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Makes skilled nursing assessments of clients/caregivers in the home care setting that includes physical, psycho-social and environmental components. Develops a care plan in consultation with the primary physician. Coordinates the professional and caregivers involved, to meet the goals of the care plan.

Provides client health care services primarily on a part-time, intermittent basis and under the direction of a registered nurse. Services include preventative, supportive, and rehabilitation activities in accordance with the nursing care plan and physician’s plan of care.

Provides safe and appropriate assistance with the client’s activities of daily living under the direction of the Case Manager’s Plan of Care and considering client’s age, growth and developmental status, physiological and psycho-social needs. Completes appropriate and accurate documentation of services provided as well as general assessment of how the client is managing at home.

An ILS Worker is responsible for aiding the client in implementing the ILS Plan. The ILS Plan, which is developed by the client and his/her team, is a guide that illustrates the steps needed to accomplish the client’s goals. The goals may address important areas in the client’s life such as nutritional management, household management, financial management, and interpersonal relationships. The ILS Worker and client coordinate their efforts to integrate the client to function more independently in his/her life through the ILS Plan.

As a member of the multidisciplinary team, the social worker provides supportive services to help meet patient/family social, emotional, economic and environmental needs in relation to the impact of a terminal illness.

Responsible for planning and carrying out speech, physical or occupational therapy assessments and treatment procedures in home with patients and their families.

Provides safe and appropriate assistance with the client’s activities of daily living under the direction of the Case Manager’s Plan of Care and considering client’s age, growth and developmental status, physiological and psycho-social needs. Completes appropriate and accurate documentation of services provided as well as general assessment of how the client is managing at home.

Works with the family and client to maintain a safe environment. Works with client and family to promote the client’s independence based on client age, growth and developmental status and physiological and psycho-social needs.