NaviCare Services
Transitional Care Management
The period after a hospital discharge is critical. NaviCare ensures every patient has the support, follow-up, and resources needed to recover safely at home and avoid readmission.
Our Process
How NaviCare Manages Your Transition
Pre-Discharge Planning
NaviCare coordinates with hospital staff before you leave to ensure a safe, well-prepared transition home.
Medication Reconciliation
We review and reconcile all medications to prevent dangerous interactions or missed doses after discharge.
Follow-Up Scheduling
Appointments with your primary care physician and specialists are scheduled and confirmed before you leave the facility.
Home Visit & Check-Ins
A care coordinator visits or calls within 48–72 hours of discharge to assess your recovery and address any concerns.
Why It Matters
Preventing Readmissions, Protecting Recovery
Hospital readmissions are costly, stressful, and often preventable. NaviCare's transitional care program closes the gap between discharge and full recovery — keeping patients safe and on track.
- Reduced 30-day readmission rates
- Faster, safer recovery at home
- Clear medication instructions
- Timely specialist follow-ups
- Peace of mind for families
"The transition from hospital to home is one of the most vulnerable moments in a patient's care journey. NaviCare is there every step of the way."
Refer a patientReady to Plan a Safe Transition?
Contact NaviCare to get transitional care support in place before or after discharge.
Call (702) 447-0770