The ONE Health team consists of registered nurses, social workers, a data analyst, and a complex care clinical director, some of whom daily round in the emergency department and inpatient units to connect with patients. Every patient is screened for eligibility for insurance, food benefits, and appropriate housing placement. Collaborating with over 100 community agencies, the team creates comprehensive care plans to address patients’ unmet needs. Ashley Eleby, Supervisor of Complex Care Case Management, is one such remarkable team member. She began her career at Regional One Health in 2019 after 15 years in health care, beginning with lab science and transitioning into nursing in 2013. Her early experiences included working as a discharge nurse, where she managed the discharge planning for up to 25 patients a day. Through this role, Eleby observed a troubling disparity when patients without insurance often lacked adequate discharge plans and resources. This motivated her to seek a role where she could make a more impactful difference. She was struck by how Regional One Health Foundation 19
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