Specially-trained patient care coordinators and social workers to work closely with the patient, family, physician and health care team to determine the post-hospital care that best meets the needs of the patients.
The Care Management team helps facilitate communication and care, as well as coordinates resources. Patient Care Coordinators assist with discharge plans and provide clinical updates to insurance companies. They continually review a patient's stay to ensure that he or she is discharged to the appropriate setting at the appropriate time.
Social Workers help educate the patients and families about resources available to a patient after he or she leaves the hospital. They can also assist with arrangements for home services, such as Home Health Care, Meals-on-Wheels, and Medical Equipment. In addition, our licensed social workers help arrange for nursing home placement and educates families about the options of skilled nursing facilities, educate patients and families about Advanced Directives (Living Wills, Durable Power of Attorney for Health Care).
For more information about Care Management Services, please call 618/465-4522.