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    Senior Housing Placement
    Accountable Care
    Care Managers provide placement into screened Senior Housing Communities commited
    to The Triple Aim: Improve client health, reduce cost, and improve client experience.
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    We offer
    Care Coordination
    With primary care physicians, specialists, behavior health,
    pharmacy and other community agencies.
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    Our new program
    High-Intensity Care Management for patients currently
    in the hospital or a skilled nursing facility who need
    placement into a senior housing community.


Transitional Assessment

Nurse or social work Care Manager identifies transition of care and senior housing needs

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Client-Centric Plan Of Care

Personal care plan that considers medical, social, mental and financial factors

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Care coordination

With the senior housing community, behavior health, home care and other community agencies

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Care Managers provide care coordination to:

  • Improve transitions of care outcomes

    Match clients with senior housing communities based on their needs
  • Reduce re-admissions

    Decrease hospital readmissions and misuse of the emergency room
  • Enhance client experience

    Assist clients in navigating the maze of senior housing options
  • Reduce costs

    Provide lower cost housing alternatives to long-term nursing home placement
  • Accountable care

    Commitment to person-centered accountable care by all senior housing communities
  • Quality improvement

    We provide quality improvement support to senior housing communities

What our partners say

A truly innovative company in the current healthcare system, addressing a need that has been present for many years.

- Daren T. , Hospital Discharge Planner

Client Testimonials

  I was impressed by the expertise of the nurse care manager at Innovative Care Transitions. I would definitely recommend anyone looking for senior living options for their loved one to consider working with this company.

- Linda P. , Legal Guardian