Performs initial and ongoing assessment of patient and family. Completes initial assessment tool. Documents ongoing assessment per unit/TriHealth guidelines. Communicates assessment findings to other health care providers as appropriate. Includes health counseling and health teaching needs in assessment. Plans care for patient and family based on assessment, standards of

Job Overview Assess the psychosocial needs of the patient and family to develop, communicate, and implement an effective and comprehensive plan for psychosocial interventions and complex discharges, included but not limited to readmissions in the high risk population. Is a resource regarding social systems, institutions, and behavioral and relationship patterns. Can skill