Community Transition Nurse Care Manager LLC offers a complete range of services that are specifically-designed to serve the individual needs of our clients.
- In Home Assessment by a Licensed Nurse Practitioner.
With the responsibilities of daily life, taking your love one to a doctors appointment can be challenging. For your convenience our licensed Nurse Practitioner make House Calls, basically brining the services of a doctors office to you.
- Certified Case Management Services.
Professional Healthcare coordination with collaboration with other healthcare providers.
- Client Education & Empowerment for Self Care Management.
Education and Empowerment of self-care for Chronic illness.
- Coordination and arrangement of Home Health Services and Home Medical Equipment.
WE DO NOT TAKE THE PLACE OF HOME HEALTH. If home health is needed after discharge, we can communicate with your doctor for your needs. We can be the liaison between the doctor and your home health, home medical equipment, & community resources to coordinate your care to meet your needs.
- Coordination of Care
Providing Continuity of care, to keep you on track. The CTNCM will review discharge orders and prescriptions and assist to educate patient/caregiver with understanding their care and needs, collaborate with discharge planners and other healthcare providers on your behalf to help with continuity.
- Registered Nurses, Certified Case Manager, and Medical Social Worker.
- Physician Communication
Our licensed Nurse Practitioner can provide the services needed with our in home visits. The NP will make referrals to Specialist and/or communicate with your PCP if needed or preferred.
- Medication Reviews
CTNCM will review all medications and make a personal medication profile. We will keep this information updated with each new and discontinued medication, and educate patient/family on newly prescribed medications and foster self-management.
- Flu / Pneumonia Vaccinations
- Blood Draws
- Prescriptions
Our Nurse Praactitioner can prescribe or refill your prescription if necessary.
- Geriatric Care Management Services
We can coordinate your care for continuity of care and services. This includes helping community referrals/resources, and more. If you are in a facility, we will ensure that your care needs are met while at the facility. We will make frequent contact and visits during regular business and on off hours to ensure that your needs are met and keep your family/caretaker updated.
- Referral of Sitters/In-Home Companion Services.
We do not provide the services but we can assist in making referrals.
- Specialist Referrals if Needed.
For questions and inquiries about our wide variety of transition services, don’t hesitate to get in touch today. You may call us at 901-869-5744 / 901-550-1486 or send a message to communitytransitionnurse@gmail.com.
A smooth and comfortable transition process awaits you at Community Transition Nurse Care Manager LLC.