In-Home Visits to Recently Discharged Members:
- Deploy Providers to member homes within 48 hours of a facility discharge to ensure members understand and follow prescribed care plans.
- Review and educate members on the importance of following the care plan.
- Assess and document the current condition of members.
- Coordinate care of members with other care team members as required.
- Conduct follow-up visits to members as required until condition is stabilized.