Case Management and Social Work
Across Ellis Medicines three campuses, Case Management
professionals are helping to coordinate the care of patients and
serving as the interface between one health care setting and
another (e.g., from the hospital to a nursing home).
The goal of our Case Managers, who are registered nurses, is
to ensure the highest quality and best coordination possible
across the continuum of care.
At Ellis Medicine, our Case Managers are an invaluable
resource for patients. They provide patient education, promote
disease management and wellness/prevention services, and serve
as a bridge to connect patients to the services they need in the
community - whether it is health care related or another social
need such as education, housing, food, clothing or financial
assistance services.
In the hospital, Case Managers work with a multi-disciplinary
team of health care providers to create a plan of care that a
patient follows after being discharged from the hospital.
Case Mangers will visit with you and your family and assist
in planning and coordination of post hospital services.
This may include:
- Delivery of Medical Equipment
- Coordination of Home Care or Hospice
- Transfer to a rehabilitation center, skilled nursing
facility, or assisted living facility.
Social Workers have a master's degree in social work.
Their role in the hospital is to assist with:
- Short term therapeutic, supportive and referral services
- Address the social, emotional, crisis, advocacy, and
discharge needs of our patients.
- Assist with Advanced Directives
- Assist with financial issues related to discharge
planning
- Individual and family counseling around hospital and
discharge issues
Personal Health Record
To help you better manage your health and medications, print
and complete a
Personal Health Record.
Contact Us
If you have questions about the Case Management and Social
Work services at Ellis Medicine, please call
518.243.4101 or visit the office on the fourth floor,
B-wing of Ellis Hospital Monday - Friday, 8 a.m. to 4:30 p.m.