The Mercy Hospital Care Management Department provides comprehensive, patient-centered services that support the clinical, psychosocial, and transition-of-care needs of hospitalized patients and their families. Through an interdisciplinary approach that includes nurse case managers and social workers, the department facilitates safe, timely, and effective care transitions across the healthcare continuum. Care Management staff assess patients throughout hospitalization to identify medical, psychosocial, functional, financial, and environmental factors that may affect treatment, recovery, or discharge. In collaboration with patients, families, providers, and community partners, the team develops individualized care transition plans that align with patient goals, treatment preferences, available support systems, and post-acute care needs. Services include discharge planning, care coordination, psychosocial assessment, patient and family education, advocacy, resource referral, and facilitation of post-acute services such as home health, rehabilitation, skilled nursing, hospice, and community-based support. The department also assists with addressing social determinants of health, including financial, insurance, housing, and transportation needs. The goal of the Care Management Department is to promote quality outcomes, patient safety, effective resource utilization, and successful transitions of care while reducing barriers to discharge and preventable readmission.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree