Welcome to the Case Management Department at Hackensack Meridian Health/Pascack Valley Medical Center
Welcome to the Case Management Department:
Planning for your discharge actually begins upon your admission to the hospital. This gives the nurse case manager and/or social worker the opportunity to talk to you about what you need when you leave the hospital. They will discuss your options and identify your preferences in order to customize a plan to meet those needs when you leave the hospital.
The Case Management Department’s functions include:
*Serving as a liaison to your insurance company and management care organization.
*Arranging for homecare and initiating appropriate referrals for services you may need.
*Providing crisis intervention and emotional support.
*Coordinating your care with the treatment team and discussing your discharge options, including arranging rehabilitation or long term care.
*Assisting you with any community resources you may need upon discharge to ensure continuity of care.
Your level of interaction with the nurse case manager and/or social worker depends on your unique healthcare requirements and life situation.
Continued Care After Discharge:
Today patients stay in the hospital only during the acute phase of their illness and may need to continue their next phase of care in another facility or at home.
Long term Acute Care (LTAC):
These small hospitals are designed to meet the needs of medically complex patients not yet ready for a rehabilitation setting. The average stay is 30 days and is covered by Medicare and some commercial payers.
Acute Inpatient Rehabilitation:
This kind of rehabilitation provides three to six hours of intensive therapy per day. Patients must be evaluated and accepted based on their ability and willingness to participate in therapies and the potential for improvement. A safe and realistic plan for discharge from rehabilitation must be in place prior to being accepted to the facility.
Sub-Acute or Skilled Care (SNF):
Sub-Acute/Skilled Care is usually a short-term stay in a local skilled nursing facility. The rehabilitation site provides two to three hours of therapy per day. Therapy or nursing needs must be medically necessary.
Home Health Care:
Requirements to receive care in the home include homebound status and skilled care needs. The plan is developed after the initial visit to your home. Skilled nursing, home health aid, physical, occupational and speech therapies can be provided in the home.
Home Health agencies can provide care for terminally ill patients and their families. A 24 hour caregiver is required for this level of care. Hospice care may include skilled nursing services, social work services, spiritual and bereavement counseling and respite care. Referrals for inpatient hospice care are also available.
While certain types of transportation may not be covered under all insurance plans, ambulance, ambulettes and taxi services can be arranged if needed. The Case Management Department will attempt to obtain authorization for transport.
Community Resources and Medical Equipment:
Case managers can arrange for medical equipment such as home oxygen, commodes, nebulizers, walkers, etc.
All services are subject to insurance approval and benefit availability.
The Case Management staff will work closely with you and your treatment team to guide you safely through the health system and transition you to the next level of care. Our services are free and available to all patients.
We can help you by:
*Coordinating and managing care throughout your stay in the hospital.
*Facilitating discharge planning by identifying your needs and collaborating with you, your family and the treatment team.
*Interacting with your insurance company to obtain required authorizations for treatment and discharge.
Case Management Hours of Operation:
Sunday to Saturday: 8:30am-5:00pm.
For more information please call (201) 383-1904 or visit http://www.hackensackUMCPV.com.
Disclaimer: This information is from the Pascack Medical Center and I give them full credit for it. Please be in contact with your hospital medical director when you enter so that the game plan can be created. Please call the above number for more information.