Conducts comprehensive biopsychosocial assessments that are thorough, individualized, objective and complete. Provides intervention appropriate to the presenting problem. Utilizes key case management components including assessment, care planning, coordination of care, monitoring, follow-up, reassessment and documentation as applicable per health care setting. Evaluates emotional components, impact of health issues and assists patient to identify strengths, dysfunctional factors and to establish detailed and coordinated care plans, discharge/transition of care plans. Provides care coordination throughout the continuum of care and/or hospitalization from case referral to case closure. Utilize/delegate activities to other care team members as appropriate, for more administrative or time intensive tasks. (35%)