A case manager works closely with senior patients in the hospital to assess their needs, develop and facilitate a plan of care based on the assessment, and advocate for the patient.
Sometimes a case manager is also referred to as a discharge planner.
Typically, a case manager is a licensed nurse or medical social worker whose job is to develop a plan to transition the patient from one level of care to another. These transitions may be within the hospital setting or outside the hospital — to home care, rehab, a nursing home or an assisted living facility, for example.
It’s important to communicate openly and honestly with your case manager so that he or she can develop the best possible plan of care for you.
As hospitals attempt to provide patient-centered care and prevent readmissions, a team-based approach is at work to ensure patients receive the highest level of care possible. Since we provide allied legal services we can also be part of that team!
Understanding how each team member contributes to your care may result in a better hospital outcome for you and a smooth discharge.
