Opportunity Description
Responsibilities and Duties
- To conduct post discharge follow-up (via phone call and/or home visit) to ensure patients and caregivers’ ability to cope with home care by helping to streamline and coordinate the range of community services available
- To be able to assess, analyze, recommend and implement strategies to address patient’s post-discharge care needs
- To help patients and their families to plan for and improve end of life care (for patients with terminal illnesses)
- To network with other partners in ILTC setting to enhance continual support to patients and their families post discharge from community hospitals so as to ensure optimum health outcomes
- Participate in hospital activities that contribute towards improving the quality of patient care e.g. research or innovative projects that enhance patient care
- To be an advocate for patients and their families
- Main point of contact between patients, families a...
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