Advocates, educates and coaches clients, the family and/or caregiver about treatment options, community resources, psycho-social concerns in order to set goals and help the client develop self-care skills and independence appropriate to their age and developmental level. Performs a care continuum process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to support the individual's health needs utilizing skilled communication, education, and resources to promote quality, cost-effective outcomes.