- 9040 Town Center Pkwy, Lakewood Ranch, FL 34202
- (800) 969-7176
-
9040 Town Center Pkwy
Lakewood Ranch, FL 34202 - (800) 969-7176
Traditional Transitional Care Management (TCM) programs often begin after a patient has already been discharged. Senior Consulting Advisors starts earlier: at admission.
By engaging patients while they are still in the hospital, our team works alongside care managers, healthcare providers, and community partners to establish trust, identify potential barriers, and begin planning for a successful transition before discharge occurs.
Our approach creates greater continuity between inpatient care, post-discharge follow-up, and the resources patients need to successfully navigate recovery.
Patients are identified and brought into our managed population while they are still in the hospital, allowing transition planning to begin early.
Our Patient Navigators engage patients and caregivers before discharge, building relationships and helping them understand what to expect during the transition home or to the next level of care.
We collaborate with hospital teams, physicians, specialists, post-acute providers, and community resources to help coordinate services and address gaps that could interfere with recovery.
Structured outreach during the critical first 30 days helps patients stay connected to their care plan, follow-up appointments, medications, and recommended services.
For qualified patients, support can extend beyond the initial transition period. Our team connects individuals with healthcare and community resources that address ongoing needs and support better long-term outcomes.
Successful care transitions require more than outreach after a patient returns home. They require early engagement, trusted relationships, coordinated support, and continuity across the care journey.
By beginning at admission, Senior Consulting Advisors helps provider organizations create a more connected transition experience while addressing potential barriers before they contribute to gaps in care.
Patients are more likely to engage with care coordination when a relationship has already been established before discharge. Our model is designed to help providers:
Senior Consulting Advisors serves as an extension of the care team, helping patients navigate the critical period between hospitalization, discharge, recovery, and ongoing care.
Connect with Senior Consulting Advisors to learn how our patient navigation and care coordination model can support your organization.
Transitional Care Management helps support patients as they move from an inpatient setting back home or to another care setting. It typically includes care coordination, follow-up, and support designed to reduce gaps in care during the transition.
Unlike traditional models that begin after discharge, Senior Consulting Advisors starts engaging patients during their hospital stay. This allows our team to establish trust, identify potential barriers, and begin coordinating resources before the patient leaves the hospital.
With Senior Consulting Advisors, the process begins at admission. Early identification and inpatient engagement help create a more coordinated transition from the hospital to the next stage of care.
Our team provides structured post-discharge outreach, care coordination, and patient navigation to help individuals stay connected to follow-up care, medications, recommended services, and community resources.
We work with hospitals, health systems, ACOs, physician organizations, managed care networks, and other healthcare providers in Florida seeking to strengthen patient transitions and care coordination.
For qualified patients, yes. Our long-term patient navigation model can help connect individuals with ongoing healthcare and community resources that support their broader health and social needs.
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