Case Management

Case Management services are provided from the hours of 8:00 am to 4:30 pm.

Hours of operation and/or exceptions are made depending upon patient and family needs.

Case Management at Vista Hospital of Riverside is a process directed at maximizing the coordination of care, services and resources for patients and their families on a case by case basis to ensure continuity of care and facilitate individualized multi-disciplinary treatment goals in settings responsive to specific patient needs with subsequent quality outcomes.

The Case Manager promotes communication and coordination between all members of the health care team, involving the patient and family in the decision-making process in order to minimize fragmentation of the health care delivery system/continuum of care.

The Case Manager educates the patient and all members of the health care delivery team about case management/utilization review, community resources, insurance benefits, cost factors and issues in all related topics so that informed decisions can be made.

Case Management encourages appropriate use of medical facilities and services with a focus on quality of care, performance improvement, and cost effectiveness on a case by case basis.

The case manager is an advocate for the patient as well as the payor, to facilitate a win-win situation for the patient, health care provider and the payor. This team works together creating flexible, cost effective options for catastrophically or chronically ill or injured individuals.