Conduct in-home assessments on health plan members, including past medical history, review of symptoms, physical examination, medication review and depression screening 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 the PCP of potential gaps in care Educate members on topics such as disease process, medication and compliance Comply with all HIPAA regulations and maintain security of protected health information (PHI)