Job Duties Coordinates safe and timely discharge by arranging all necessary post-acute services including home health, DME, transportation, infusion services, and community-based resources in collaboration with the inpatient care manager RN, MSW, Social Services Coordinator, or Social worker BSW. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.