Services

The Case Management Department has the responsibility and accountability for coordinating care from admission to discharge and post-hospital care.

Our services include:

• Provision of information relating to insurance coverage to patient/families and members of the health team
• Clinical screening on admissions for medical necessity
• Utilization of the nursing process: assessment, planning, intervention, and evaluation
• Screening of all patients under the age of 21 for eligible California Children Services (CCS) conditions, and referral to CCS when indicated.
• Discharge planning including: complex patient placements, linking to home health, supplies, equipment, and education.  (refer to policy CH-M-20 and procedure CH-M-20.A for details)
• Patient care rounds and chart review for clinical information on patient progress
• Collaboration with the multidisciplinary team
• Collaboration with admitting physicians
• Collaboration with third party payers
• Retrospective case review
• Complex care review for concurrent utilization and financial reimbursement