Job DescriptionAssesses assigned patients and integrates psychosocial assessment within the multidisciplinary team. Works collaboratively with the multi-disciplinary team to determine potential and actual risks to recovery and formulates plan to determine appropriate level of care upon disposition from the acute care setting.Accountable for developing and coordinating the implementation of Discharge Plan A and alternative Plan B, including documentation in the medical recordMultidisciplinary collaboration with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate settingFacili