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Participates in discharge planning; development and implementation of discharge plans and patient assessments. Identifies and creates care plans to meet individual patient levels of need to establish a safe discharge. Assist in providing solutions for social and practical environmental problems i...

Data is interpolated from patient/ family assessments, the interdisciplinary care team and medical record to evaluate the patient's inpatient plan of care, progress along clinical pathways and care guidelines and discharge plan. Collaborates with the patient/ family, interdisciplinary care team, ...