Care Management

The Department of Care Management at Blythedale Children’s Hospital coordinates admissions, care transitions, and discharge planning for children referred to our inpatient hospital for acute rehabilitation, or to the Steven and Alexandra Cohen Pediatric Long Term Care Pavilion for skilled nursing care. Our goal is to provide a seamless, supportive experience for patients, families, and referring providers from the earliest stages of referral through discharge.

Our care management model brings together admissions and discharge planning into one coordinated department led by experienced nurse care managers and clinical leadership. Each child is paired with a dedicated care manager and clinical team who work closely with referring hospitals, physicians, social workers, and insurance providers to support continuity of care throughout the child’s stay.

This integrated approach strengthens communication, enhances coordination across the continuum of care, and helps ensure that every child and family feels supported at every step of their journey at Blythedale.

The Department of Care Management manages referrals and admissions for acute inpatient rehabilitation at Blythedale Children's Hospital and skilled nursing care at the Steven and Alexandra Cohen Pediatric Long Term Care Pavilion. Our team partners closely with referring hospitals and families to coordinate timely, efficient, and compassionate transitions of care.

Using electronic referral platforms such as WellSky/CarePort, our team can securely receive referrals, review clinical information, provide status updates, and communicate directly with referring providers throughout the admissions process. Our nurse care managers collaborate with clinical leadership to assess referral appropriateness, evaluate patient needs, and coordinate care planning prior to admission.

Our services include:

• Coordination of referrals and admissions
• Review of clinical information and patient needs
• Collaboration with referring hospitals and physicians
• Insurance verification and authorization coordination
• Care transition and discharge planning support
• Ongoing communication with patients, families, and care teams

By integrating care management from pre-admission through discharge, we are able to provide greater continuity, improve communication, and enhance the overall patient and family experience.