Ensures patients receive the right level of care at the right time. Responsible for working with the patient/family and extended healthcare teams to promote a smooth, efficient and customer-focused coordination of care from the time a case is scheduled through the acute care and post-acute care continuum. Enhances the patient experience through effective and efficient patient care coordination using established criteria to determine the appropriateness of pre-and post-acute services. Works with the patient/family, physician, inpatient case managers and other MedStar Health care providers to determine the most applicable post-acute environment(s) facilitating timely and medically appropriate discharge and transfer from the acute care hospital.