Hospitals

Alanté^® improves patient outcomes and experience post-discharge. Our CareConnect service utilizes Advanced Practitioners (NPs/PAs) to complete transitional care and in-home visits, enabling seamless care coordination with the patient’s care teams.

For the chronically ill or those requiring palliative care, we assign an RN Care Manager to ensure your patients receive the care outlined in your discharge plan. We can also identify and intervene should changes in condition occur. Our RN Care Manager follows up with your patients monthly, or more frequently if necessary, to support their healthcare and wellness goals post-discharge.

Our services Include:

• In-home nurse practitioners visits after discharge.
• Appointment scheduling and timely follow up visits with PCP or specialists.
• Care management, including progress tracking and overcoming barriers to patient goals.
• Medication management.
• Care Transitions: hospital, SNF, home health, hospice, and transitional care visits with PCP.
• Referrals: physicians, social services, respite, support groups, pharmacy and other community resources.
• Patient education and coaching.
• Transportation assistance.
• 24/7 response for changes in condition.
• Readmission prevention program.
• Coordination of patients’ medical needs between providers (physician, specialists, home health, palliative care, etc.).
• Monthly or bi-monthly telephonic or telehealth visits with RN Care Manager after discharge.