Home Visits by Care Managers 

Multi-Disciplinary Health Care Consultants for assessments of high-risk patients/residents

Facilitation of admission to SNF if appropriate

Technology platform and client portal for access to patient reports in real time

Customer Satisfaction Surveys (SNF only)

Confirmation of Ordered Discharge Services

Supporting the Patient by Disseminating Discharge Instructions

Facilitate Patient's Admission to Skilled Nursing Facility when Appropriate to Avoid Hospital Readmission

Follow Patient Progress within SNF through 30-Day Window​

Health Care Consultants to Support and Educate High-Risk Patients​

Collaboration with the Patient's Post-Acute Providers to ensure they are receiving all needed care for successful outcomes