…Conducts follow-up conversations with patients and communicates any concerns, changes, or social needs to the appropriate physician or other care provider + Attends

…evaluate patient care. + Assess signs and symptoms indicating physiologic and psycho- social changes in the patient's condition. + Performs interventions according to

…needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services

…workers' compensation, legal assistance, identity theft protection. + **Mental and social wellness** - Employee Assistance Program (EAP), Employee Resource Groups

…+ Assesses patient needs and obtains data on physical, psychological, social , and spiritual factors that may influence patient/family/caregiver health status and