Care coordination includes assessing healthcare needs, identifying problems and opportunities for improvement, implementing interventions, managing the patient care transition process, assisting patients throughout care episodes, coordinating and facilitating care for patients with complex and chronic conditions, and promoting evidence based healthcare services. This position provides services to support expected program outcomes of reduced admissions/readmissions, reduced emergency department visits, improved medication compliance, reduced gaps in care, improved patient care coordination, and increased patient satisfaction with the health care experience.