Case Management

Case management is a collaborative process during which a case manager assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual’s health needs through communication and available resources to promote quality, cost-effective outcomes.

A Social Worker collaboratively assesses the needs of the client and the client’s family, and when appropriate, arranges, coordinates, monitors, evaluates, and advocates for a package of multiple services to meet each client’s complex needs. A Social Work Professional can collaboratively address many requisite functions.

Among these are the following:

  • Psychosocial Assessment/Planning/Intervention
  • Case Facilitation
  • Patient and Family Counseling
  • Crisis Intervention
  • Quality of life Improvement
  • Resource Brokering
  • Referral/Development Discharge Planning
  • System Integration

Care Coordination involves the Social Worker assisting in all aspects of support to help determine their service needs.

Our Occupational Therapists work collaboratively with hospital staff, the patient, and their family to ensure a safe transition to your home from the hospital.