This job functions as the liaison and communicator with the patient, caregivers, healthcare providers, and multi-disciplinary team members, as well as post-acute care and third party payers. Discusses alternative care options with patient/caregivers as well as the multi-disciplinary team and assists with discharge planning needs. Facilitates movement along the healthcare continuum to ensure quality, cost effective outcomes are achieved in collaboration with the multi-disciplinary team. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.