Director of social work jobs in New Rochelle, New York - Page 2Crear alertas

Job Description Title: Client Care Supervisor Reports To: Program Director FLSA: Non-Exempt Status: Full-time Supervisory Responsibility: Team of Client Care Coordinators Purpose of the Role: Responsible for managing a team of Client Care Coordinators providing case management services to clients with mental health and/or chronic health conditions. In the process, ensure adherence to policies, procedures, and regulations while safeguarding quality and driving positive and measurable outcomes. Essential Functions of the Role: • Supervise, train, and develop assigned Client Care Coordinators (CCC) in their ability to addresses their client’s immediate and emerging needs, resolve issues, advocate, and connect clients to needed resources such that their lives become stable, recovery centric and interactive (minimizing isolation)., • Lead and coach assigned team in a manner they become increasingly independent in their capability to manage day-to-day interactions by developing their problem solving, communication and advocacy skills; as well as providing them with needed training (one-on-one, field visits, team meetings, outside training, etc.) that will result in effective and outcome-oriented care coordination., • Ensure care plans and activities are aligned with client goals and in compliance with Health Home or Grant Funding requirements; eliminate potential issues related to billing, reimbursements to the agency and/or an audit from an external entity., • Review a minimum of 10 client case notes per CCC, per week. Monitor and ensure all information (assessments, care plans, care notes) are timely, correlate to and support defined and evolving care plans, notes are professionally written and input correctly into case management system. Provide timely and constructive feedback and act accordingly on areas identified as needing improvement., • Be aware of and provide guidance, and/or direct involvement on cases presenting acute needs., • Conduct supervision meetings with each CCC (one-on-one) reviewing key metrics., • Comply with all other reporting requests made by management., • Monitor CCC quality through direct calls to clients, field visits etc., side-by-side., • Develop productive and results oriented relationships with mission critical persons at outside organizations, such as (but not limited to): Dept. of Social Services, Mental Health Providers, Primary Care Physicians, Probation Officers, Legal Services, District Attorney’s Office., • Do not settle for “because that’s the way it has always been done”; be fearless in the pursuit of excellence and achieving the needed outcomes for our clients and the agency at large., • Team and location assignments based on Agency needs. Monday – Friday, 9am – 5 pm, 35 hours per week, however flexibility required to address client and Agency needs. Physical Environment: • Traditional office environment., • Must be comfortable attending appointments at various agencies, facilities, and clients’ homes. Qualifications for this Role: • Proven ability to empathize with the clients we serve., • Tenacity and passion for this work, balancing objectivity, and empathy., • Minimum 2–3 years of care–related experience in advocacy, mediation, and crisis management., • Bachelors in an area of Human Services, Psychology, or 5 years equivalent work experience., • 2 years prior supervisory experience highly preferred., • Computer literacy required., • Bilingual English/Spanish a plus., • Flexible availability – based on client and Agency needs. Compensation Range: $42,000 - $48,000

Job Description Please send resume to Executive Director: Terri Coleman Case Manager/Service Coordinator for dual population. 2 programs, mixed caseload. (aging population that wish to live in their home, NOT in a nursing home) AND TBI survivors. Salary commensurate with experience. Bachelors AND 3+ years experience required Looking for a Case Management Supervisor to work a part time caseload (see Service Coordination) job duties below. The supervisor is expected to meet any waiver participants prior to the completion of the Revised Service Plan (RSP) developed by a Service Coordinator under their supervision. Any visits that exceed 10 in a month will be assisted by the TLC Directors. The Supervisor will have supervisory meetings with staff on at least a monthly basis, and review and sign-off on all service plans and monthly notes. In addition, they will monitor the quarterly tracking spreadsheet to ensure proper time management by staff. A supervisor MAY maintain an active caseload of waiver participants up to 25. However, this caseload must be reduced from the maximum limit allowed in relation to his/her supervisory responsibilities. The Service Coordinator Supervisor must complete a monthly face to face visit with each TBI waiver participant on their caseload. They must meet with the participant in their home at least quarterly. Job duties The Service Coordinator will also be responsible for: • Formally reviewing, updating and submitting timely Service Plans (ISP, RSP, and addendum) to the RRDS for review (refer to the Service Plan section of this Manual for specific information on Service Plan responsibilities);, • Organizing and facilitating Team Meetings; 30 day meeting and 6 month meeting, • Maintaining records for at least seven years after termination of waiver services;, • Assuring that the UAS is completed annually and meets LOC (Level of Care):, • Maintaining records of waiver transportation as described in the Manual section on Transportation Services;, • Assuring that all waiver service providers and the participant receive a current copy of the most recently approved Service Plan;, • Maintaining knowledge of all approved waiver service providers in their region;, • Conducting in-home visits with the participant no less than once a quarter, virtual visits monthly; and, • Create and Review Housing documents for annual housing audit for participants that use housing subsidy Qualifications needed Persons employed as Service Coordinators must be a/an: 1. Licensed Master Social Worker (LMSW- licensed by the NYS Education Department);, 2. Licensed Clinical Social Worker (LCSW- licensed by the NYS Education Department);, 3. Individual with a Doctorate or Master of Social Work degree;, 4. Individual with a Doctorate or Master of Psychology degree;, 5. Licensed Physical Therapist (licensed by the NYS Education Department);, 6. Registered Professional Nurse (licensed by the NYS Education Department);, 7. Certified Teacher of Students with Disabilities (certified by the NYS Education Department);, 8. Certified Rehabilitation Counselor (certified as a Certified Rehabilitation Counselor (CRC) by the Commission on Rehabilitation Counselor Certification);, 9. Licensed Speech Pathologist (licensed by the NYS Education Department);, 10. Licensed Occupational Therapist (licensed by the NYS Education Department); AND Must have, at a minimum, one (1) year of experience providing case management/service coordination, information and referral services and service brokering of community based services for individuals with disabilities and/or Traumatic Brain Injury; OR Individual with a Bachelor’s degree and three (3) years of experience providing case management/service coordination, information and referral services and service brokering of community based services for individuals with disabilities and/or Traumatic Brain Injury. Company Description

Job Description Position Overview: The clinical supervisor organizes, administers, and oversees the clinical operation of the Specialized Treatment Programs utilizing evidence based best practice models and sound clinical judgment. Individual is responsible for working closely with the Director of Specialized Treatment Programs and leadership team to ensure a safe, therapeutic environment for all youth and staff and ensures compliance with all relevant mandates. The Clinical Supervisor is responsible for overseeing and developing the Clinical/Case Management staff including hiring, supervision, evaluation and scheduling. This position provides both clinical and administrative supervision of clinical staff and requires one to think globally, solve problems and have good decision-making skills, including solid critical thinking skills. To provide clinical, administrative, and case management supervision to Caseworkers, Social Workers, and Individual & Family Therapists in an inpatient sub-acute OMH-licensed psychiatric facility, Rapid Intervention Center, the residential treatment center (RTC), Rose Hard to Place Cottage, and an OCFS licensed Diagnostic program. Monitoring, tracking and making required deadlines as per NYS ACS/OMH/DSS/OCFS/CSE standards, agency policies and procedures are required. Clinical Supervisor is responsible to assure that youth/family treatment goals are being met through the services provided by Caseworkers, Social Workers, and Individual & Family Therapists. The Clinical Supervisor ensures that clinical and case management protocols related to youth in these specialized programs are implemented. The Clinical Supervisor shows dedication and willingness to work alongside the Integrated Treatment Model (ITM) team, supporting and carrying out the functions of the model to best serve the population. They are expected to have a nonjudgmental approach that focuses on skill building and basic principles of behavior (reinforcement, extinction, blocking and shaping). They are required to function as part of a team, committing to modeling pro social behavior and building positive relationships with all residents. Position Qualifications: Licensed Master of Social Work (LMSW) and/or Licensed Clinical Social Work (LCSW), or PhD, PsyD, or related human service field with social work/clinical experience. Five years full-time paid experience as a Social Worker in child welfare/foster care/ DJJ/OCFS, required OR five years full-time paid experience as a clinician working with children and adolescents. Knowledge of and/or experience with OMH preferred. Strong knowledge of NYS CONNECTIONS, required. Strong clinical and administrative skills to supervise Social/Case Work staff, required. Valid NYS Driver’s license, required. Excellent written and verbal communication skills. Ability to work flex-time, required. Experience in running groups (youth, parent). Ability to multi-task and make decisions under pressure. The Children’s Village does not discriminate against any employee, prospective employee or contractor because of race, color, religion, sex, sexual orientation, gender identity, gender expression, creed, age, national origin, citizenship status, physical or mental disability, marital status, veteran status, genetic predisposition, domestic violence victim status, criminal conviction history or any other protected classification under federal, state or local law.

Job Description Administrator on Duty About Rising Ground Founded as an orphanage in 1831, Rising Ground has been at the forefront of evolving community needs. Driven by the belief that each of us can thrive when life has hope and opportunity, Rising Ground provides caring support and proven paths to positive change, helping children, adults, and families rise above adversity, and each year, Rising Ground is a positive force in the lives of more than 72,000 individuals annually. We do this through 101 programs across 138 sites, throughout New York City and Westchester. Our strong belief and commitment to diversity is shown not just through our work with supported persons but is integral to the building of a strong staff that reflects the communities we serve. Rising Ground is headquartered in New York City. About the Role: The Per Diem Administrator on Duty (AOD) is responsible for supporting health, safety, and overall functioning of the residential program during assigned shifts. This includes monitoring program delivery, ensuring safety protocols are followed, and maintaining professional standards of care. While not a supervisory role, the per diem AOD is expected to provide on-the-ground support to direct care staff, assist in resolving issues that arise during the shift, and escalate concerns appropriately. In the absence of full-time leadership (e.g., Assistant Residential Directors or Residential Director), the AOD serves as the point person for coordination and communication. This position plays a key role in maintaining continuity of care and ensuring youth and staff safety during non-standard hours, weekends or holidays. What You’ll Do Essential Functions • Maintain communication with cottage staff and monitor staff and resident locations off/on grounds., • Ensure effective communication of priority information to all necessary staff and shifts., • Obtain census information on each shift and record in the Communication logbook., • Maintain thorough and accurate records, files and correspondence; Complete necessary documentation (both hand-written and computer based/data entry) in a timely, accurate, complete, and legible manner. May include, but not limited to notations in the logbook, AOD location board, incident reports, sign-in sheets, and any other forms used or as directed by your supervisor., • Set and contribute to a safe, dignified, orderly atmosphere by enforcing program rules, policies, and procedures., • At all times model the appropriate dress, speech, and behavior for residents. This includes dressing professionally or in designated work uniforms/dress code if prescribed., • Maintain appropriate professional boundaries with adolescents and staff; Respond to all requests in a professional and courteous manner; Observe and adhere to adolescent confidentiality standards., • Maintain and promote a cooperative, harmonious, teamwork environment within the workplace. Maintain and promote an atmosphere of dignity and respect in line with the philosophy and policies of Rising Ground., • Follow the OOP/AWOL policy, ensuring missing person protocol and internal/external communications as delineated., • Follow overstayed home visit protocol, notifying family members and relevant staff of the child’s location/situation., • Monitor staff sign in/out process and initial for verification., • Respond to crisis situations providing leadership and direction to staff. This includes deploying staff as appropriate, helping to ensure medical/clinical support during/after restraints and reviewing written documentation of incidents when appropriate., • Answer telephones and follow through on requests/issues with accurate record keeping (logbooks)., • Respond to neighborhood and community calls/concerns as needed., • Prioritize scheduled appointments and immediate needs for transportation of youth., • Coordinate with Medical and Education departments to arrange for drivers and vehicles to ensure program needs are met., • Receive, sort and distribute mail to different departments, ensuring efficient communication., • Provide on-call support for the Supervised Independent Living Program (SILP) as needed, ensuring the well-being of residents and addressing any immediate issues or concerns., • Document all activities, incidents, and events related to the Supervised Independent Living Program during the on-call shift, ensuring accurate and comprehensive records., • Collaborate with SILP staff to address resident needs, enforce program guidelines, and support the overall objectives of the program., • Assist with coordinating emergency responses and follow-up actions related to SILP as required. Your Qualifications • High School Degree required, bachelor’s degree preferred, • At least 5+ years working in a Residential Treatment Center or related service., • A safe driving record as determined by NYS Department of Motor Vehicles, • Excellent communication, interpersonal, and leadership skills, with the ability to work effectively with students, families, school personnel, and external agencies., • Ability to proficiently multitask and successfully balance multiple projects. Bi- lingual in Spanish preferred but not required., • Empathy, flexibility, and a commitment to providing high-quality care and support., • Experience working with children or adolescents with emotional, behavioral, or developmental disabilities in a residential, educational, or therapeutic setting. This position is based out of our Yonkers Residential Treatment Center location for adolescents ages 12-21. Position Type/Expected Hours of Work: This position is in a 24/7 program. The AOD shifts are 7am-3pm/ 3-11pm and 11-7am. The PD may be offered any of these shifts as needed for the program. RTC staff may be required to remain on shift if there is no immediate staff relief available, ensuring continuity of care and maintaining a safe, supportive environment for youth at all times. Flexibility in shift scheduling may be necessary to meet staffing needs. Additional Requirements: Professional Practice • Arrive at work on time, respecting other shift workers and programmatic needs., • At all times, model the appropriate dress, speech and behavior for residents. This includes dressing professionally or in designated work uniforms/dress code if prescribed., • Professionally representing the agency when speaking with parents, community members or other stakeholders., • Maintain appropriate professional boundaries with adolescents and staff; Respond to all requests in a professional and courteous manner., • Respect the privacy of all individuals and maintain client confidentiality as prescribed by law and in Agency policies., • Assume the expected role of the treatment team and maintain collaborative relations with members., • Maintain and promote a cooperative, harmonious, teamwork environment within the workplace. Maintain and promote an atmosphere of dignity and respect in line with the philosophy and policies of Rising Ground., • Become knowledgeable of all RTC policies and procedures; modeling, training and actively supervising the use of each., • Attend all mandatory or recommended staff development workshops/trainings. Rising Ground is comprised of unique and valued individuals who together make the organization effective in assisting the children, adults and families who come to us for support. We believe that only when all employees contribute fully as their true selves can Rising Ground's true strength, vision, and values come to fruition. We recognize the ubiquitous social biases and structures that impact and shape the experiences of all people, including our own staff and people supported. Among the many biases present in our society that shape our personal and professional experiences race, gender, sexual orientation, and gender expression are all factors that can present hurdles. As such, Rising Ground is committed to being an anti-racist and inclusive organization that will actively strive to overcome both systemic and interpersonal biases that perpetuate oppression. Equal Employment Opportunity Statement It is the policy of Rising Ground that the Agency wholly complies with equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual’s perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, gender identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment.

Reporting to the Executive Director of Marketing, the Assistant Director of Social Media is responsible for developing, implementing, and managing Manhattan University's social media strategy to enhance brand awareness, engage key audiences, and support institutional goals for enrollment, alumni rel

What The Director Of Social Services Does. Position: Director Of Social Services. A license is required of these Master's Degrees: Social Work (LMSW or LCSW), Mental Health Counseling, Counseling/Guidance, Art Therapy).

This position requires a minimum of two years of experience and offers the flexibility of working primarily remotely with one day on-site per week. Master of Social Work (MSW) from an accredited program. Greenlife Healthcare Staffing is seeking a bilingual in Spanish Licensed Clinical Social Worker

Computer literacy and demonstrated proficiency in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel. Working knowledge of problem solving and decision-making skills. Working knowledge of medical terminology.

As part of a leading workforce solutions provider in healthcare, you will experience personal and professional growth while making a difference in the lives of others. What do we do? Medical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry,

Must have a thorough knowledge of medical, social, and psychological needs of residents. Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Document effectiveness of plan of care.

Exercises good judgment in a variety of situations, documents timely and with clarity and accuracy at all times to ensure regulatory compliance and integrity of work product. Refers patients requiring specialized skills to Physical Therapists, Speech Language Pathologists, Occupational Therapists, a

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based prac

Exercises good judgment in a variety of situations, documents timely and with clarity and accuracy at all times to ensure regulatory compliance and integrity of work product. Refers patients requiring specialized skills to Physical Therapists, Speech Language Pathologists, Occupational Therapists, a

Must have a thorough knowledge of medical, social, and psychological needs of residents. Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must be a graduate of an approved school of nursing.

Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient. Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput. Graduate from an accredited School of Nursing.

Solid computer skills; working knowledge of MS Office. Assures quality of care by adhering to Facility philosophies & standards of care. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills ess

Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient. Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput. Ensures a continuum of quality patient care throughout hospitaliza

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. Assures quality of care by adhering to Fac

Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must have a thorough knowledge of medical, social, and psychological needs of residents. Document effectiveness of plan of care.

Solid computer skills; working knowledge of MS Office. Assures quality of care by adhering to Facility philosophies & standards of care. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills ess

Must have a thorough knowledge of medical, social, and psychological needs of residents. Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must be a graduate of an approved school of nursing.

STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based prac

Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must have a thorough knowledge of medical, social, and psychological needs of residents. Document effectiveness of plan of care.

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. Assures quality of care by adhering to Fac

Must have a thorough knowledge of medical, social, and psychological needs of residents. Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. EXCELLENT BENEFITS ** ELIGIBLE FOR AETNA HEALTH INSURANCE 1ST OF THE M

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. Assures quality of care by adhering to Fac

Working knowledge of digital literacy skills. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Working knowledge of problem solving and decision-making skills.

Exercises good judgment in a variety of situations, documents timely and with clarity and accuracy at all times to ensure regulatory compliance and integrity of work product. This is performed in accordance with physician orders and the plan of care under the direction and supervision of the Clinica

Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must have a thorough knowledge of medical, social, and psychological needs of residents. Monitor and evaluate the flow of activity and delivery of patient care

We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. As a Case Management Nurse, you’ll likely work with specific groups of patients. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients

Must have a thorough knowledge of medical, social, and psychological needs of residents. Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Monitor and evaluate the flow of activity and delivery of patient care

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. Assures quality of care by adhering to Fac

Must have a thorough knowledge of medical, social, and psychological needs of residents. Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Monitor and evaluate the flow of activity and delivery of patient care

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. Assures quality of care by adhering to Fac

Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must have a thorough knowledge of medical, social, and psychological needs of residents. Must be a graduate of an approved school of nursing.

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. Assures quality of care by adhering to Fac

Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must have a thorough knowledge of medical, social, and psychological needs of residents. EXCELLENT BENEFITS ** ELIGIBLE FOR AETNA HEALTH INSURANCE 1ST OF THE M

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. Assures quality of care by adhering to Fac

Registered Nurse, RN prepares resident assignments considering the category of needs of the patient & competency of personnel, monitor/evaluate the flow of activity & delivery of patient care provided (positioning, bathing, etc. Our team of highly skilled physical, occupational, speech, and respirat

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. The role emphasizes teamwork and communica

Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must have a thorough knowledge of medical, social, and psychological needs of residents. EXCELLENT BENEFITS ** ELIGIBLE FOR AETNA HEALTH INSURANCE 1ST OF THE M

Solid computer skills; working knowledge of MS Office. Our center has assumed the leadership role in the provision of comprehensive rehabilitative health care, offering individuals the opportunity to develop skills essential to restoring their independence. Assures quality of care by adhering to Fac

Must have a thorough knowledge of medical, social, and psychological needs of residents. Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must be a graduate of an approved school of nursing.

As part of a leading workforce solutions provider in healthcare, you will experience personal and professional growth while making a difference in the lives of others. Through our family of brands, we also serve a segment of clients outside of the healthcare space. What do we do? Medical Solutions i

Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. Must have a thorough knowledge of medical, social, and psychological needs of residents. Monitor and evaluate the flow of activity and delivery of patient care

Exercises good judgment in a variety of situations, documents timely and with clarity and accuracy at all times to ensure regulatory compliance and integrity of work product. Acceptance of the philosophy and goals of this Agency. By applying with us, you'll work with one of our Recruitment Pros to h

Must have a thorough knowledge of medical, social, and psychological needs of residents. Prepare resident assignments for Certified Nursing Assistants, considering the category of needs of the patient and competency of personnel. EXCELLENT BENEFITS ** ELIGIBLE FOR AETNA HEALTH INSURANCE 1ST OF THE M

Exercises good judgment in a variety of situations, documents timely and with clarity and accuracy at all times to ensure regulatory compliance and integrity of work product. This is performed in accordance with physician orders and the plan of care under the direction and supervision of the Clinica