The Many Roles of Care Coordination at MBSH

by Christopher Jeffrey, Social Services Manager

  • 12 October 2020
  • Author: David Hartwick
  • Number of views: 62
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The Many Roles of Care Coordination at MBSH

Missouri Baptist Sullivan Hospital Care Coordination department is comprised of two Registered Nurse case managers and two Social Workers. The focus of this department is case management. So, what is case management? Case management can best be defined as the proactive steps taken to help ensure a patient remains successful in managing his/her own healthcare in the community. These proactive steps may include assisting patients in obtaining needed durable medical equipment, referrals to higher levels of care such as assisted living, or establishing follow-up appointments after discharge from the hospital.

Why are there two case managers and two social workers? Our case management team’s focus shares two primary objectives, utilization review and generalized needs after discharge from the hospital. Utilization review can best be defined as the process of reviewing a patient’s admission case from start to finish, focusing on orders for lab work, procedures, and imaging. The purpose of this review is to help ensure that the ordered services are appropriately covered by insurance to help reduce the financial burden by both the patient and the hospital. Case management’s second primary objective is to assist patients with generalized common needs after discharge from the hospital. These needs may include establishing care with a primary care physician, obtaining a cane or wheeled walker, or scheduling an appointment with a specialist after discharge from the hospital.

Our Social Work team in the hospital focuses on more complex, complicated discharge planning and healthcare management in the community. Our social workers have extensive knowledge of community resources and have built rapport and trust with these resources to better assist our patients. The more complex discharge planning may include assisting patients with homelessness, abuse/neglect safety concerns, long-term care planning such as skilled nursing facility placement, psychiatry follow-up, and uninsured or under-insured needs assistance. Navigating these unique issues can seem impossible; but our social workers can make it possible.

Managing your healthcare can seem overwhelmingly complicated. We will make it less complicated for you at Missouri Baptist Sullivan Hospital.

Pictured are MBSH Social Workers from the left: Christopher Jeffrey and Brittany Breen

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