Post-Hospital Transitional Care
Support during the critical days after a hospital stay — helping prevent readmission and promote recovery at home.
Good to know
Who it's for
Patients returning home after hospitalization, surgery, or rehab stays — and the discharge planners who support them.
Eligibility
Coordination with the discharging facility is recommended; we accept referrals directly from hospital discharge planners and social workers.
Care setting
Client home
Referral requirements
Hospital or self-referral accepted.
Typical intake timeline
Same-week starts prioritized for hospital discharges.
Service limitations
Skilled medical tasks require our Skilled Nursing service with physician orders.
Pricing for this service
Custom quote
Final pricing depends on individual assessment, care needs, location, schedule, and applicable agreements.
Interested in Post-Hospital Transitional Care?
Tell us a little about your situation and a care coordinator will reach out to help.