RN Care Coordination Services

 

Comprehensive Health Assessments

 

 

• • Initial and ongoing health evaluations to track and address medical needs
  • Medication review and management to ensure safety and effectiveness
  • Fall risk and safety assessments to prevent injuries and improve home safety

 

Personalized Care Planning

 

• • Development of individualized care plans tailored to unique health conditions
  • Collaboration with physicians and specialists for a seamless care experience
  • Regular care plan updates to adapt to changing needs

 

Medication Management

 

• • Safe and organized medication setup
  • Monitoring for potential side effects and interactions
  • Education on medication adherence for better health outcomes

 

Chronic Disease Management

 

• • Specialized care for diabetes, hypertension, COPD, and other chronic conditions
  • Vital sign and symptom monitoring to prevent complications
  • Family and patient education on managing chronic illnesses effectively

 

Post-Hospitalization & Transitional Care

 

• • Comprehensive discharge planning and coordination with hospitals
  • Post-surgical and wound care for optimal recovery
  • Rehabilitation support and therapy coordination

 

Coordination with Healthcare Providers

 

• • Seamless communication with doctors, specialists, and therapists
  • Assistance with medical appointments, follow-ups, and referrals
  • Lab test coordination and monitoring of results

 

Skilled Nursing Services

 

• • Wound care and dressing changes for proper healing
  • Catheter and ostomy care to maintain comfort and hygiene
  • Coordination with additional services as needed for Medicare recipients

 

Patient & Family Education

 

• • Training on disease management and home care techniques
  • Guidance on nutrition and lifestyle changes for better health
  • Caregiver education to enhance at-home support

 

Emergency Preparedness & Crisis Intervention

 

• • 24/7 on-call nurse support for urgent concerns
  • Fall prevention strategies and emergency response planning
  • Coordination with EMS in case of urgent medical needs

 

End-of-Life & Palliative Care Support

 

• • Compassionate comfort care and symptom management
  • Emotional and psychological support for patients and families
  • Collaboration with hospice services when needed

• Experienced & Compassionate RNs – Our nurses are dedicated to providing expert, empathetic care.
• Personalized Approach – We tailor our services to meet your unique healthcare needs.
• Seamless Coordination – We bridge the gap between patients, families, and healthcare providers.
• Available When You Need Us – With 24/7 on-call support, we ensure peace of mind.