TCM is a focused program for members transitioning fromacute or post-acute facilities back to the community. From moment of discharge until 30 days from index facility discharge, a RN Case Manager facilitates the patient’s care in collaboration with the healthcare team to address short term barriers to a safe and effective post-discharge recovery during a critical window of care.

Benefits of TCM include stabilizing and optimizing the member’s health and recovery to help reduce avoidable re-admissions.