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Care Management

Does your loved one have a high-risk condition or complex health history? Our Care Management Service helps prevent hospital readmissions, improves patient outcomes, and improves family communication and customer satisfaction.

Care Management with Home Care Partners

Our Care Manager coordinates with your transitional care team, provides communication, interventions, and education. They support a hospital discharge or transition, explain the reasoning for health changes, and educate the client and family on conditions. 


Oversight by a Care Manager reduces hospital readmissions with increased supervision and provides additional support with medication management, nutrition, and follow-up appointments.


Reviewing electronic care notes and client care documentation enables Home Care Partners to provide proactive healthcare when vitals are out of range, medications are not managed, or a decline occurs. This helps to manage the situation and improve both patient care and satisfaction. 

Care Manager Oversight: Increased supervision reduces hospital readmissions and provides additional support with medication management, nutrition, and follow-up appointments, allowing for a safer daily experience.

Dedication: The Care Management Team focuses on you and your loved one, with care management and customer service being our top priorities. 

Coordination: Communicating with others in a client's health care continuum such as other home health providers, therapy teams, hospice teams, primary care doctors, pharmacists, and inpatient and outpatient coordinators result in a clearer, holistic understanding of a client's current health situation and the recommend care plan to improve it.

Utilizing Information: We gather care management information from real-time charting notes and healthcare continuum professionals to provide health condition updates to family members. 


Person Centered Care: You provide the direction of care desired for your loved one and we will build a custom care plan accordingly.

Chronic Condition Management: We care for those with memory loss, heart failure, COPD, and diabetes.

Increased Oversight of Safety Concerns:We assess one's surroundings to incorporate additional safety measures and home modifications before a crisis takes place.

Technology: Electronic charting allows us to see health changes in real-time and react to them immediately, unlike paper charting, which can sit in a binder, be read periodically, and result in delayed reactions. 

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