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Transitional Care Management Services in North Palm Beach FL

The Transitional Care Management (TCM) program caters to patients recently discharged from hospitals or similar facilities. TCM entails a healthcare provider conducting a series of both in-person and telehealth appointments with the patient over a 30-day period. These appointments aim to maintain continuity in patient care, minimizing the likelihood of gaps and averting unnecessary hospital readmissions.

Beyond transitional care management, we also specialize in mobile urgent care, doctors’ house visits, and concierge medicine.
Transitional Care Management

What We Do

Initiate contact within 24 hours of discharge to arrange your initial in-home visit
Conduct comprehensive medication review, assess home safety, and provide clinical evaluation
Engage in dialogue regarding your healthcare objectives and tailor a care plan to suit your individual needs
Offer specialized education programs and protocols tailored to facilitate your recovery process
Provide regular virtual check-ins from our nursing and/or therapy teams
Offer assistance in accessing community resources and scheduling follow-up appointments
Facilitate seamless transitions to inpatient and outpatient rehabilitation facilities as required
Ensure 24/7 access to an on-call nurse for any urgent concerns or inquiries

Areas We Serve

We provide services to the following cities, towns & surrounding regions of South Florida:
Palm Beach
Deerfield Beach
Saint
Lucie County
Delray Beach
Pompano Beach
Boynton Beach
Parkland
Boca Raton
Palm
Beach Gardens
Jupiter
Tequesta
Stuart

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