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* Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current...

* Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Works with the providers and clinic staff to identify patients at high risk * Supports longitudinal care of the patient with chronic care conditions...

* Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current...