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

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