Made up of registered nurses,
social workers, physician advisors and additional
assistants, the care management team assists patient
care teams, financial counselors and insurance providers
with identifying and addressing the needs of patients
throughout their hospital stay as well as any
post-discharge needs.
Our Services
Soon after your admission, the
care management team will begin assisting you with
discharge planning, including identifying a target date
for your discharge. Throughout your stay, team members
will speak with you about goals that must be met before
you leave the hospital.
The care management team also
helps by:
-
Contacting other clinical
staff and community providers to arrange
continuing medical services after the patient
has been discharged from the hospital, including
acute and subacute rehabilitation, assistance
with long-term care (including nursing home
care), home care needs such as home infusion/IV
therapy and home medical equipment
-
Referring patients as
necessary to community resources such as case
management and housing assistance, support
groups, crisis counseling, and mental health
programs
-
Addressing quality of care
concerns such as communication issues and the
coordination of family meetings
-
Regularly reviewing with
your insurance provider information about your
admission, length of stay and medical services
-
Answering questions about
your rights as a patient and the appeal process
for insurance claims