Matching patient's medical needs with appropriate services.  Acting as a liaison between patients, legal guardians, social workers, family members, and healthcare providers. Working closely with clients, family members, and healthcare providers to identify and implement the best solutions to ensure the best possible delivery of professional care at home, in clinics, hospitals, nursing homes, and other settings where healthcare may be adequately delivered.  This also includes, but is not limited to: Monitoring patient's care through regular visits to inventory quality of life, and ensure continuity of person-centered and quality of care, support, and services. Coordinating the application for and delivery of care, needed services, and resources, not limited to entitlement programs. Reviewing care plans and medical records. Addressing medical care needs and health care coverage conflict. Advocating, as needed, for care, support, and services.