Boston Medical Center is committed to patient care and dedicated to the health and wellbeing of all our patients. Care managers help you navigate the complex healthcare system, and coordinate care throughout your care journey. This team-based approach to your healthcare helps you achieve the best possible outcomes with the highest quality care.
Our team helps respond to your medical management, social, and psychological needs. We can help you get the right care when you leave the hospital, refer you and your family to community resources, and help you navigate the healthcare system, including health insurance.
In short, we focus on prevention so that you can manage your illness and stay out of the hospital in the future.
We offer many services at Boston Medical Center, including:
- Social services
- Discharge planning
- Insurance assistance
- Connections to outside agencies, including homecare, community services, and ancillary services
- Addiction services
- Food pantry
- Pharmacy services
- Patient advocacy
- Pet therapy
- Chaplain services
- Behavioral health services
Our Team
The care management team includes nurses and social workers with the following roles:
- Discharge planning nurses see every inpatient in the hospital and helps guide their stay. They make sure patients are getting the appropriate level of care at BMC and are discharged to the most appropriate and safest place possible. You and your family will be involved in all care planning decisions.
- Utilization management nurses make sure that the hospital is the best place to care for each patient. They also make sure that the patient's insurance knows that they are hospitalized and are aware of the care the patient gets at BMC.
- The clinical appeals team reviews and responds to insurance denials. They figure out why coverage was denied and work to appeal (reverse) the decision.
- The social work team helps patients connect with community services and organizations, to get the holistic care they need. This may include food pantries, behavioral health services, housing assistance, and more. Social workers only see patients who have these types of needs.
Patient Responsibilities and Rights
Patients have the right to receive information about their care and must provide consent before medical information can be shared. While care managers are dedicated to assisting patients, patients are ultimately responsible for their own care and may refuse services when necessary.