Offers advance care planning and geriatric care management for all ages groups including elders, the disabled, LGBT (Lesbian, Gay, Bisexual, Transgender) community, young families and individuals recently widowed or divorced. Reviews family and community supports, performs thorough on-site assessment of physical and safety needs making referrals to appropriate network and local agencies. Provides assistance with organization/preparation of documents including Advanced Directive, Health Care Proxies and negotiates with Medicare, Medicaid,insures and health providers. Coordinates home based health services, procurement of assistive devices and technological services. Offers client/family education and advocacy for the elderly and LGBT communities.