In this value-based care model, the LCSW plays a critical role in addressing the psychosocial, emotional, and practical needs of patients and their families, supporting care coordination, goal-aligned decision-making including advance care planning and serious illness conversations, and improved quality of life across the continuum of care. Utilize Tuesday Health's electronic systems, tools, and technology to document clinical assessments, interventions, and care plans, supporting coordinated care delivery and quality measurement in a value-based environment.