Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Responsible for coordinating a patient-centered, interdisciplinary plan of care for patients in the acute inpatient care setting. Work collaboratively with internal and external care providers, facilities and agency partners to ensure a coordinated post-acute discharge or treatment plan is in place so to support a seamless transition of care. Responsible for implementing workflows and processes involved in facilitating discharge care planning activities such as arranging for post-acute facility transfers or in-home support services.