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Physical Therapist - Continuum of Care

SSM Health · Fond du Lac, WI · Full time

Posted Aug 27, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you recommended home modifications or equipment. How did you get the family on board?

What they are checking: Whether they can make practical changes stick in someone else's home without being pushy or vague.

Tell me about a patient who wasn't making progress. How did you decide whether to change the plan or discharge?

What they are checking: Whether they make honest calls about progress rather than continuing visits that no longer help.

What makes you want to work in home care and hospice rather than in a clinic?

What they are checking: Whether they understand the independence and isolation of home visits and are drawn to it for real reasons.

What would you do

You arrive at a patient's home and they seem confused, and their vitals are off from last visit. What do you do?

What they are checking: Whether they recognize a change in condition and escalate to nursing or the physician instead of pushing through therapy.

Covering a rural territory means a lot of driving. How do you plan your day and keep up with documentation?

What they are checking: Whether they can manage time and paperwork on their own while spread across a wide area.

A family member keeps doing everything for the patient, which slows their recovery. How do you handle it?

What they are checking: Whether they can teach caregivers with tact and respect while still protecting the patient's independence.

About the work

Walk me through your first home visit with a new patient after a hip replacement. What are you looking at besides the hip?

What they are checking: Whether they assess the whole home setting, including falls risk, stairs, caregivers and equipment, not just the joint.

How do you build a plan of care in home health that the patient and family will actually follow when you're not there?

What they are checking: Whether they involve the family and set realistic goals, since most of the work happens between visits.

What do you need in your documentation to show the need for skilled therapy in home care?

What they are checking: Whether they understand that notes must justify skilled care for Medicare and payers, or the visits are not covered.

How do you supervise a PTA who sees your patients in their homes when you aren't on site?

What they are checking: Whether they know supervision rules and keep clear communication so care stays safe and consistent.

How do you take part in discharge planning when a patient moves from home health to outpatient or to a facility?

What they are checking: Whether they think about continuity of care and hand off clearly so nothing is lost between settings.

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The full job description

As published by SSM Health.

It's more than a career, it's a calling. WI-St. Agnes Hospital Home Care & Hospice Worker Type: Regular Job Summary: Evaluates and conducts medically prescribed physical therapy treatment programs to treat movement dysfunction and pain resulting from injury, disease, disability, or other health-related conditions. Travels to patient's residence to provide care. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES • Performs initial and on-going assessments of patient's condition. • Establishes, revises and evaluates a plan of care which is appropriate to problems identified and involves the patient/family. • Performs therapy interventions utilizing standard physical therapy techniques and skills as appropriate for the condition of the patient. • Provides education to patient/family staff by assessing patient/family educational needs. • Provides for continuity of care by participating in discharge planning with patients, families and other health care providers as appropriate, providing home instructions to patients and caregivers, recommending and or providing equipment/ home modifications, and recommending appropriate follow-up care if needed. • Oversees activities of physical therapy assistants, students, and other support personnel. • Maintains appropriate documentation that details the patient's response to therapy and the need for skilled intervention as outlined by regulatory bodies. • Works in a constant state of alertness and safe manner. • Performs other duties as assigned. EDUCATION • Bachelor's, Master's or Doctorate degree in Physical Therapy, or related as required to obtain licensure in state of practice EXPERIENCE • No experience required ADDITIONAL REQUIREMENTS • Proof of motor vehicle liability insurance that meets minimum state requirements upon hire and upon request. PHYSICAL REQUIREMENTS • Constant standing. • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. • Frequent use of hearing and speech to share information through oral communication. • Frequent use of hearing to distinguish body sounds and/or hear alarms, malfunctioning machinery, etc. • Frequent use of vision for distances near (20 inches or less) and far (20 feet or more). • Frequent walking, reaching, gripping and keyboard use/data entry. • Occasional bending, stooping, climbing, kneeling, sitting, squatting, twisting and repetitive foot/leg and hand/arm movements. • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. • Occasional lifting/moving patients. • Occasional use of vision to judge distances and spatial relationships and to identify and distinguish colors. • Occasional driving. • Rare crawling. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Physical Therapist, Licensed - Illinois Department of Financial and Professional Regulation (IDFPR) • And • Driver’s License: State of Issuance • And • Driving Record - Motor Vehicle Report (MVR) • And • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) State of Work Location: Missouri • Physical Therapist - Missouri Division of Professional Registration • And • Driver’s License: State of Issuance • And • Driving Record - Motor Vehicle Report (MVR) • And • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) State of Work Location: Oklahoma • Physical Therapist - Oklahoma Medical Board • And • Driver’s License: State of Issuance • And • Driving Record - Motor Vehicle Report (MVR) • And • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) State of Work Location: Wisconsin • Physical Therapist - Wisconsin Medical Board • And • Driver’s License: State of Issuance • And • Driving Record - Motor Vehicle Report (MVR) Work Shift: Day Shift (United States of America) Job Type: Employee Department: 2900000116 HOME CARE FDL Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. • Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. • Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. Click here to learn more.

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