We take care of family

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.

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. 

Learn more about Fedelta >

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.

Our Caregivers & Hiring Process >

Care News & Resources

3 Tips to Help Your Aging Loved One Cope With Alzheimer's

Posted December 18, 2018
in Elderly Care

3 Tips to Help Your Aging Loved One Cope With Alzheimer's

Here are some tips for helping your aging loved one live better and cope with their Alzheimer's disease.

Dealing with Dementia -You Do Not Have to Do it Alone!

Posted September 12, 2019
in Care Management

Dealing with Dementia -You Do Not Have to Do it Alone!

Caring for a loved one suffering from dementia can take both a physical and an emotional toll on the caregiver. It can be difficult for the entire family to manage on their own. Dementia...

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...

Talk to a Care Management Advisor

Call or Email us for more information on our care management services.

Talk to a Care Management Advisor Talk to a Care Management Advisor