Provide support and guidance to patients who are completing pre-clinic surveys. Work with a multidisciplinary team of providers to identify and schedule patient visits. Follow-up with patients who have not completed surveys to identify and address potential barriers.Set patient expectations about team-based model and clinic experience. Attend multidisciplinary case conference and team huddles to convey patient's situation and background to the team. As indicated by the patient, attend visit to serve as an advocate and combine treatment recommendations at the end of the visit into a viable care plan. Establish follow-up of care plan based on preferences and choices (e.g. virtual monitoring, virtual touch points, or in-person/phone follow-up). Facilitate patient's journey through the healthcare system (scheduling, referrals, and obtaining medications). Provide reminders for care plan tasks and support behavior modification. Serve as the first point of contact for patients served in the IPUs. When appropriate, refer patients to external services to ensure their needs are fully met. Support and assist providers during patient exams, treatments, or procedures. Maintain and restock supplies and equipment for patient exam and treatment rooms. Support and participate in educational and research initiatives within the clinic. Participate in critical evaluation of patient care to ensure that the program continues to improve and evolve in its care pathways. Perform other related duties as assigned.