Care Management
The Care Management Department provides a wide range of supportive health and social services to help address the emotional stress and uncertainty resulting from your illness or hospitalization. Services provided by a social worker and/or registered nurses are directed toward the emotional, social and continuing care needs of you and your family.
Continuity of Care
- Evaluating possible continuing care needs
- Facilitating the patient's transition from hospital to home, extended care facility, rehabilitation center, or another hospital.
- Evaluating needs and making referral to community resources such as Home Health, Meals on Wheels, community action including "Lifeline", a home emergency response system, for people concerned about getting to a telephone in an emergency.
- Arranging for home medical equipment and home infusion therapy, including walkers, wheelchairs, oxygen, intravenous antibiotics, and nutrition, etc.
Counseling
- Brief individual, family or group therapy to help cope with adjustments to illness, injury, loss or changes in life style.
Resource Assistance and Advocacy
- Information about and referral to community resources for such concerns as lodging, transportation, legal aid, Living Wills/Durable Power of Attorney, etc.
Financial Assistance
- Provide information about access to financial resources such as public assistance/welfare, social security, Medicaid, Medicare, etc.