Provide direct and indirect nursing care to assigned patients. Works under the direct and indirect supervision of the Clinical Services Coordinator and/or Medical Director but is independent in the application of advanced nursing knowledge and skills. Manages complex clinical situations for which he/she is responsible. JOB RESPONSIBILITIES: • Attends morning staff meetings and updates clinic schedule as needed. • Conducts initial, periodic and unscheduled nursing assessments of participants. • Attends Interdisciplinary Team (IDT) meetings and shares information about patients’ condition, problems, needs and priorities. • Participates in development of plans of care that integrate information from all disciplines. • Documents changes in participants’ status and communicates changes to IDT members. • Reviews documentation of home care worker and home care supervisor visits and reports through the clinical and IDT as needed. • Provides nursing care according to accepted practice standards. • Educates participants, families and care givers about the management of medical conditions. • Identifies emergency situations and initiates therapy as appropriate. • Respects participants’ rights and treats patients in accordance with ethical standards. • Completes all documentation in the medical record and/or electronic health record (EHR) as required. • Acts only within the scope of his/her authority to practice. • Other job related duties as assigned.