Nathan Red
nathan@assistedindependence.ca
812-374-9450
Position: Recreational Therapist
Salary: $23.00-$30.00 per hour
Duties: 50. Recreational Therapist
50.1. Description
50.1.1. The nature of the job as a Recreational Therapist is to provide 1:1 care to individuals with developmental disabilities in home and community-based settings.
50.1.2. The nature of the job is to provide a systematic process that utilizes recreation and other activity-based interventions to address the assessed needs of individuals with illnesses and/or disabling conditions, as a means to psychological and physical health, recovery and well-being. Further, “Recreational Therapy” means a treatment service designed to restore, remediate and rehabilitate a person’s level of functioning and independence in life activities, to promote health and wellness as well as reduce or eliminate the activity limitations and restrictions to participation in life situations caused by an illness or disabling condition.
50.1.3. Recreational Therapy services are services provided under the Indiana Division of Disability and Rehabilitative Services (DDRS) consisting of a medically approved
50.1.3.1. recreational program to restore, remediate, or rehabilitate an individual in order to
50.1.3.1.1. Improve the individual’s functioning and independence
50.1.3.1.2. Reduce or eliminate the effects of an individual’s disability
50.2. Benefits
50.2.1. The following benefits are available to eligible full-time Recreational Therapist staff:
50.2.1.1. Paid hourly wages
50.2.1.2. Paid mileage when transporting an individual receiving supports, taking into consideration how far the Recreational Therapist is willing to drive (also available to part-time employees)
50.2.1.2.1. The Recreational Therapist has the following options for mileage reimbursement:
50.2.1.2.1.1. $0.35 per mile paid by Assisted Independence, LLC. bi-monthly when any individual supported is transported, or
50.2.1.2.1.2. the Internal Revenue Service (IRS) tax write-off current mileage reimbursement rate (2020 rate is $0.58.5 per mile) for annual income tax filing, including all miles driven for work purposes [excludes miles driving to and from personal home] *documentation of mileage required
50.2.1.3. Health Insurance following one month of employment
50.2.1.4. Life Insurance following one month of employment
50.2.1.5. Short-Term Disability Insurance
50.2.1.6. 401k Enrollment with a 1% match by Assisted Independence
50.2.1.7. One-year membership every five years to Smart CEU’s Hub
50.2.1.8. Flexible work schedules
50.3. Prequalification
50.3.1. All Recreational Therapist staff must submit to the Human Resource Manager of Assisted Independence proof of the following prior to employment and prior to the expiration of any document:
50.3.1.1. Application (available online)
50.3.1.2. Resume
50.3.1.3. Cardiopulmonary Resuscitation (CPR) certification
50.3.1.4. First Aid Certification
50.3.1.5. Negative Tuberculin Skin Test
50.3.1.6. Driver’s License
50.3.1.7. Vehicle Registration
50.3.1.8. Automobile Insurance
50.3.1.9. Acceptance notice of the position offered with a minimum one-year commitment
50.3.2. Additionally, Recreational Therapist must provide an active certification from the National Council on Therapeutic Recreation Certification (NCTRC), along with:
50.3.2.1. a bachelor’s degree in Therapeutic Recreation or related field and/or
50.3.2.2. 18 earned credit hours in the study of therapeutic recreation
50.3.2.3. 5 years of full-time experience as a Recreational Therapist. Note: this only applies to those who have taken the National Council on Therapeutic Recreation Certification (NCTRC) equivalency Path A and did NOT earn a bachelor’s degree.
50.3.3. Additionally, Recreational Therapist staff must meet the following criteria prior to employment:
50.3.3.1. Free of Felony Convictions
50.3.3.2. Inspector General’s Exclusion from Federally Funded Healthcare Organization
50.3.4. All Recreational Therapy staff working with individuals shall meet the following requirements:
50.3.4.1.1. Be at least eighteen (18) years of age.
50.3.4.1.2. Demonstrate an interest in and empathy for individuals
50.3.4.1.3. Demonstrate the ability to communicate adequately in order to:
50.3.4.1.3.1. complete required forms and reports of visits; and follow oral or written instructions.
50.3.4.1.3.2. Demonstrate the ability to provide services according to the individual’s Person-Centered Individualized Support Plan (PCISP).
50.3.4.1.3.3. Demonstrate willingness to accept supervision.
50.3.5. Recreational Therapist staff must complete the following forms after receiving an offer of employment, but prior to providing service to an individual, submitting to the Human Resource Manager:
50.3.5.1. Indiana Form I-9
50.3.5.2. Indiana Form W4
50.3.5.3. Indiana Form WH-4
50.3.5.4. Employee Authorization of Direct Deposit
50.3.5.5. Hepatitis B Consent / Declination Form
50.3.6. Recreational Therapist staff must complete the following trainings, and once annually, prior to providing services to an individual:
50.3.6.1. Respecting the Dignity of an Individual (if the Recreational Therapist has documentation of trainings on this topic within the last year, the trainings can be submitted to the Human Resource Manager)
50.3.6.2. Providing a Healthy and Safe Environment (if the Recreational Therapist has documentation of trainings on this topic within the last year, the trainings can be submitted to the Human Resource Manager)
50.3.6.3. Protecting an Individual from Abuse, Neglect, and Exploitation (if the Recreational Therapist has documentation of trainings on this topic within the last year, the trainings can be submitted to the Human Resource Manager)
50.3.6.4. Person Centered Planning
50.3.6.5. Incident Reporting
50.3.6.6. Behavior Support Plan (BSP) Training (as applicable)
50.3.6.6.1. Upon review of each Person-Centered Individualized Support Plan (PCISP), the Recreational Therapist must contact the Behavior Consultant (B.C., Behavioral Manager, Behavioral Therapist) of each individual supported to schedule a one-hour training
50.3.6.7. 30 minute phone call walk-through of AccelTrax online documentation software with the Human Resource Manager
50.3.7. Recreational Therapists will be provided with:
50.3.7.1. Letter of Employment
50.3.7.2. Business Cards
50.3.7.3. Email Address
50.3.7.4. AccelTrax online software username and password
50.3.7.5. Division of Disability and Rehabilitative Services (DDRS) Portal online access for cloud-storage of documentation
50.3.7.6. Assessment Copies
50.3.7.7. Assessment and activity tote
50.3.7.8. Professional headshot photograph to be uploaded to the Recreational Therapists personal LinkedIn profile, which lists the occupation with Assisted Independence, LLC.
Requirements: 50.4. Job Duties
50.4.1. All Recreational Therapist staff must abide by the Policies and Procedures of Assisted Independence, LLC.
50.4.2. All Recreational Therapist staff must adhere to the rules and regulations set forth in Indiana Administrative Code (IAC) 460-6.
50.4.3. All Recreational Therapist staff must adhere to the rules and regulations set forth by the Division of Disability and Rehabilitative Services (DDRS), Bureau of Developmental Disabilities Services (BDDS), and the Bureau of Quality Improvement Services (BQIS).
50.4.4. All Recreational Therapist staff must abide by the requirements set forth by the Council of Quality and Leadership (CQL), our accrediting body
50.4.5. All Recreational Therapist staff shall be eligible to provide the following services:
50.4.5.1. Recreational Therapy
50.4.5.2. Transportation
50.4.6. All Recreational Therapist staff must assist the individual to which is being supported with one of the following:
50.4.6.1. Self-care
50.4.6.2. Self-direction
50.4.6.3. Expressive or receptive language
50.4.6.4. Ambulation or mobility
50.4.6.5. Activities of Daily Living (ADL’s)
50.4.6.6. Learning
50.4.6.7. Independent Living
50.4.6.8. Economic Self-Sufficiency
50.4.6.9. Physical Activity
50.4.6.10. Community Participation
50.4.7. All Recreational Therapist staff will assist a Medicaid recipient or Medicaid recipients already determined that meet at least one of the following criteria set forth by the Division of Disability and Rehabilitative Services (DDRS):
50.4.7.1. SSI (MASI)
50.4.7.2. Aged (MA A)
50.4.7.3. Blind (MA B)
50.4.7.4. Disabled (MA D)
50.4.7.5. MED Works (MADW, MADI)
50.4.7.6. Low-income Caretakers (MAGF)
50.4.7.7. Foster Care (MA 15)
50.4.7.8. Foster Care Independence (MA14)
50.4.7.9. Children under Age 1 (MA Y)
50.4.7.10. Children Age 1-5 (MA Z)
50.4.7.11. Children Age 1-18 (MA 2, MA 9)
50.4.7.12. Transitional Medical Assistance (MA F)
50.4.7.13. IV-E FC Foster Care children (MA 4)
50.4.7.14. Children in the Adoption Assistance Program (MA 8)
50.4.8. Scheduling
50.4.8.1. All Recreational Therapist staff will be responsible for scheduling times to provide supports with the individual receiving supports, the individuals parent and/or guardians, and/or other team members by scheduling in-person, through the phone, via email, or the preferred method of communication by the individual supported.
50.4.8.2. Recreational Therapist staff must inform the Director of Recreational Therapy of dates when and when not available to provide supports.
50.4.8.3. All Recreational Therapist staff may not cancel a scheduled work time without permission from the Director of Recreational Therapy, unless the individual supported cancels the scheduled time. Based on the discrtetion of the Corporate Compliance Officer (CCO), all Recreational Therapist staff must submit supporting documentation (doctor’s notes, Certificate of Death, etc.) for missed work.
50.4.8.4. All Recreational Therapist planning to discontinue employment with Assisted Independence, LLC. shall provide the Director of Recreational Therapy written notice six-weeks prior to the last day of employment. Recreational Therapist are recommended to continue employment until the replacement Recreational Therapist is permitted to provide Recreational Therapy supports.
50.4.8.5. Meet and Greet: Recreational Therapists are permitted to meet the individual seeking recreational therapy supports for 30 minutes prior to being approved to provide recreational therapy supports to the individual. The purpose of the Meet and Greet is to allow the individual and/or family to determine if the recreational therapist will be a good fit.
50.4.9. Prior to providing recreational therapy supports to an individual, the following is required:
50.4.9.1. Notice of Action (NOA) providing the amount of time the individual is eligible for recreational therapy within the current timeframe. Recreational Therapist must fulfill 90% of the total units listed on the Notice of Action (NOA) within the given timeframe.
50.4.9.1.1. In the event the Notice of Action (NOA) is not present, the individual seeking recreational therapy supports must contact their Case Manager, requesting recreational therapy supports to be added to their Notice of Action (NOA). The recreational therapist will need to inform the individual to contact their case manager.
50.4.9.2. Person-Centered Individualized Support Plan (PCISP)
50.4.10. All Recreational Therapist staff will complete the following:
50.4.10.1. Assessment conducted initially and once annually.
50.4.10.1.1. Completion of an Individual Intake Form for each person supported in recreational therapy that has NOT previously received supports from Assisted Independence. The Individual Intake form is due upon completion of the first meeting the individual and/or their family.
50.4.10.1.2. Completion of a Functional Assessment of Characteristics for Therapeutic Recreation-Revised (FACTR-R) Assessment for all individuals supported over the age of 10 years-old. The assessment is to be completed within thirty (30) days of the first initial session. Upon completion of the assessment, the scoring sheet must be uploaded (via scanner or photograph converted into PDF format) to the Division of Disability and Rehabilitative Services (DDRS) Portal online at https://cmportal.fssa.in.gov/D
50.4.10.1.2.1. The Functional Assessment of Characteristics for Therapeutic Recreation-Revised (FACTR-R) Assessment cannot be printed and/or copied without consent Idyll Arbor, Inc. Each Recreational Therapist will be provided with blank assessments from the Director of Recreational Therapy.
50.4.10.1.3. Completion of the General Recreational Screening Tool (GRST) Assessment for any individual supported under the age of 10 years old. The assessment is to be completed within thirty (30) days of the first initial session. Upon completion of the assessment, the scoring sheet must be uploaded (via scanner or photograph converted into PDF format) to the Division of Disability and Rehabilitative Services (DDRS) Portal online at https://cmportal.fssa.in.gov/D
50.4.10.1.3.1. The General Recreational Screening Tool (GRST) Assessment cannot be printed and/or copied without consent Idyll Arbor, Inc. Each Recreational Therapist will be provided with blank assessments from the Director of Recreational Therapy.
50.4.10.1.4. Rights Assessment
50.4.10.1.5. Mini Mental State-Examination (MMSE) – Optional
50.4.10.2. Planning
50.4.10.2.1. Development of a Treatment Plan within fourteen (14) days after the completion of the Assessment, using the Assisted Independence, LLC. treatment plan template, including:
50.4.10.2.1.1. An assessment write-up, including scores
50.4.10.2.1.2. Priority needs of the individual
50.4.10.2.1.3. Measurable goals and objectives containing content, condition, and criterion
50.4.10.2.1.4. Recommended treatment modalities and activities
50.4.10.2.1.5. Two evidence-based peer reviewed journals or meta-analysis citing why the course of treatment is proven to be effective
50.4.10.2.1.6. Signature and credentials of the Recreational Therapist
50.4.10.2.2. The treatment plan must be updated once annually, including new assessment scores
50.4.10.2.3. The treatment plan must be saved as both a Microsoft Word and PDF document with the file name “First4ofLastNameFirst 3ofFirstName Tx. Plan DD/MM/YEAR” (Example: John Smith = SmitJoh Tx. Plan 01/01/2020)
50.4.10.3. Implementation
50.4.10.3.1. Organizing and directing home and/or community-based activities for the individual supported. These activities may include adaptive sports, dramatics, arts and crafts, social activities, volunteer opportunities, and other recreational supports designed to restore, remediate, or rehabilitate
50.4.10.3.2. Transporting individuals supported to community locations, including, but not limited to, gymnasiums, parks, athletic facilities, outdoors, museums, sporting events, children’s playhouses, community centers, amusement parks, sightseeing locations, monuments, educational facilities, or any potential place or resources where recreational therapy can be conducted.
50.4.10.3.3. All Recreational Therapist staff are required to provide one-on-one supports to the individuals. Group sessions may occur when the ratio of persons supported to Recreational Therapist are 1:1.
50.4.10.4. Evaluation
50.4.10.4.1. After each session conducted, the Recreational Therapists are to document the session using narrative notes online at https://assistedind.accelcon.c
50.4.10.4.1.1. For every 45 minutes of recreational therapy support provided, the Recreational Therapist has 15 minutes to complete necessary documentation (notetaking, assessments, treatment plans, etc.)
50.4.10.4.1.2. Medical abbreviations and terminology are not required for narrative notetaking
50.4.10.4.1.3. The individuals name may be spelled while completing documentation
50.4.10.4.2. Mandatory attendance of all quarterly meetings consisting of each person supported Individualized Support Team (IST). The quarterly meetings are set three months in advance. During the quarterly meeting, Recreational Therapists should document who is in attendance, medication changes, changes in behavior, reports or recommendations from team members, reports about school as applicable, incident reports, home life, extracurricular activities, health status, education towards rights, or any other pertinent information to the holistic well-being of the individual supported.
50.4.10.4.2.1. Recreational Therapists may request an Individualized Support Team (IST) meeting in the event an incident has occurred to the individual supported, or as deemed necessary by the Recreational Therapist.
50.4.11. Scheduling
50.4.11.1. All Recreational Therapist staff will be responsible for scheduling times to provide supports with the individual receiving supports, the individuals parent and/or guardians, and/or other team members by scheduling in-person, through the phone, via email, or the preferred method of communication by the individual supported.
50.4.11.2. Recreational Therapist staff must inform the Director of Recreational Therapy of dates when and when not available to provide supports.
50.4.11.3. All Recreational Therapist staff may not cancel a scheduled work time without permission from the Director of Recreational Therapy, unless the individual supported cancels the scheduled time.
50.4.11.4. All Recreational Therapist staff must submit supporting documentation (doctor’s notes, Certificate of Death, etc.) for missed work.
50.4.11.5. All Recreational Therapist planning to discontinue employment with Assisted Independence, LLC. shall provide the Director of Recreational Therapy written notice six-weeks prior to the last day of employment. Recreational Therapist are recommended to continue employment until the replacement Recreational Therapist is permitted to provide Recreational Therapy supports.
50.4.12. Activities Not Permissible
50.4.12.1. Payment for the cost of the recreational activities, registrations, memberships, or admission fees associated with the activities being planned, organized, or directed. The individual supported is required to pay for the cost of the recreational activities, registrations, memberships, or admission fees associated with the activities being planned, organized, or directed. Recreational Therapist should inform families in advance of potential costly activities. The course of treatment should consider the financial abilities of the individual supported. Under no circumstances, should a lack of financial ability prevent the individual from receiving recreational therapy supports. All expenses paid by the individual or the individual’s parent(s) or guardian(s) should be approved by the individual or the individual’s parent(s) or guardian(s) prior to the transaction. Receipts must be requested from the vendor and given to the individual or the individuals parent(s) or guardian(s).
50.4.12.2. Any services that are reimbursable through the Medicaid State Plan
50.4.12.3. Therapy services furnished to the participant within the educational/school setting or as a component of the participant’s school day
50.4.12.4. Solicitation to any potential individual receiving or seeking supports on behalf of any home and community based support provider in the State of Indiana.
50.4.13. Incident Reporting
50.4.13.1. All Recreational Therapist staff are to submit an Incident Report through AccelTrax for any of the following incidents, or knowledge of any of the following incidents:
50.4.13.1.1. Alleged, suspected, or actual abuse, neglect, or exploitation occurs,
50.4.13.1.2. Anytime injury occurs,
50.4.13.1.3. Anytime death occurs,
50.4.13.1.4. Anytime structural or environmental problems threaten the health and safety of an individual
50.4.13.1.5. Anytime a fire occurs at the site of service delivery
50.4.13.1.6. Anytime a person goes away without telling somebody
50.4.13.1.7. Anytime alleged, suspected, or actual criminal activity by an employee of Assisted Independence occurs
50.4.13.1.8. Anytime a medication error occurs
50.4.13.1.9. Anytime a physical or mechanical restraint is used
50.4.13.1.10. Anytime a client has a fall
50.4.13.1.11. Any unusual incident that may affect the health, wellness, and functioning of a client
50.4.13.2. Incident Reports must include the following:
50.4.13.2.1. Employee first and last name
50.4.13.2.2. Client first and last name
50.4.13.2.3. Date in MM/DD/YEAR format
50.4.13.2.4. Time the incident began in 00:00AM format
50.4.13.2.5. Time the incident end in 00:00AM format
50.4.13.2.6. Description of the events immediately before, during, and following the event
50.4.13.2.7. All individuals involved in the event
50.4.13.2.8. Description of response to the event
50.4.13.3. Incident Reports are to be submitted to the Assisted Independence office within 24 hours of the incident occurring.
50.4.13.4. All Recreational Therapist staff must notify the Director of Recreational Therapy immediately following the incident, or immediately after receiving knowledge of the incident.
50.4.14. Recreational Therapist Review
50.4.14.1. Recreational Therapists must meet for one hour with the Director of Recreational Therapy after:
50.4.14.1.1. 30 days employment
50.4.14.1.2. 90 days employment
50.4.14.1.3. 180 days employment
50.4.14.1.4. One-year employment
50.4.14.1.5. Annually following one year of employment
50.4.14.2. The Recreational Therapists will have the opportunity to provide feedback about:
50.4.14.2.1. Scheduling
50.4.14.2.2. Caseloads
50.4.14.2.3. Supplies / Equipment / Resources
50.4.14.2.4. Job satisfaction
50.4.14.2.5. Input for ways to improve the Recreational Therapy department
50.4.14.2.6. Complaint / Grievance filing anonymously or not anonymously
50.4.14.3. The Recreational Therapist will complete an employee evaluation with the Director of Recreational Therapy, including, but not limited to:
50.4.14.3.1. Results from the Annual Survey Individual Satisfaction
50.4.14.3.2. Results from any complaints or investigations
50.4.14.3.3. Competency, including progress toward earning Continuing Education Units (CEU’s)
50.4.14.3.4. Assessment Scoring
50.4.14.3.5. Treatment Plan Writings
50.4.14.3.6. Any other pertinent documentations
50.4.14.3.7. Professional Behavior
50.4.14.3.8. Organizational Participation
50.4.14.3.9. Supporting Good Health
50.4.14.3.10. Strengths
50.4.14.3.11. Areas for Improvement
50.4.14.3.12. Safety
50.4.14.3.13. Plan for Employee Development
50.5. Ongoing Recruitment
50.5.1. All Recreational Therapists are expected to represent and speak about Assisted Independence, LLC. in a positive manner. Recreational Therapists are encouraged to aid in the recruitment and retention of employment at Assisted Independence, LLC.
(Revised on: 02/13/2020, Noah Goble, Corporate Compliance Officer)
Additional info: