supervisory director when rehab department has a Program Manager.
    • Ensures rehab department is providing skilled, clinically appropriate and evidence-based care.
    • Represents the rehab department in the interdisciplinary team at assigned meetings where clinical care and decisions are made /discussed.
  • Communicates effectively with administration regarding service programs, goals, objectives, problems and successes
  • Communicates effectively with physicians regarding patient problems, progress and service programs
  • Communicates effectively to the public and to medical personnel outside the facility regarding the therapy services offered by the facility
  • Effectively screens/evaluates patients and/ with communication, cognitive or swallowing disorders and develops appropriate plan of care following all regulatory and clinical practice standards.
  • Utilizes standardized assessments and evidence-based practice to support clinical interventions.
  • Provides rehabilitative, skilled and medically necessary treatment intervention to patients with communication, cognitive and/or swallowing disorders per regulatory and clinical practice requirements.
  • Assesses patient’s progress and adjust treatments accordingly in the clinical record per regulatory and clinical practice requirements.
  • Evaluates treatment outcomes for effectiveness. Services are modified in relation to patient evaluation and referrals are made in relation to outcomes.
  • Provides consultation and counseling to patients, as well as families, caregivers and other service providers related to the speech disorders.
  • Effectively communicates with supervisor and other health team members regarding patient progress, barriers, and treatment plans.
  • Provides comprehensive discharge summary of services provided per regulatory and clinical requirements.
  • Documents all regulatory and clinically required information in the electronic documentation system and maintains patient records according to company policy.
  • Accurately records treatment minutes for services provided per all regulatory and clinical requirements.
  • Participation in required meetings including but not limited to: patient care conferences, utilization review meetings, rehabilitation meetings, etc.
  • Participate in facility and company required trainings, in-services and conferences.
  • Able to obtain any necessary DME or supplies per regulatory and clinical practice requirements.
  • Able to supervise and support CFY or Student Speech-Language Pathologists
  • Adherence to ASHA and State Required practice acts, code of conduct, ethics during professional practice as a Speech-Language Pathologist.
  • Adherence to Company required policy and procedures and code of conduct.
  • Active ASHA and State Licensure
  • Performs other duties as may be assigned.
  • COMPLIANCE AND INTEGRITY:  Models and reinforces ethical behavior in self and to others in accordance with the Code of Conduct; adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty; shows consistency in words and actions; follows through on commitments.

    Additional Responsibilities (facility specific if not included above):



Educational Requirements:

  • Must be a graduate of an accredited program in Speech Language Pathology  

Specific Requirements: 

  • Must hold current and active State license or registration and National Certification
  • Two years’ experience in long-term care or related setting preferred
  • Supervisory experience preferred


  • Subject to injury from falls, burns from equipment, odors and is exposed to dust, disinfectants, hazardous chemicals, tobacco smoke, and other air contaminants.
  • Subject to hostile and emotionally upset residents, family members, personnel, visitors, or others.
  • Subject to exposure to infectious waste, diseases, and conditions, including Tuberculosis and the AIDS and Hepatitis B viruses.
  • Add other conditions here_______________

    Physical Mental and Sensory Requirements (With or Without the Aid of Mechanical Devices)

  • Move intermittently throughout the work day.
  • Speak and write the English language in an understandable manner.
  • Cope with the mental and emotional stress of the position.
  • Possess sight/hearing senses, or use prosthetics that will enable these senses to function       adequately so that the requirements of the position can be fully met.
  • Meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
  • Assist in the evacuation of residents during emergency situations.

    Physical Requirements

    Activity Strength Requirements


  • S=Sedentary Work- Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body.  Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time.
  • L=Light Work- Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.  Light work usually requires walking or standing to a significant degree.
  • M=Medium Work- Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
  • H=Heavy Work- Exerting up to 100 pounds of force occasionally, and/or excess of 50 pounds of force frequently, and/or excess of 20 pounds of force constantly to move objects.
  • V=Very Heavy Work- Exerting in excess of 100 pounds of force occasionally, and/or excess of 50 pounds of force frequently, and/or excess of 20 pounds of force.




Remaining on one’s feet in upright position



Moving about between locations



Remain seated in a stationary position



Raising or lowering an object from One level to another.  Consider weight handled, position of body and aid available.

A. Floor to waist


B. Waist to Shoulder


C. Above Shoulder



Transporting an object. Evaluate duration, weight & distance carried.



Exerting force so that an object moves away from the force



Exerting force so that an object moves towards the force.



Extending hand(s) and/or arm(s) in any direction.

A.  Height-consider position of body, length of height of extension. 

B.  Weight-evaluate weight of object(s) transported.



Activity Frequency Requirements:

SCALE: O=Occasionally-Activity or condition exists up to one-third of the time.

                F=Frequently-Activity or condition exists from one-third to two-thirds of the time.

                C=Constantly- Activity or condition exists two-thirds or more of the time.




Repetitive extending of hand(s) and/or arms(s) in any direction



Ascending or descending ladders, stairs, ramps and/or poles



Maintaining body equilibrium on narrow, slippery or moving surfaces



Bending body downward and forward at waist



Bending legs at knees to rest on knee or knees



Bending body downward by bending legs and spine



Seizing, holding, grasping, turning, working with hands



Picking, pinching or otherwise working with fingers


Wrist Positioning

Use of wrist for repetitive activity (i.e. typing, chopping, twisting)



Perceiving the nature of sounds



Distinguishing difference in flavors and/or odors


Near Acuity

Clarity of vision at 20 inches or less


Far Acuity

Clarity of vision at 20 feet or more


Depth Perception

Ability to judge distances and spatial relationships


The employer for this position is stated in the job posting. Ensign Services, Inc. provides recruiting services for operations in the skilled nursing, assisted living, home health and hospice industries.

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