Care Coordination / Transition of Care
The days after discharge should not feel like starting over.
Icare can help eligible patients reconnect with outpatient medical and behavioral-health care after an emergency visit, hospitalization, withdrawal-management program, residential treatment, or another major transition.
What care may include
A structured transition pathway
- 01
Secure referral with appropriate authorization
- 02
Identify the best outpatient starting service
- 03
Review discharge medication and relevant records
- 04
Address medical, psychiatric, therapy, and recovery follow-up
- 05
Connect appropriate community resources
- 06
Redirect emergency or higher-level needs promptly
Your care plan
Good transitions depend on timely, useful information.
Discharge planners can send relevant records and referral information through an approved secure workflow or by fax to 702-843-0810. Please do not wait for an outpatient response when a patient has an emergency.