PruittHealth Care Management offers attentive, personalized service coordination for confident, customized care.
PruittHealth Care Management is a centralized, single-source solution. Our transition healthcare nurses are highly trained and licensed patient advocates who develop person-specific plans to meet desired health and cost objectives. Our case management program works with insurance companies to facilitate processes like prior authorization, benefits verification, pre- admission requirements. The medical system can be overwhelming; we help you and your family navigate it.
Serving as a primary point of contact, transition nurses communicate regularly with patients, care providers and payers. They provide written, detailed updates on patients' progress and continually assess and evaluate treatments to speed positive outcomes.
PruittHealth Care Management starts with Patient Placement. Patient Placement was established to help patients and families navigate the maze of services and options. This program provides a centralized, single-source solution administered by transition nurses who are a primary point of contact for each patient and provide multiple patient services. The professionals within Patient Placement act as care managers for private resources and payment plans, such as commercial insurance, Medicare "replacements" and self-payment.
In order to decrease patient hospitalizations, our specially trained caregivers utilize Transition Support, our rehospitalization prevention program. It provides a focus on decreasing patient hospitalizations through an established model of high-quality care. Our proprietary set of procedures that allows patients to better achieve their desired rehabilitation and health goals without the often traumatic setback of a return hospitalization.
PruittHealth Home First is a program designed to help patients receive care in their home, rather than in an institutional setting. Nurse Care Managers coordinate all aspects of patient care to ensure that the patient is able to remain home as long as possible. Services include adult day health, emergency response, home meal delivery, support services and more. Payment options include private pay and the SOURCE (Service Options Using Resources in a Community Environment) Medicaid waiver program that is offered in certain areas of Georgia.