Pros: strong leadership and support
Cons: occasional computer glitches
Visit members in their home post hospitalization. Assure they have the correct medications, supplies, equipment and knowledge of their illness to manage their healthcare at home. Assure they have appointments set up with their MD's. Provide teaching in symptom management. Explore community resources the member may be eligible for and assist in pursuing these resources. Create and maintain an active plan care and services on each member. Insure documentation is up to date and thorough.