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Sharing Knowledge, With the Patient at the Center

We work with your patients at transitions of care, making sure they aren’t lost to follow-up. We also work with payors to coordinate care management resources so you don’t have to. With every patient outreach we make, we save your staff time while improving the likelihood that your patients will get what they need between visits and that you are appropriately rewarded for providing high-quality care.

How RN Care Navigators Assist VHAN Providers

Center of their own care team

Our care navigators keep patients front and center. We educate them about medications, healthy habits, and making the best choices on where to receive care (ER, urgent care or family physician). By giving them the resources to make sound decisions, we empower them to take charge of their health.

Offers educational resources

Access the Transitions of Care Toolkit below for patient-centered approaches to care transitions that consistently deliver better outcomes.

Supports your patients’ long-term health

The team can help identify transitions of care opportunities and develop a customized plan for moving the needle on patients with complex diseases and conditions.

Suggested Resources

VHAN Care Management Team: Profile of a Care Navigator and Patient

Watch the video to see Tina’s powerful story and how VHAN Care Navigators can help address the physical, mental, spiritual and social needs of patients.

Patient Referral Form

Use the Care Management Request form to request Care Management assistance for a patient.

Transitions of Care Toolkit

This toolkit provides checklists and other resources to manage patient handoffs.

To view more resources related to this specific topic, visit the VHAN Resource Library.