Navigating the Skilled Nursing Facility Journey: A Case Manager's Perspective

Podcasts > Navigating Elder Care

Navigating Elder Care

SUBSCRIBE: Spotify RssFeed IHeart Amazon Music

Sunday, November 16, 2025

In this episode of Navigating Eldercare, host Laura Daniels welcomes Naeemah Marquez, a Licensed Master Social Worker and the Vice President of Care Transitions for Ignite Medical Resorts. Naeemah shares her expertise on the intricate world of skilled nursing facilities (SNFs) and post-acute care. They discuss the definition of a SNF, the critical role of a case manager as a "broker of resources" and discharge planner, and what families can expect during the admission, stay, and discharge process. Naeemah offers invaluable advice on setting realistic expectations for recovery, coordinating successful transitions, and the importance of family involvement to prevent readmission. She closes with a powerful story illustrating the profound impact of guidance and advocacy in a family's eldercare journey.

00:02 Welcome and Introduction to Navigating Eldercare
00:20 Host Laura Daniels (Care Advocates Founder) Introduction
00:45 The Mission of Care Advocates
01:42 Introducing Guest Naeemah Marquez and Her Background in Social Work
02:38 Naeemah's Inspiration and Drive in Care Transitions
03:07 Defining a Skilled Nursing Facility (SNF)
03:34 SNFs as a Bridge to Recovery
04:00 The Role of a Case Manager/Discharge Planner in SNF
04:39 A Typical Day for a Case Manager
05:22 Supporting Patients and Families During the Stay
05:54 The Admission Process from the Hospital to Ignite
06:41 Average Rehabilitation Stay Length and Determining Factors
07:10 Most Common Types of Therapy (PT/OT)
07:39 Setting Realistic Goals: The Care Conference Meeting
08:08 Advice for Families to Ensure Successful Recovery Post-Discharge
09:34 Common Challenges: Patient Acceptance of In-Home Caregivers
10:54 Coordinating the Next Steps: Transitioning Home or to Assisted Living
11:51 The Interdisciplinary Team (IDT) Process
12:21 Key Resources and Referrals Post-Discharge (Skilled Home Health, Hospice, Visiting Physicians)
13:49 What Naeemah Wishes Families Understood About Skilled Nursing
14:17 Setting Realistic Expectations: Not a 100% Return to Baseline
15:14 The Patient Journey from Admission to Discharge
16:39 How Ignite Medical Resort is Different (Luxury Rehab and Hospitality)
17:39 A Story That Defines Naeemah's "Why" (Sister of a Patient)
20:50 Laura's Appreciation for Naeemah's Advocacy
21:27 Naeemah's New Role as VP of Care Transitions
21:54 Naeemah's Goal for Her Team: Realizing Their Role as Advocates and Change Makers
22:50 How to Contact Ignite Medical Resorts
23:39 Closing Remarks and Free Consultation Offer from Care Advocates