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Transitional Care Management Services

Transition from facility to home in the safest way possible

Get started with transitional care management

Here to look out for you during a vulnerable time.

For the 30 days following discharge from a hospital or facility, it is crucial that care be meticulously managed. Quality transitional care can reduce potentially preventable readmissions and medical errors – facilitating a safer and smoother adjustment.

Beneficial for patients recently discharged from:

  • Inpatient Acute Care Hospital
  • Long-Term Care Hospital
  • Inpatient Rehabilitation Facility
  • Inpatient Psychiatric Hospital
  • Skilled Nursing Facility
  • Hospital outpatient observation

Stay in touch with your health

Get started with transitional care management

A safer transition in four easy steps.

01

Reach out to get started

Contact Us for a health assessment – we’ll determine eligibility for chronic care management and which services would best meet your needs.

02

Visit us virtually

You’ll have a video call with the chronic care management team overseeing your care.

03

Create a personalized plan

Together, we’ll create a custom care management plan that fits with your lifestyle.

04

Stay connected

We’ll continue to monitor your progress and make sure your health is on track with targeted interventions, comprehensive reports, and timely reminders.

Get started with transitional care management



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