Transitional Care Case Management
- We are a short term outpatient case management program that promotes continuity of care for our members who have been discharged from the hospital
- We provide outreach to members identified as medium-to-high risk for frequent hospitalization and/or emergency services
- Our team addresses any medical and non-medical barriers that could cause a readmission
- We provide coordination with any appropriate KP or community resources that could benefit our members
- We provide telephonic case management services for approximately 30 days after discharge
- Our staff includes RN Case Managers, Medical Social Workers, and Operations Specialists