The Social Work and Case Management staff consists of social workers and nurse case managers who are knowledgeable on available resources and services to assist patients in transitioning from hospital-level care.
There are several levels of care after hospitalization: home health care services, outpatient rehabilitation services (physical therapy, occupational therapy, and speech therapy), short-term rehabilitation, sub-acute care and skilled nursing facility.
Based on the level of care you may need, either a social worker or a nurse case manager may be the primary person coordinating your discharge plan.
Planning for any needed after-care or services should begin early in your hospital stay to assure that you have a safe and appropriate discharge plan. Also, discharge plans need to be coordinated with your health insurance, as some services may not be covered.
Social workers and nurse case managers are available 7 days a week to answer questions, consult with family members, offer counseling and make community referrals as needed.
For more information on our services, call 203.694.8244.