Inpatient Care Management
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Published: October, 2001
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- Discharge planning should begin at the time of admission.
- PBH Care Managers should be informed of all changes in
the patient's progress.
- The PBH Care Manager is a valuable resource in planning
care.
- Any referral for continuing care must be pre-authorized.
- PBH Care Managers should be notified if another physician
is providing weekend or vacation coverage.
- PBH should be notified within 24 hours of any serious
injury or death of a member; PBH must also be notified of
any patient's elopement or discharge against medical advice.
- If a PBH member requires medical-surgical consultation
and/or care, this must be coordinated and authorized by
the primary medical group or medical plan.
- It is expected that the treating facility will be responsible
for establishing an outpatient follow-up appointment for
the patient prior to discharge. A PBH Care Manager can assist
with referral options from the PBH provider network.
 
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