- Conduct ongoing clinical and psychosocial assessments of new patients, offering reassurance and building rapport.
- Identify and address barriers to care identified by patients or the care team.
- Reduce care gaps, including missed appointments and medication-management needs, through frequent personalized engagement.
- Assess patients' need for health-monitoring equipment and educate them on its use.
- Respond promptly to abnormal diagnostic results, including lab and radiology results.
- Assess urgent concerns and proactively triage patients to support appropriate use of emergency services.
- Document care and patient interactions promptly, escalating issues to multidisciplinary teams as needed.
- Provide user feedback to support program and product development.