Working closely with physicians, therapists, caregivers, and interdisciplinary care teams, you will assess patients, develop care plans, provide skilled nursing services, educate families, and ensure continuity of care through effective communication and documentation. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.