Consistent with CMS Conditions of Participation for Transplant Programs, social work services are provided throughout all phases of transplant care, including pre-transplant evaluation, waitlist management, inpatient hospitalization, transplantation, discharge planning, post-transplant follow-up, and long-term outpatient care. Addresses social determinants of health and assists with connecting patients to needed resources in the community such as chemical dependency treatment, domestic violence resources, housing stabilization services, mental health services, food shelves, transportation, financial assistance etc.