Hospital to Home | Rehab to Home

Those who receive support from a professional Care Manager after they return home significantly have better medical outcomes, not the least of which is a significant reduction in the likelihood of re-hospitalization. Our Care Managers work with you, your family and the hospital’s discharge planner to ensure your needs are met and appropriate services are arranged upon return to your home.

We provide:

Immediate response and same-day consultation on post-discharge logistics
Care coordination with discharge planners
Healthcare advocacy
Arrangements for home care services and transportation
Facilitation of home health care, follow-up medical appointments, equipment, etc.
Evaluate long-term care needs (if requested)
24-hour on-call assistance included during program