Frequently Asked Questions
What does the Community Care Team do?
The Community Care Team is a group of nurses, social workers, navigators, and a registered dietitian who work alongside your doctors to remove barriers to healthcare. We help patients and families manage chronic conditions, understand their care plan, connect to community resources (like food, transportation, or medication assistance), and follow up after a hospital stay — at no extra cost to you.
Who can the Community Care Team help?
The CCT can help any NGH patient who is managing a chronic condition, recovering from a hospital stay, navigating a new diagnosis, or facing a non-medical challenge that makes it hard to stay healthy. We especially focus on patients who are newly diagnosed with cancer, have two or more chronic conditions, are uninsured or self-pay, or have recently been readmitted to the hospital.
Do I need a referral to see the Community Care Team?
Not always. Your doctor, nurse, or case manager can refer you — and you can also ask to meet with us yourself. Stop by the main lobby at 1818 Albion Street, Monday–Friday, or call 615-341-4447.
Is there a cost to work with the Community Care Team?
No. There is no additional fee for CCT services. Our team is part of your overall care at Nashville General Hospital.
I can't afford my medications. Can the CCT help?
Yes. We work closely with the NGH pharmacy team and the Nashville General Hospital Foundation's Hope Meds and Patient Medicine Fund programs to help eligible patients access medications at reduced or no cost. Call us at 615-341-4447 to start the conversation.
I need help with food, transportation, or utilities. Who should I call?
Start with the Community Care Team. Our navigators and social workers can screen for unmet needs, connect you to the Food Pharmacy at NGH, and help you apply for community programs including SOAR (SSI/SSDI Outreach, Access, and Recovery). Call 615-341-4447 or stop by the main lobby.
How does the CCT work with my other NGH doctors?
We're a part of your care team. We attend interdisciplinary rounds, coordinate with your primary care provider and specialists, and help make sure nothing falls through the cracks between visits. If you're enrolled in our program, we may also call to remind you about upcoming appointments.
I just left the hospital. Will someone follow up with me?
If you were seen on the 5th or 6th floor, a member of our team likely met with you before discharge. We call patients after they leave the hospital to confirm medications, follow-up appointments, and transportation — and to help fix anything that's off before it leads to a readmission.
How do I schedule a diabetes education class?
Our registered dietitian and care team offer one-on-one and group diabetes self-management education. Call 615-341-4447 to ask about the next available session, or speak with your primary care or endocrine provider about a referral. Learn more on our Diabetes & Endocrine page.
What does the Community Care Team do?
The Community Care Team is a group of nurses, social workers, navigators, and a registered dietitian who work alongside your doctors to remove barriers to healthcare. We help patients and families manage chronic conditions, understand their care plan, connect to community resources (like food, transportation, or medication assistance), and follow up after a hospital stay — at no extra cost to you.
Who can the Community Care Team help?
The CCT can help any NGH patient who is managing a chronic condition, recovering from a hospital stay, navigating a new diagnosis, or facing a non-medical challenge that makes it hard to stay healthy. We especially focus on patients who are newly diagnosed with cancer, have two or more chronic conditions, are uninsured or self-pay, or have recently been readmitted to the hospital.
Do I need a referral to see the Community Care Team?
Not always. Your doctor, nurse, or case manager can refer you — and you can also ask to meet with us yourself. Stop by the main lobby at 1818 Albion Street, Monday–Friday, or call 615-341-4447.
Is there a cost to work with the Community Care Team?
No. There is no additional fee for CCT services. Our team is part of your overall care at Nashville General Hospital.
I can't afford my medications. Can the CCT help?
Yes. We work closely with the NGH pharmacy team and the Nashville General Hospital Foundation's Hope Meds and Patient Medicine Fund programs to help eligible patients access medications at reduced or no cost. Call us at 615-341-4447 to start the conversation.
I need help with food, transportation, or utilities. Who should I call?
Start with the Community Care Team. Our navigators and social workers can screen for unmet needs, connect you to the Food Pharmacy at NGH, and help you apply for community programs including SOAR (SSI/SSDI Outreach, Access, and Recovery). Call 615-341-4447 or stop by the main lobby.
How does the CCT work with my other NGH doctors?
We're a part of your care team. We attend interdisciplinary rounds, coordinate with your primary care provider and specialists, and help make sure nothing falls through the cracks between visits. If you're enrolled in our program, we may also call to remind you about upcoming appointments.
I just left the hospital. Will someone follow up with me?
If you were seen on the 5th or 6th floor, a member of our team likely met with you before discharge. We call patients after they leave the hospital to confirm medications, follow-up appointments, and transportation — and to help fix anything that's off before it leads to a readmission.
How do I schedule a diabetes education class?
Our registered dietitian and care team offer one-on-one and group diabetes self-management education. Call 615-341-4447 to ask about the next available session, or speak with your primary care or endocrine provider about a referral. Learn more on our Diabetes & Endocrine page.
