Health Fitness Therapist - BFL


Date Posted:
Job Code:
Bakersfield Clinical Facility
United States of America
Physical Therapy



Laugh, create, give, and love. These are just a few of the positive words of affirmation that describe the culture at Centre for Neuro Skills (CNS).  We work together as a team and continually inspire each other to lead positive change, learn, and grow.  Our commitment to research, innovation, and advances in technology drives us to reach for what could be possible.  Every day is a new day to smile, do, and change. We are passionate about our work and making a difference in the lives of our patients and their families.

Centre for Neuro Skills (CNS) helps people with brain injury find hope, independence and a meaningful life - and you can play a key role in that journey as a Health Fitness Therapist.  

The Health/Fitness Therapist works with the Physical Therapy Department to provide prescribed programs of physical exercise and activities designed to enhance physical conditioning, decrease any deleterious physiological and psychological effects associated with prolonged inactivity, and achieve fullest mental and physical rehabilitation.  Work is full time during the weekdays.  Work is performed at the clinic with some work at the residential site and in the community.  The residential site may be a home and/or an apartment complex which may have two stories; if two stories, the top story is accessible by one flight of stairs.

A high degree of accuracy in documentation and observation, adaptability to a variety of situations, strong organizational and communication skills, decision making and an ability to evaluate situations as they occur is needed for this position.

For over 35 years, Centre for Neuro Skills (CNS) has provided post-acute medical treatment, rehabilitation and disease management, and offers residential, inpatient, outpatient and assisted living programs. Locations include Bakersfield, Los Angeles, San Francisco, Dallas, Fort Worth, and Houston.

Our facilities have been honored many times by the prestigious Commission on Accreditation of Rehabilitation Facilities (CARF International) for excellence in therapeutic programs, staff education, patient treatment, and leadership. We also conduct research on brain injury and recovery, with a dedicated, in-house team of Ph.D. researchers who collaborate with major U.S. universities. Please see our moving corporate video, "The Story of Centre for Neuro Skills" at

The company offers a competitive salary and benefits, paid time off, extended sick leave, medical insurance, paid holidays, and 401(k).

Minimum Requirements



1. Tests and evaluates patients on a monthly basis including resting values, body composition, flexibility, muscle strength, muscle endurance, cardiorespiratory endurance, and blood lipid profiles.  Refers information to Dietician/Nutritionist and Nursing Department on an individual basis for potential dietary modification.  Requires lifting and carrying of equipment weighing up to 50 pounds.  Fine motor manipulation, grasping, pulling and pushing may be required for testing equipment/measurement tools.  Numerical and visual ability is needed to compute scores and read instruments and tools.  

2. Develops initial evaluation information into written goals and exercise prescriptions for each deficit area choosing physical exercises and activities which will sustain interest and ensure continued participation.  Organizes individual fitness programs for assigned patients employing any one or combination of assistive, resistive, or free movement exercises, utilizing equipment, devices and aids such as stationary bicycles and weights.  Takes into account fitness tests, health history, medical information, and risk factor information while developing programs.  Uses data obtained to recommend appropriate exercises based on proper intensity (training heart rate), duration, frequency, progression, type of physical activity and degree of supervision required.  Adjusts workload of patient when medication is a factor.  Requires decision making, numerical and visual ability to develop effective treatment plans from information obtained in a variety of tests.  Demonstrates exercises to patients and participates in activities in exercise programs as required.

3. Provides individual counseling for specific fitness problem areas.  Provides ongoing education and behavior modification to establish and reinforce the concept of wellness.  Requires ability to communicate with patients of all levels.

4. Trains other personnel, including Neuro Rehabilitation Specialists and Clinic Neuro Rehabilitation Specialists to supervise exercise programs.  

5. Reports verbally and/or in writing in conferences, staffings and other meetings to inform necessary personnel, insurance carriers and patients' families of patient testing, treatment and progress.  Requires visual ability and fine motor manipulation to dictate and review/edit reports.

6. Develops and implements individualized home exercise plans for the patients' residential program through fitness/recreation activities out of clinic.  Monitors, adapts, and re-tests patients on a periodic basis.  Assists patients in transition to community fitness facilities with the goal of increasing the patients' sense of personal responsibility for physical fitness.

7. Transports patients in own vehicle to gyms, pools, and/or other outside exercise or recreational activities as needed.

8. Consults with patients, families and therapists from various clinic disciplines to instruct, advise or inform them of procedures and tests.  Schedules and assigns testing and treatment activities to personnel and prepares time schedules.  

9. Maintains awareness of physical therapy department operation and objectives and need for addition, adaption or elimination of any techniques which would result in more effective service to patients.

10. Develops positive climate of cooperation and professional stimulation for therapists.

11. Provides for the safety of patients, visitors, staff and self when interacting with patients who may have behavioral outbursts, which can include yelling, exiting, hitting, kicking, biting, spitting, scratching, and throwing objects.

a. Must be able to recognize patient escalation, via verbal, physical and visual cues.

b. Must be able to attempt to verbally and physically de-escalate patient using Behavior Modification techniques according to each patient's program, which may include Professional Assault Crisis Training (PRO-ACT) such as evasive self-defense (ability to get out of the way) and controlling self-defense (prone restraints).

c. Physical intervention and restraints can include calling for help, lifting, standing, walking, running, stooping, bending, kneeling, squatting, carrying, pulling, pushing and assisting with the restraint of patients weighing up to 150 pounds or more.

12. Performs toilet and chair transfers without assistance for patients up to 150 pounds utilizing approved transfer techniques.  Transfer techniques include standing, walking, stooping, bending, kneeling, squatting, lifting, carrying, pushing and pulling.  Patients requiring moderate to maximum assistance and weighing over 150 pounds are lifted and/or transferred by two persons.

13. Uses special equipment as required by each patient including, but not limited to wheelchairs, walkers, etc. at any given time according to the outline of each patient's program.  May require fine motor manipulation, lifting, reaching, carrying, pushing and pulling when working with equipment.

14. Maintains professional and ethical relationships with staff, patients, patient families, and other visitors.

15. Attends staff meetings, in-services, and all scheduled shifts.

16. Comprehends and follows instructions:

a. Maintain attention and concentration for necessary periods

b. Apply common sense understanding and carry out instructions (written, oral or diagrammatic)

c. Adapt to situations requiring the precise attainment of set limits, tolerances or standards

17. Performs simple and repetitive tasks:

a. Ask simple questions or request assistance when needed

b. Perform routine, concrete, organized activities

c. Remember locations and work procedures

d. Make decisions based on simple sensory data

18. Maintains work pace appropriate to given work load:

a. Perform activities on schedule, maintain regular attendance, and be punctual within specified tolerance

b. Complete normal workday and/or week, perform at a consistent pace without excessive rest periods

19. Performs complex or varied tasks:

a. Synthesize, coordinate and analyze data

b. Perform job requiring precise attainment of set limits, tolerances or standards

20. Relates to other people beyond giving and receiving instructions:

a. Can get along with co-workers or peers without exhibiting behavioral extremes

b. Maintain open door policy to encourage active, empathetic listening

c. Perform work activities requiring negotiating, instructing, supervising, persuading or speaking with others

d. Respond appropriately to criticism from a supervisor and/or other staff member(s)

21. Effectively influences people on a consistent basis:

a. Convince or redirect others

b. Understand the meaning of words and use them effectively

c. Interact appropriately with people which includes the provision of appropriate internal and external customer service

22. Makes generalizations, evaluations or decisions without immediate supervision:

a. Recognize potential hazards and observe appropriate precautions

b. Understand and remember detailed instructions

c. Make independent decisions or judgments based on sensory data or known guidelines

23. Accepts and carries out responsibility for direction, control and planning:

a. Set realistic goals or make plans independently of others

b. Negotiate, instruct or supervise people

c. Respond appropriately to changes in the work setting


1. Administers and interprets rest/stress tests and oxygen consumption/utilization tests when appropriate.

2. Conducts in house training sessions regarding Exercise Physiology/Health Fitness when needed.

3. Performs other duties as assigned.


1. Bachelor's Degree in Physical Education or Exercise Physiology required.

2. Experience in health related field and exercise leadership and programming is preferred.

3. American College of Sports Medicine certification or other appropriate certification is preferred.

4. Must maintain a good driving record under the State Department of Public Safety.