Attends clinical morning meeting, morning stand up meeting, at risk meetings, fall team meeting, pressure ulcer meeting, weight loss meeting and other resident related meetings as appropriate or directed to develop an appropriate plan of care, or make revisions to the existing care plan based on the changes in the resident’s condition. Coordinates and participates in the completion of MDS assessments, triggers, CAA’s and comprehensive plans of care via review of the resident’s medical record, communication with and observation of the resident, communication with direct care staff, communication with the resident’s physician, and communication with the resident’s family and Interdisciplinary team.