SUMMARY: Nurse provides healthcare assistance and healthcare management with a focus on wellness and health promotion, chronic illness self-management, and prevention of disease exacerbation. The Nurse empowers members with skills commensurate with their capacity to manage their own self-care, and provides necessary monitoring, support, linkage, and coordination. The Nurse provides services in collaboration with the social worker and also identifies healthcare trends and needs within the community. DUTIES AND RESPONSIBILITIES:Helps clients access the healthcare system by providing assistance with schedulingappointments, coordination with pharmacies and physicians, and linkage to homecare aides and other providers, as needed.Provides regularly scheduled blood pressure screening sessions for JASAs members. A brief health assessment is conducted during these sessions to all participants and blood pressure monitoring is provided overtime.Performs initial and periodic healthcare assessments of JASAs members identified by social worker to be at-risk. Determines their need for healthcare assistance or healthcare management. Provides health education, medication review, provider referrals, linkage, advocacy, monitoring of blood pressure and chronic illness, as well as healthcare coordination to the extend needed, helping individuals manage their chronic conditions, respond to acute episodes, and access healthcare.Performs home visits, including safety assessments to prevent falls, in collaboration with social worker. Develops an assessment and care plan for clients in need of Healthcare Management and arranges/coordinates services on the members behalf. And follows up at least every two months. Completes Health and Wellness assessments, Nursing Checklist, Progress Notes and Worker Log for units of service documentation, as well as any other recordkeeping and reports.Performs other job-related duties as may be required or directed by the supervisor.