Care Coordination

Navigating healthcare, senior living, and community resources can be overwhelming for families. Valley Senior Transitions helps coordinate services and connect seniors with the support they need to remain safe, healthy, and independent.

We work closely with families, physicians, hospitals, rehabilitation centers, home health agencies, hospice providers, caregivers, and senior living communities to ensure continuity of care throughout every stage of the transition.

Includes:

• Hospital and rehab discharge coordination
• Home health referrals (nursing, physical therapy, occupational therapy, speech therapy)
• Home care and caregiver coordination
• Hospice and palliative care referrals
• Transportation coordination
• Medication management resources
• Medical appointment coordination
• Family communication and advocacy
• Community resource referrals
• Follow-up support after placement or discharge