Our Services

Care Management

Description of Services

Care Management provides a system of health assessment, planning, service procurement, delivery coordination and monitoring to meet the multiple service needs of the child and family across the continuum of care. This is accomplished through the joint efforts of patient care coordinators, clinical social work and support staff. Care coordination activities include, but are not limited to, multidisciplinary patient care conferences, third-party payor interactions, discharge planning facilitation and home care referrals.

Referral Requirements

Physician referral is required. Patients must be medically stable, and the patient and family must understand and participate in the care. The home environment must be conducive and appropriate for home care. Patients must have a comprehensive and well-organized plan of care, as well as a contingency plan for emergencies. Home care is arranged through agencies that provide home infusion, respiratory therapy, durable medical equipment and nursing services.