• Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit • Takes history, examines, determines diagnoses. Provides written documentation of patient visit, per NCQA standards • Takes patient vital signs, as necessary. Places case management referrals and communicates with PCP as necessary. • Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis. • Performs all clinical duties while observing OSHA Universal Precautions • Maintains patient confidentiality • Attends required meetings and in-services and participates in committees, as requested • Participates in professional development activities and maintains professional licenses and affiliations