Case Management
St. Joseph Hospital offers case management services to every outpatient and inpatient at all our campuses. Our case managers work closely with your physicians, nurses, and other necessary members of your healthcare team (physical therapists, dieticians, and social workers) to ensure that you are efficiently receiving the services that you need to be the healthiest version of yourself.
Our highly trained team of case managers will visit you and your family early in the appointment process or hospitalization. They help develop a plan of care that includes you as the primary decision maker – providing you with a wide variety of options. Our team assists your needs during appointment or hospitalization, as well as after being discharged, ensuring you are receiving proper continuation of care. The main function of our case managers is to act as an advocate for you to your healthcare team, promising that your individual healthcare needs and goals are met.
What differentiates St. Joseph Hospital’s case management team from others, is the assistance that we provide after discharge. We’re available to help you even after you leave an appointment or hospitalization. As a part of our services, a member of our case management team will call you after discharge to confirm that your medical needs were met. It is important to contact our case management team if any of the following situations occur:
- The home healthcare agency did not schedule a follow-up with you
- The healthcare equipment that you were expecting did not arrive as scheduled
- You discover that you need more help than you anticipated
Our case management team works in helping outpatients and inpatients with the following services:
- Acute rehabilitation
- Coordination and referral to early intervention
- Emergency response services
- Home care
- Home IV therapy
- Hospice care
- Information on Federal Medicare coverage and medical benefits – Patients with commercial insurance plans including Medicare replacement may be directed to their individual carriers, as each varies in coverage
- Meals on Wheels
- Medical equipment related to your hospital stay
- Nursing home placement
- Outpatient physical, occupational, and speech therapy
- Oxygen therapy
- Private pay companion services
- Referrals to respite care
- Short term rehabilitation
- Support Groups and additional community resources
- Assistance in transportation to lower levels of care
Continued care services are based on individual medical needs and are subject to approval from insurance carriers.
Social Work
St. Joseph Hospital has a team of social workers that provide coordination of care for both inpatients and outpatients across all our facilities. They function to connect patients with providers and staff members who will assist or provide direction to patient care. Our social workers are experienced healthcare professionals that are trained to help you and your loved ones. From daily challenges to life’s most difficult situations, St. Joseph Hospital’s social work team is here for you.
Frequently Asked Questions
A social worker is an experienced healthcare professional that is highly trained in helping you cope with daily challenges to life’s most difficult situations. All the social workers at St. Joseph Hospital are dedicated to helping patient’s and their loved one’s develop coping strategies and both short-term and long-term treatment plans.
St. Joseph Hospital’s social workers are highly trained and have extensive experience – in order to ensure that the best compassionate care is provided. One of our biggest specialties is finding solutions to problems that you may encounter. Our social workers facilitate assistance with the following services, directing you to the care that you or someone you love may need:
- Abuse, neglect, violence, and additional safety concerns
- Concerns regarding mental health or substance abuse
- Coping with illness, injury, and recovery
- Grief and bereavement
- Job, school, or additional life stressors
- Relationship, parenting, or family concerns
Services offered by our social workers includes, but is not limited to:
- Providing of grief counseling as well as connecting patients and their loved ones to additional resources in their nearby area
- Helping patients during their inpatient stay with referrals to outpatient social workers in our primary care practices who can provide further assistance finding ongoing specialty care and treatment
- Helping patients and their loved one’s cope with impact of illness or sudden injury
- Arranging of discharges requiring special medical equipment or transfers to other local facilities
- Education of medication assistance and other additional government programs
Social work services at St. Joseph Hospital are entirely confidential with limited exceptions which your social worker will discuss with you. Our social workers work as part of your customized team and will only share relevant medical information that is related to your care.
We do not bill for social work or for behavioral health assistance as part of an inpatient hospitalization stay. We recommend contacting your health insurance carrier directly to inquire on further cost information beyond an inpatient hospitalization stay.
Palliative Care
At St. Joseph Hospital, we understand the challenges of advanced illness can be overwhelming. Our Palliative Medicine Services offer compassionate and understanding expertise to treat the physical, spiritual, and emotional symptoms you and your loved one may be experiencing.
Our palliative care team consists of a hospice and palliative medicine board-certified nurse practitioner, a hospice certified registered nurse, social workers, bereavement care specialists, case managers, chaplains and volunteers. Together, we will work with you and your loved ones to enhance your quality of life as you complete or continue with curative treatment.
Perinatal Bereavement
At St. Joseph Hospital, we provide compassionate care to families who experience a death of a baby during pregnancy or infancy and continued support to bereaved families through their reproductive and parenting experience. The death of a baby is among the most devastating losses a family can experience. At St. Joseph Hospital, trained Social Workers and nurses provide support, education, resources, and referrals to aid bereaved families on their journey to healing.
Traumatic Brain Injury
At St. Joseph Hospital, we work closely with the Brain Injury Association of New Hampshire with a goal to create a better future through brain injury prevention, education, advocacy, and support.
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Congratulations to Our Case Management Team!
Congratulations to our Case Management Team who recently won the 2022 Honoring Excellence in Patient Safety & Quality Improvement Award from the New Hampshire Hospital Association!
