CONSULTING
CONSULTING SUPPORT SERVICES
Hospital-based Patient Care Coordinator
- Assigned while patient is in-house by meeting criteria
- Works with patient and family during inpatient stay
- Stays with them for 30 days post-discharge
- High touch, face-to-face Whole person management
- Funded by hospital
- Based on comprehensive plan of care Behavior Modification
Care Manager Assistants
- Verify guardianship with court
- Obtain PCP
- Transmit documentation
- Call/fax provider offices
- Make phone calls, fax, scan, etc.
Community-based Care Coordinators
- Follow-up with post-discharge caregivers for patient status
- Very specific/focused type of patient
- High utilization / High-risk patients
- Follows patient into the community
- Very involved with the patient and their care
- Involvement in more than “healthcare” concerns to keep patient out of hospital
- Monitoring of in-home electronic health monitoring