Care Coordination
Our Care Coordination services ensure all aspects of your care are aligned and working together. We serve as a bridge between you, your physicians, specialists, and caregivers to reduce confusion, prevent gaps in service, and improve health outcomes.
What Does Care Coordination Involve?
- Managing communication across your entire care team
- Helping with medication reconciliation and scheduling
- Coordinating lab tests, imaging, and physician follow-ups
- Ensuring safe transitions from hospital to home
- Educating families and caregivers on patient needs
Who Benefits from Care Coordination?
- Patients with multiple chronic conditions or medications
- Individuals seeing several providers or specialists
- Those recovering from surgery or hospitalization
- People needing help navigating healthcare resources
Frequently Asked Questions
Is care coordination a separate service from nursing?
While our nurses may assist with some coordination tasks, dedicated care coordinators oversee the big picture of your care plan and healthcare navigation.
Does my doctor have to refer me for care coordination?
Yes, this service typically starts with a physician's order and is included as part of a home health episode of care.
Is this service covered by Medicare or insurance?
Yes. Care coordination is covered under most Medicare-certified home health plans when deemed medically necessary.
Services Provided
Nursing Care
Professional skilled nursing to manage complex medical needs in the comfort of home.
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Care Coordination
We collaborate across providers to ensure seamless, timely care for each patient.
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Occupational Therapy
Helping patients regain independence in daily activities like dressing, cooking, and bathing.
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Speech Therapy
Treatment for communication, swallowing, and speech impairments following injury or illness.
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Physical Therapy
Restoring strength, balance, and mobility through guided exercises and care plans.
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Home Health Aide
Support with personal care like bathing, grooming, and daily living activities at home.
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