Care Management

The Care Management Department is comprised of social workers and nurses who can assist you throughout the continuum of care. Questions or concerns regarding discharge care plans should be directed to your Care Manager.  For post-discharge questions, please contact Care Management at (315) 787-4180, Monday through Friday 8:00 a.m. - 4:30 p.m. or your primary care physician outside of these hours.

The Care Management team is committed to coordinating safe transitions from the hospital to home, short-term rehabilitation, assisted-living and nursing homes. This profession is familiar with various community agencies and eligibility requirements, and can connect you with appropriate resources for desired community services.  Collaborating with your physician, the care manager will assist in the coordination of services to meet your after hospital needs. 

Areas in which Care Management services are available upon referral/request are as follows:

• Acute Rehabilitation                        
• Crisis Intervention                            
• Dialysis                                              
• Emergency Services      
• Home Care     
• Hospice                  
• Long Term Care Placement
• Medical Equipment
• Mental Health
• Pre-Admissions
• Swing Bed Program
• Transitional Care Program
• Unscheduled Admissions

The Care Management Department offers the following services:

Social Work Evaluation - This evaluation assesses the social, emotional, and environmental factors that may affect one's health.  The assessment is often helpful to the physician in developing an appropriate treatment plan.

Information and Referral - The care manager maintains a working knowledge of community resources available to patients and their families. The department also provides Health Care Proxy forms and education concerning completion.