Assess patient and family for physical, psychological, social and spiritual needs and collaborates with patients and families, physician, and Interdisciplinary Group (IDG) to establish the plan of care, implement interventions and/or evaluate care. Initiate and maintain communication with attending physician, Medical Director, IDG, Team Director (TD), and IDG and other agencies to coordinate optimal care and use of resources for the patient and family. Especially, in the event of unusual or potentially problematic patient and family issues. Document according to protocol and maintain up-to-date patient records. Ensure plan of care problems, interventions, actions and goals reflect baseline, current, and ongoing status, and changes as they occur. Participate in On-Call or Admissions assignment/rotation, as directed. Provide education to patient and caregiver(s) as needed, based on knowledge needs and learning assessment, patient and family condition, in keeping with plan of care. Our Investment in You. Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include:Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app. Programs to celebrate achievements, milestones and fellow employees. Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.