Conduct assessments on health plan members. Average visits vary from 30 - 60 minutes in length, based on complexity.  Home Care assessments includes: Past medical history. Review of systems. Physical examination. Medication review. Depression screening. Responsible for checking vitals, conducting a physical exam that includes monofilament test, urine dipstick, and foot exam (as appropriate). Identify diagnoses to be used in care management and active medical management in the furtherance of treatment. Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment. Communicate findings in your assessment that will be used to inform members PCP of potential gaps in care. Identify needs and opportunities to generate clinical referrals to Care Improvement Plus and / or the primary care physician. Educate members on topics such as disease process, medication, and compliance. Compliance with all HIPAA regulations and maintain security of protected health information (PHI).