Care Coordination

Personalized Discharge Planning

Discharge planning begins the day that a patient is admitted to the hospital and will continue throughout their stay. Our Care Coordination team is here to assist patients with their discharge planning needs to ensure a smooth transition back home.

Our team consists of care coordinators, social workers and utilization management nurses who work together to find the most appropriate discharge plan for each patient.

Care Coordination staff monitors patient progress, reviews medical records, communicates with insurance companies as required, collaborates with physicians and the interdisciplinary team to assist with arranging post hospital discharge needs.

Our goal is to facilitate a smooth and timely transition from the hospital to home, or if necessary, to another healthcare facility while simultaneously obtaining necessary approvals from the patient payor source. Together, we will work with patients and other interdisciplinary team members to provide timely, personalized discharge planning for every patient.