Working closely with physicians, nurses, social workers, and other interdisciplinary partners, you'll help identify barriers to discharge, connect patients with appropriate resources, and promote continuity of care across acute, post-acute, and community settings. Candidates should possess knowledge of healthcare reimbursement models, medical necessity criteria, patient flow, social determinants of health, and applicable regulatory requirements, including CMS Conditions of Participation, Medicare Beneficiary Notices, patient rights, and HIPAA.