certified occupational therapy assistant

physical therapist

physical therapist assistant

occupational therapist

speech language pathologist

interface rehab, inc.

As a Rehabilitation administrative assistant, a typical workday would begin with cleaning up the therapy room, printing schedules, checking for any updates in the system, checking emails and admissions, and making any changes to schedules as needed. I learned how to use rehab optima, which is a fairly new system for me as it was my first time using it. Rehab optima was a learning experience and I learned as I got more familiar with the job duties. As far as management, the rehab team was overall a great team. My supervisor was nice and good at what he did as a Director, however, his teaching skills were poor towards some of the therapists and myself as well. 
As an RAA, I learned a lot of things that were in my scope of the field, however, not being properly trained and let known beforehand about extra duties and important things, I made some mistakes and was beginning to be treated differently by my supervisor after working there for a few months. I enjoyed working with my team and fellow therapists, but it was somewhat intimidating when my supervisor would be around. I felt as if I couldn't get my work done without being constantly watched. The hardest part of the job was when I was asked to do something that I was not comfortable with or it was out of my scope of field. It almost felt like I was treated like a child and had very limited independence. I enjoyed my time with my co-workers there and they were all very nice and it felt comfortable talking to them. 
The thing that made me leave the company was the way I was treated by my supervisor in regard to not getting things done in a timely manner or if there was a mistake I had made. I felt as if the supervisor would overreact with me if I made a mistake and then when I saw how the supervisor was with my coworkers in a situation like mine, the supervisor didn't seem to be bothered as much as how they were bothered by a situation with me. Also, I was compensated very low in regards to all the tasks I was completing daily without anyone's help. Most of my days I would work through my lunch and I would be told to do numerous new things that were just being added to my day's tasks without any consideration. Lastly, I felt as if I was disliked by the supervisor. I spent a lot of my days contributing as much as I could as an RAA and enjoyed what I did, but I wish I was respected just like everyone else on the team and in the workplace.

Underpaid, overworked. No better or worse than other contract therapy providers. Will give you 5 star annual performance evaluations, however will not give you a raise. Will ask you to do TONS of paperwork. See 9-11 patients a day, more if you work in HMO and/or Kaiser building. Will probably go up to 14-16 patients daily and running groups when Medicare changes in a few months. They've undercut everyone in the area and have driven the rates for our profession too low. They are too afraid to lose contracts and renegotiate in the interest of their employees. In Southern California, it's difficult to sustain yourself - imagine feeling the pressures of inflation but not receiving equitable compensation.  Imagine 150k in student loans, 6-7 years of college/grad school, just to make 75k/yr in one the most expensive metro areas in the US. After 6 years of experience you might be making 85-90k. They prey on foreign therapists from places like India and the Philippines and new grads who are willing to take lower wages. They hire quality control, corporate support, etc etc and create many other corporate positions to "assist" you, but in reality, they micro manage you so far and squeeze any ounce of dignity and self worth out of you.  Guess what... each of those corporate positions eliminates the change for any pay raise they could have provided to you. They'll lie about giving you a referral bonuses.  Happened to at least a dozen colleagues who helped them recruit. They will tell you you are the highest paid of your position in the region - more lies. 

Advice: find a reputable "in-house" position if you plan to work in skilled nursing. Medicare changes are coming soon that will make matters worse and easier for employers like Interface to take advantage of therapists in skilled nursing.  This goes for everyone, PT/OT/ST/OTA/PTA/DOR

They hire new grads because new grads lack knowledge and savvy in the work place.  They pay therapists as little as possible and spend the money hiring mentors, aka "tools,"  to watch over the Rehab team.  The DOR gets no respect and has no power.  Interface pushes the outside of the envelope pressuring therapists to pick up patients that are inappropriate for Rehab, have no potential and Interface will go as far as pressuring therapists to re-cert patients that haven't made gains.  Beware therapists. Remember it is YOUR license on the line. They just need your signature but they'll never have your back.  Your ethics will be tested daily.  And, ultimately, you are the one responsible to maintain your ethics.  Your license better be more important to you than the almighty dollar.  But, you won't keep your job long in the company if you aren't willing to play their game.  Finally, just when you thought you had a secure job, you may get the phone call that they've hired a "new Full Time therapist and you don't need to come in to the building again unless you're needed for holidays or vacation or additional help."  Thats right!  You're easily disposable without any warning.   There is no relationship with you and them.  There is no job security.  No good deed goes unpunished.  Run, don't walk from this company.

Getting to co-treat with other therapists was great and you learn a lot in a short amount of time working at the different SNFs this company contracts with, but productivity standards are unrealistic. This company lowballs therapists and preys on new grads desperate for a job. 

There's little hands-on training before being thrown into complex situations and you get sent to several locations to get your "guaranteed" 40 hrs. Some locations have great nursing staff, others are so used to the high turnover rate from therapists that communication is difficult. Many of the SNFs lack basic equipment needed for patient safety such as walkers and wheelchairs.

You're expected to complete documentation off the clock to meet productivity but they're careful to not directly tell you that. This unrealistic productivity standard leads to high burnout and unsafe situations for patients/therapists. 

All of the therapists I worked with were wonderful, caring people who did their best to maintain ethical standards within an unethical framework (which is unfortunately common in this setting in general).  

I was an entry level therapist when I started and worked my way up to DOR. At entry level they load your schedule up, and you have to maintain if not exceed 85% productivity. The assistants were required to exceed 90% productivity. Pay raises were usually less than a dollar, and only happened when they got wind when you were looking for employment elsewhere. Regional management at my facility was non-existent. They never gave you heads up if any issues arose, only saying something when the issue got so bad it would have been grounds for firing, and then they use that to manipulate you. Benefits are decent, but the amount you have to pay out of your paycheck is still pretty hefty. The PTO isn't too bad, but they are very strict with how/when you use it. Upper management is sexist and does not out any effort into assisting with problem hirees, even when a patient is at risk. The caseload varies violently and when it gets slow, expect to have your hours cut by a lot. Don't work for them, you'll regret it.

The workload and level of responsibility for this role have grown significantly over time without appropriate adjustments in compensation.

The position requires managing a large number of responsibilities that often extend beyond the original job description. Despite the increasing workload and expectations, salary increases and annual raises have been minimal and do not reflect the level of responsibility or market standards for similar roles.

Employees are often expected to handle high caseloads and administrative duties simultaneously, which can make it difficult to maintain work-life balance and deliver the highest quality of service consistently.

Improving compensation structure, providing more competitive raises, and aligning job responsibilities with appropriate pay would greatly improve employee satisfaction and retention.

It is a great place to gain hands-on experience from having no experience at all. Interface really does let you learn and adapt. There are constant interactions with all levels of employees, whether it is out in the field or to peers in the corporate office. Upper management is always available; however often times they may not know all the answers. Therefore, it only makes you work harder in analyzing data and gain more knowledge through your own investigations. Everyone in the office works diligently in their own departments. However, when there are changes in structure or data information, often times the workload may delay the communication to other departments until it's too late. Interface gives enough office work experience to perhaps develop you into other career paths. 

I have mixed feelings about my experience working here. If this is a new setting for you or you are new to the profession, it can be quite challenging to flatten the learning curve. On one hand some of the other rehab staff are verbally supportive and encouraging. Supervisory staff and management are available to answer questions and provide evaluation and treatment ideas, before the day starts or if you call/ text them at the end of the day. However, there is A LOT self-teaching that goes on. This could be the same situation when working in other places, basically getting home late and studying material regarding diagnosis you encounter working at the SNF and treatment planning. But don't expect to get compensated for it. If anything its to benefit the patient and improve your professional/ clinical skills. 

Practice physical therapy skills at a skilled nursing facility focusing on improving patients’ gait training, bed mobility, balance, safety awareness and overall quality of living. Provide a quality of care to medically complex patients post spinal cord and traumatic brain injuries, and cerebrovascular accident. Assist patients with decreased cognition/dementia and Alzheimer's disease; provided rehabilitation services to orthopedic and cardiopulmonary patients.  Help patients with post total hip/knee replacement, different types of fractures, general reconditioning and cancer patients. Assist with maintenance of medical staffing and evaluation records.

I work at as Skilled Nursing Facility and my days start very early, first, checking the schedule and then I do patient rounds to see if the patient was not discharged over night. I review my goals and start by 7am with the patients that do ADLS early in the morning before breakfast, then I do treatment for patients that have feeding goals. Other pts start tx at the gym and so on.

We have rehab meetings on a weekly basis, but the conversations with the OTR and DOR happen on a daily basis to talk about pt's goals and progress.

I have worked with patients from many different backgrounds, as well as with a very diverse co worker group where team work is the #1 rule.

I love my job, and I'm very happy I choose this path.

Top Job Titles	Average Salary
Certified occupational therapy assistant 186 salaries reported	$40.34 per hour
Physical therapist 247 salaries reported	$55.24 per hour
Physical therapist assistant 155 salaries reported	$40.74 per hour
Occupational therapist 161 salaries reported	$53.72 per hour
Speech language pathologist 95 salaries reported	$54.12 per hour

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