, implements and evaluates the care for a designated group of patients in their home. The RN coordinates, directs and promotes.... Promote patient's independence by establishing patient care goals; teaching patient/caregiver to understand condition...
to transition to the least restrictive level of care and establishing goals of care with patient, family, and caregiver...Description : The social worker assumes a leadership role within the health care team by attending structured...
; teaching patient/caregiver to understand condition, medications, and self-care skills; answering questions. Maintain safe... as needed to accomplish job results. Provide direct and indirect supervision of personal care provided by the Home Health Aides in the...
the resident Physical Therapist in all aspects of member therapy and care plan needs Providing interventions based... Updating Plans of Care based on progress and evolving needs Identifying areas for individual and group improvements...