Transition Support That Extends Beyond Discharge
Case managers in UVA Health’s Population Health Department provide critical support to patients after discharge from the Medical Center. Assigned to patients upon discharge from the ED, ambulatory clinic, inpatient stay, or for continuity of care, our case managers work closely with state, regional, and local partners to connect individuals to essential community resources.
A smooth recovery begins with education. Our team ensures patients understand their diagnosis, medications, and care plan, and are connected to a primary care provider (PCP) and follow-up services. By addressing care gaps, reinforcing support systems, and promoting self-management, we help reduce avoidable emergency visits and readmissions—ultimately improving long-term health outcomes and quality of life.
"I am a Population Health Case Manager. At the heart of my work is relationships and my innate desire to help people improve their health and well-being. I serve to your benefit and won’t rest until you have what you need. I address challenges, provide resources, educate, and help patients move forward. I seek to inspire change and teach self-efficacy. Unconditional positive regard drives my interactions, and I value and appreciate every person I encounter. Case management is my skill but caring and making sure your needs are met to the best of my ability, is my profession."
