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Discharge Planning

Kennedy coordinates your discharge plan to ensure the best possible outcome.

Every Kennedy patient is assigned both a case manager and a social worker, although not all patients require the services of either--or both. These professionals help facilitate your care while in the hospital as well as coordinate your discharge plan to achieve the best possible outcome.

Discharge planning is the assessment and reassessment of a patient’s medical, social and emotional needs. The process may necessitate ongoing treatment/services as the patient moves through the healthcare continuum (for example, from acute care to after care to home care.)

You may always ask your nurse for your case manager or social workers; or call the main office at 856-346-7850.

Your case manager will coordinate your health insurance benefits and obtain approval for both your hospital stay and any needs you may have after your hospital discharge. Your case manager always works on your behalf within your insurance’s guidelines. If you have no insurance a social worker will see you. Please let us know right away.

Please remember: Your physician decides when you should leave.

Your case manager helps arrange care that you may require after discharge to home by making referrals to home care coordinators. The home care coordinator will also help with any equipment you may need. To receive home care you must be home bound, (cannot leave the house), require skilled nursing, and have home care ordered by your doctor. Home care visits are generally 1-3 per week.

Rehabilitation (short-term)

When qualified, (meaning, meeting certain insurance standards that include a continuing medical need that only a nurse can provide, and what your insurance will allow); your social worker will work to help move you to rehabilitation after your hospital stay.

Long-Term Care (nursing home placement)

Your social worker can guide you in arranging long-term placement in a nursing home.

Assisted Living

Your social worker can give you a list of available facilities. (These are generally NOT covered by insurance) This list is also included in the patient guide you received at admission.

Community Resources

Your social worker may recommend some community resources to meet your needs.

Please remember that your case manager and social worker will try to make the best possible recommendations when you are discharged; however, we must work within your doctor’s orders and services provided by your insurance.

We are here to serve you!