Assesses patients for skilled home health needs, develops and initiates a plan of care with the physician approval and provides nursing care ordered by the physician to patients in their place of residence, continually re-evaluates the patient’s nursing needs. - Develops a plan of care, in collaboration with the patient, family/caregiver and physician orders including frequency and duration of nursing visits, specific care or treatments to be provided, appropriate goals, medications, other disciplines needed and discharge plan.