Provides a comprehensive patient examination / evaluation at the initial visit upon receipt of referral and develops a patient centered physical therapy plan of care in collaboration with the physician. Ensures the plan of care addresses all problems identified in the assessment or documents rationale if identified problems are not addressed in the plan of care. Reassesse

Assists the patient and family with health related financial, social and emotional concerns and assists with effective coping skills. Provides social work services in accordance with the plan of care. Ensures that changes in the patient's clinical status are communicated to other healthcare team members and the care center office staff in a timely manner. Educates the pat

Educates health care professionals, patients, and families about home care services. Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads. Coordinates patient admissions with the team, including obtaining all required documentation to complete referral to admission process. Conducts on sit

Demonstrates competency in skills required by the agency for patient care. Has received specialty program education and has completed satisfactory competency. Communicates significant findings, problems, changes in condition or environment to the clinical manager/physician and other members of the hospice care team. Assesses and reassesses physical, environmental and emot

Educates health care professionals, patients, and families about home care services. Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads. Coordinates patient admissions with the team, including obtaining all required documentation to complete referral to admission process. Conducts on sit

Provides palliative care for residents in their home or clinical setting in collaboration with physicians and/or medical directors in conformance with any protocols or guidelines established by or with the collaborating physician, where required by state and/or federal law. Performs medically necessary assessments meeting the requirements of Medicare Part B, Evaluation an

Performs initial nursing assessment on new admissions. Completes , coordinates and revises the total plan of care and maintains continuity of patient care by collaborating with appropriate staff. Regularly communicates patient progress to the clinical manager, physician and care team. Develops, prepares, and maintains individualized patient care progress records with accu

Performs patient assessments and collaborates with the care team to develop and implement a plan of care. Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so. Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate s

Assists the patient and family with health related financial, social and emotional concerns and assists with effective coping skills. Provides social work services in accordance with the plan of care. Ensures that changes in the patient's clinical status are communicated to other healthcare team members and the care center office staff in a timely manner. Educates the pat

Assist and counsel hospice patients and families with health related financial, social and emotional concerns according to the physician's orders. Provides social work services, under medical supervision, in accordance with the patient's Plan of Care. Demonstrates competency in skills required by the care center. Assists the physician and other members of the hospice team

Performs patient assessments and collaborates with the care team to develop and implement a plan of care. Makes referrals to other hospice care disciplines as needed or documents rationale for not doing so. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies. Records pain/symptom ma

Verify plan of care with the RN prior to each visit. Collaborate with physician and RN frequently to ensure patient needs are being met; Notify them as soon as possible when patient condition changes. Teach patients and caregivers self care techniques. Check vital signs. Review all medications and perform a medication reconciliation at each visit. Perform specialized proc

Performs patient assessments and collaborates with the care team to develop and implement a plan of care. Makes referrals to other hospice care disciplines as needed or documents rationale for not doing so. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies. Records pain/symptom ma

Works under the direction of the leadership of assigned care center. Conducts in services as appropriate based on care centers' assessments or stated needs. Communicates any identified compliance concerns with the Medicare Conditions of Participation and ACHC accreditation to care center/region leadership. Follows standard systems and procedures in each care center. If st

Performs patient assessments and collaborates with the care team to develop and implement a plan of care. Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so. Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate s