As an advocate for your patients' needs, you will coordinate communities of support for patients and their families, identify social agencies and other resources (e.g., financial/funding), provide information and referrals, coordinate transient arrangements, and represent your patient as needed with appropriate local, state, and federal agencies. This job will have the following responsibilities: You will be part of an interdisciplinary team working to ensure patients receive the best care, including conducting all required patient assessment and care planning activities.