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Care Management for Discharge Planners

Care Management for Discharge Planners

Together we can provide safe transitions and reduce readmissions


Our Professional Care Managers team up with discharge planners and social workers in hospitals and skilled nursing facilities to ensure smooth transitions and prevent re-hospitalization. Patients who have complex diseases, special needs, and cognitive impairments usually need more assistance when it is time to transition to lower level of care. Our care managers assist in preventing patients from waiting longer than necessary to transition through the healthcare system and ensures that patients are safely cared for during the next leg of their journey.


Care Management Services Beneficial to Discharge Planners and Social Workers

  • Attend Follow-Up Appointment with PCP
  • Communicate with Home Health Services
  • Provider Referrals to Private-Duty Care
  • Support Patient Compliance in the Home
  • Maintain Communication with Medical Team
  • Provide Education Reinforcement
  • Medication Management
  • Monitor Symptoms
  • Liaison between multiple doctors and healthcare professionals on care team



Every day, we hear from happy clients who tell us they're glad they trusted Fedelta with this important decision. We invite you to see what they have to say.

Only the Best Care from the Puget Sound's Top Caregivers

 Our in-depth caregiver screening and testing process goes far beyond Washington State's legal requirements.

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Locally Owned & Operated

Learn more about Fedelta Home Care's flexible, personalized in-home care and care management services throughout Seattle, Tacoma, Bellevue, Everett, and the surrounding areas. 

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Care News & Resources

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Posted June 27, 2018
in Elderly Care

Helping an Elderly Family Member Stay Motivated During a Long-Term Illness

When dealing with chronic illness, many seniors lose their sense of motivation. Here's how you can help your loved ones thrive during difficult moments.

How to Protect Seniors from Scams

Posted September 19, 2018
in Care Management

How to Protect Seniors from Scams

Are you and your loved ones at risk from scams? Here are some simple ways that the elderly can protect themselves from common forms of fraud.

How to Afford Senior Living Homes

Posted September 04, 2015
in Senior Housing Placement

How to Afford Senior Living Homes

Few people have planned for senior living care at such a step price, and that is due to lack of knowledge of costs associated with care. This doesn't mean that you can't afford suitable...

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