Provides education and emotional support to patients in the transplant department and helps guide them through the healthcare system. Serves as a single point of contact for referring physicians, patients and caregivers to provide resources and assistance with accessing supportive care services within BCH and in the community.
Key responsibilities-
Meets with/calls patients and families to review the implementation of care plans. Refers patients to services frequently used in a clinic and specialized services as needed. Explains hospital/community- based resources to patients and families, providing documentation.
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Assesses patients for referrals to resources. Acts as a liaison with internal and community resources. May contact hospital and community resources to ensure access to services.
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May assist patients and families with scheduling multidisciplinary appointments. Reviews appointment schedule and appointment instructions. Coordinates logistics for plan adherence such as appointment reminders and arranging transportation.
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Assists patients with applying for insurance. Provides insurance information to care teams to determine eligibility for services.
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Maintains relationships for accessing community-based resources. Provides outreach and maintains positive working relationships with providers/administrative staff (including physicians, office staff, nurses, and social services staff). Reports outcomes of referrals to referral source.
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Documents patient care and collects required data. Tracks outcomes and supports strategic planning processes. Develops and maintains data.
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Attends and participates in care planning meetings to prepare patients for discharge or continuing care.
Minimum Qualification
Education:-
High School Diploma / GED is required.
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Bachelor’s Degree is preferred. Human Services or other related fields of study preferred.
Experience:-
A minimum of one year of closely-related experience is required.
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Experience with the clinic population or work with community resources is preferred.
