Provide virtual care via telehealth to patients/families in home settings. Act as the primary point of contact for caregivers, families, support networks, and individuals with chronic conditions. Conduct biopsychosocial assessments to identify needs, goals, and concerns. Develop personalized care plans aligned with client values. Provide disease and stage-specific education. Refer and connect individuals to community-based services. Communicate with primary care physicians and other healthcare specialists. Provide caregiver education on burnout, self-care, and resilience. Track and maintain contact frequency. Participate in transdisciplinary meetings. Provide accurate and efficient documentation. Follow company policies, procedures, and clinical protocols.