p/>This job requires constant walking, Endurance-working up to 3-4 hours without a break, frequent standing, bending neck, bending waist, twisting neck, twisting waist, maintain crouch for > 5 minutes, Repetition crouch(>2 times/minutes), Power Grasping using both hands, Fine Manipulation using both hands, Pushing/Pulling using both hands, Keyboard use, Reaching-above shoulder height, Reaching-below shoulder height, Lifting and carrying items weighing up to 50 lbs, Pull up and/or reposition patient weighing up to 100 pounds without assistance, Pull up and/or reposition patient weighing up to 250 pounds with assistance, Pushing items weighing up to 50 lbs, Push a wheelchair or wheeled bed containing a patient weighing up to 250 pounds, with assistance. + In collaboration with the healthcare team and PCP, participates in the coordination of care and on-going management of patients with chronic diseases by developing shared care plans, performing medication reconciliation, processing prescription renewals, performing symptom assessments, and coordinating VNA referrals.