Our team of social workers, case managers and nurse care managers are available to all Prisma Health patients with concerns related to hospitalization and post-hospitalization needs.
We will meet with you and your family to develop the best plan for your care after discharge from the hospital. For more information, talk with your caregiver for a referral or call us at one of our locations below:
Our utilization management process ensures your medical chart is reviewed throughout your stay at Prisma Health by staff trained to assure that the level of care you receive is appropriate. Medicare, Medicaid, CHAMPUS, most commercial insurance companies and many employers require review of the treatment given to patients they insure.
In some cases, a patient's chart may be fully reviewed by a representative of a committee of doctors in consultation with the patient's private physician. In cases where the review process determines that the level of care exceeds the patient's needs, patients are notified in writing of this decision and informed of their financial obligations beyond this point. This assures the availability of needed medical resources for other patients and helps control the cost of hospital care.
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July 12, 2019