Responsible for providing support and coordination of care and services across the continuum for patients identified as potential candidates for the Home Care and Hospice programs at UR Medicine Home Care (URMHC). Liaison will be onsite in the Wilmot outpatient clinic and will follow patients from the point of referral through all service delivery routes determined appropriate by the interdisciplinary health care team. Ensures and facilitates a seamless transition, and assists patients and families in navigating the complexities of management of care at end-of-life. Provides patient and family education and identifies potential barriers to a home hospice plan with a goal of avoiding hospitalizations.
|Reports To||Director, Hospice and Palliative Care|