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Care Management - BMC
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Care Management

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Our Mission

The Department of Care Management provides exceptional patient care by:

  • Assisting patients and families as they navigate the health care system
  • Facilitate access to the right amount of care at the right time in the appropriate setting
  • Advocate for patients and families
  • Collaborate and coordinate care with the interdisciplinary team
  • Promote optimal health as defined by individuals and the communities we serve

We coordinate care, and provide discharge planning for patients in the
hospital, clinic, and community.  Our nurses, social workers, and other
health care professionals work as a team to provide patients and
families with a range of services including:

  • Advocating for the needs of patients and families in the community
  • Helping patients and families cope with the emotional impact of illness
  • Negotiating with insurance and managed care companies
  • Assist in explanation and completion of Durable Power of Attorney for health care and living wills 

We assess insurance eligibility and assist patients in identifying payment solutions and financial assistance options.  Our goal is to reduce hospitalization and emergency room visits for vulnerable patients by guiding them as they follow the individualized discharge plan.

Nurse Case Management

The RN Care Manager is a registered nurse who coordinates care during and after the hospital stay.  Acting as the liaison, he/she is the primary point of communication for the patient’s care team, as well as a resource for the patient, monitoring their complex medical needs. 

Referrals are made by the RN Care Manager to other care team members including physicians, social workers, interpreters, patient advocates and many others.  She/he is responsible for communicating and coordinating services beyond the acute care setting and working with the patient and family to provide a safe discharge plan.  This may include home care services, procurement of health care equipment, skilled nursing and rehabilitation facilities, therapies and outpatient clinics as well as others. 
We can also assist the patient and family with insurance and managed care companies, negotiating for the right amount of care and services in the appropriate setting.

How We Work With Social Workers

Case Management works closely with the Social Work team by assisting patients and their families in coping with an array of psychological and social concerns that arise throughout their care at BMC.

The role of the acute care social worker is to support the patient and family in coping with the stress accompanying the illness or injury of one of its members and enhance the adaptive capacities of the patient and family to solve its problems and make decision appropriate to the needs of the patient and family unit.

The social worker also acts as liaison between the medical staff and the family unit to provide:

  • Access to Community Resources
  • Adoption or Foster Care
  • Coping with Illness, Treatment and Recovery
  • Financial Stressors
  • Grief, Loss and End of Life Issues
  • Guardianship
  • Health Care Proxy
  • Homelessness, Housing Issues
  • Legal Resources
  • Mental Health / Behavioral Health/ Addiction issues
  • Trauma Support

At BMC, we always want the best possible outcome for you our patient, and your family.  We strive to provide holistic, efficient, patient centered care.

 

Contact Us

Department of Care Management
Boston Medical Center
One Boston Medical Center Place
Boston, MA 02118


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