Mission and Goals
Our mission is to assure that each patient receives timely, effective,
efficient care, at the appropriate level and with appropriate resources,
and to provide psychosocial assessment and intervention for patients and
families with social, psychological and/or environmental needs. These needs
may be related to future or current admission, diagnosis, medical treatment
We intend to do everything possible to make sure that you receive the right
care in the right place at the right time. This includes assessing your
needs for prior to be being discharged from the hospital. Integrated Care
Management works along with your physician, the healthcare team and your
insurance company to make sure you receive the right care once you leave
Preparing For Discharge
At the beginning of your hospital stay, the Integrated Care Management
Department will assist you, along with your physician, primary care nurse,
clinical/financial staff, and insurance provider to identify your inpatient
and post-hospital needs.
Your Integrated Care Management team member will help you with the
Daily (or as needed) reviews with your commercial/HMO insurance
provider regarding your admission, length of stay and use of hospital
resources (such as X-rays, stress tests and consults for services that
can be done as an outpatient).
Quality of care concerns (these are forwarded to the hospital’s Quality
Improvement Department). Note for Medicare/Medicaid patients: A
hospital physician advisor will review any quality issues you may have
to ensure compliance with federal and state regulations.
Questions regarding your Medicare/Medicaid rights and the appeal
process. Integrated Care Management is available at extension 1550 to
answer these questions for you or your family members.
When appropriate the Integrated Care Management team member may provide
referral information for community resources regarding community case
management, housing, support groups, crisis counseling, and mental
Contacting other clinical staff and community providers to arrange
appropriate and community and home care services such as:
Acute and sub-acute rehabilitation
Nursing home care
Visiting nurses for skilled nursing needs
Home health aides for medical needs
Home physical therapy
Home respiratory therapy and equipment
Home IV infusion therapy
Durable medical equipment
Medical alert systems.
Staffing & Hours of Operation
Integrated Care Management Services at St Joseph Medical Center are
provided by registered nurses (RN) and social workers and other
Most inpatient units are assigned one or two staff members, who may be
an RN or a social worker. Integrated Care Management Services are
Monday – Friday: 7:30 a.m. - 4:30 p.m.
Saturday: 8 a.m. - 4:30 p.m.
Sunday 9 a.m. - 5:30 p.m.
In the Harry and Jeanette Weinberg Emergency Department
An access care manager is available in the Harry and Jeanette Weinberg
Emergency Department from 7 a.m. to 10:00 p.m. daily.
Integrated Care Management support staff arranges patient
transportation, coordinate clerical and data entry functions in support
of the clinical review and denial processes, maintain various
databases, and provide administrative clerical support.
Agencies that may be helpful in providing further information about your
care and benefits
Centers for Medicare and Medicaid
Medicare Service Center: 800-MEDICARE (800-633-4227)
Medicare Service Center TTY: 877-486-2048
Report Medicare Fraud & Abuse: 800-HHS-TIPS (1-800-447-8477)
Social Security, Disability Issues, or Supplemental Security Income
Social Security: 800-772-1213
Maryland Medicaid and other Medical Care Programs: