Care Coordination
At the beginning of your hospital stay the Care Coordination Department will assist you in collaboration with your physician, primary care nurse, clinical/financial staff, and insurance provider to identify your inpatient and post-hospital needs. Your Care Coordinator will help with the following:
- Daily/as needed reviews with your Commercial/HMO insurance provider regarding the necessity of your admission, length of stay, and utilization of hospital resources (i.e. x-rays, stress tests, consults for services that can be done as an outpatient, etc.) Quality of care concerns are forwarded to the hospital Quality Resource Management Department.
- For Medicare/Medicaid patients - A hospital Physician Advisor will review the above issue, if necessary, to ensure compliance with Federal/State Regulations. Care Coordinators are available at extension 3003 to answer questions regarding hospital insurance coverage, patient’s Medicare/Medicaid rights, and the appeal process.
- Problems regarding housing, food, community case management, financial difficulty, mental health referrals, crisis counseling by a Social Worker, and support group referrals.
- Collaborates with other clinical staff and community providers to arrange appropriate and insurance covered community and home care services such as: Acute and subacute rehabilitation, Nursing Home, Assisted Living, Adult Home, and Family Care Home placement; visiting RN for skilled nursing needs; Home Health Aide for medically related needs; home Physical Therapy; Personal Care Aide (CNA) for baths, meals preparation, "light" housekeeping, transport to appointments and errands; home Respiratory Therapy and equipment; home IV Infusion Therapy; durable medical equipment; Medical Alert systems.
- Makes referrals to subsidized/free community services through a host of social and aged service organizations. Compassionate care means that we will coordinate, collaborate, and communicate with and for you from admission to discharge. We know you deserve the best in quality.
The Care Coordination Department can be contacted at (845) 334-3003.
