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For discharge planners

Same-day intake. Care home before the patient is.

Discharge windows are tight. We confirm capacity in real time, run intake against the discharge plan, and have a caregiver in the home within 24–48 hours of authorization.

Our response promise

A real care coordinator responds in under 10 minutes during business hours - and within one business hour after hours.

Call now

We hear this every week

What you're afraid of, in your own words.

  • A patient ready to discharge with no home support in place
  • Providers that confirm and then disappear
  • Slow Medicaid authorization handoff
  • Readmissions because care lapsed at home

How we answer it

Specific commitments. Not slogans.

  • Real-time capacity check

    Call us with the discharge window. We tell you on the spot whether we can staff it.

  • Intake at the bedside

    When appropriate, our coordinator meets the family at the hospital before discharge.

  • Care in the home within 24–48 hours

    Most discharges are covered the next day. Emergency same-day staffing is available.

  • A handoff that holds

    We loop the case manager, primary care, and family on the care plan. No dropped batons.

Step by step

What happens next

  1. 1

    Call our discharge line

    Capacity and ETA confirmed during the call.

  2. 2

    Bedside or phone intake

    Coordinator gathers the discharge plan, meds, and family contacts.

  3. 3

    Home readiness check

    Equipment, access, fall risks. Flagged before the patient gets home.

  4. 4

    Caregiver in the home

    Typically within 24–48 hours of authorization, often same-day.

  5. 5

    30-day stabilization

    Weekly check-ins to reduce readmission risk during the highest-risk window.

They confirmed staffing while I was still on the phone. My patient went home with care waiting. Not a promise.
J. Patel, RNDischarge planner · Toledo

Hospital Discharge Teams. Common questions

Your next step

Have a discharge window today? Call our intake line now.

Tell us the patient's situation and the discharge target. We'll confirm capacity in real time, walk through Medicaid/insurance authorization, and have a coordinator at bedside or on the phone before the patient leaves the unit.

Typical response in under 10 minutes during business hours. After-hours messages are returned the next morning.

Ready when you are.

One call. A real coordinator. A plan you can actually follow.

CallAssessment