Dartmouth Health
Hartford, VT
51090544
Overview As a Licensed Continuing Care Liaison - LICSW , you will be an integral member of a multi-disciplinary health care team that provides continuity of care in transitioning complex care patients from the acute care setting to home. This role partners with acute care setting interdisciplinary team in identifying patient/family needs and developing the plan of care to successfully transition home and continues to follow the patient, working with home-based care interdisciplinary team to ensure health outcomes are met and patient/family success at home. Responsibilities As an integral member of a multi-disciplinary health care team that provides skilled nursing, rehabilitative care and medical social work to patients, allowing them to receive the medical care required in the comfort of their own home. Accurately document observations, interventions and evaluations pertaining to patient care management and services. Works with discharge planners and...