Case Managers are professionals in the hospital setting who ensure that patients are admitted and transitioned to the appropriate level of care, have an effective plan of care and are receiving prescribed treatment, and have an advocate for services and plans needed during and after their stay. Case Managers concurrently plan for transitions of care, discharge and often post discharge follow up. Case Managers often coordinate/communicate with the patient and family, physician(s), funding sources (i.e. insurance, Medicare), and community resources that provide services the patient may need, such as rehabilitation facilities or providers of medical equipment. Through this coordination, hospital case managers’ goals are to ensure both optimal patient and hospital outcomes including quality of care, efficient resource utilization and reimbursement for services. Hospital Case Management is a collaborative practice, consisting primarily of Nurse and discharge planners working in collaboration with physicians and other members of the healthcare team.
Our Case Management team focuses on delivering personalized services to patients to improve their care and involves the following: