A skilled, licensed Medical Social Worker works with patients and their caregivers to prepare a plan of care which identifies the actions or services necessary to allow the patient to be cared for safely at home.  This is accomplished through:

• Identifying appropriate community resources
• Short term planning (what is needed immediately for the patient to be cared for appropriately?)
• Long term planning (what are future needs; what are the things we should be thinking about?)
• Psycho-social support for:
• Patients dealing with an acute, chronic or terminal illness
• Assisting caregivers to identify resources that may be helpful in caring for patients with significant cognitive and/or physical limitations and needs

Financial planning/assessing eligibility for state or federally funded, community based services.