Examples include: coordinating and conducting tours of identified discharge options for individuals and families; engagement and communication with state and judicial systems, as well as facility or treatment providers; providing information to the local authority to assist in obtaining required documents for discharge planning, including certified birth certificates, ISD records, and social security cards; and coordinating with the receiving facility for individuals transferring within the State Hospital system, to include transportation and the transfer of patient information, personal possessions, medication, etc. Oversees the communication and information exchange between the individual, legally authorized representative (LAR), actively involved persons, and agencies, as needed, and facility or treatment providers to ensure ongoing care, treatment, and support to include maintaining open communication, providing required notification, participating in interdisciplinary team meetings as requested, obtaining necessary consents, and accessing external resources as needed.