The Transitional Liaison acts as a consultant for patients and families to ensure all patients receive the appropriate information and counseling they may need to advance their care plan.
My commitment will include:
- Receiving, interpreting and managing patient needs with the intent of assessing for appropriate care.
- Providing consultation on appropriate care services and/or specialty programs.
- Acting as a liaison with home health care clinical supervisors, physicians, and team members on behalf of patient/families when palliative care may be needed.
- Obtaining data on physical, psychological, social and other factors that may influence patient/family health status and sharing with clinical team.