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Continuing Care Management
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If you have been in the hospital, you must be safe after you leave. Our case managers will work with you, your family, your doctors, nurses, and the rest of your care team to help create an individualized plan for your post-hospital care.
A case manager is a specially trained nurse who helps you figure out insurance issues while in the hospital and helps you plan for discharge. Some of the things the case manager can help you with are:
Your case manager will work with you and your entire care team to help put together a plan that is unique to you.
You will receive written instructions when you are discharged from the hospital. These instructions will include:
If you have any questions or concerns about caring for yourself after you go home, we encourage you or your family to talk to your case manager.
Most patients can go home after they are in the hospital. Your case manager will give you information about Middlesex Health Care at Home and help you get any equipment or services needed to be safe at home.
Not everyone will go directly home from the hospital. For example, patients who live alone with no support or need a little more recovery time may go to an inpatient rehabilitation facility for a short period of time before returning home. Suppose transfer to a rehabilitation facility is recommended. In that case, the case manager will provide you with a list of facilities that meet your medical needs and are also convenient for you and your family.
Middlesex Care at Home provides advanced, technology-driven medical care in the place most comfortable to you – home. Our home care professionals are dedicated to offering the right mix of support, personalized care & independence that you or your loved one needs.