| • |
Discharge planning |
| • |
Home health care arrangement and monitoring |
| • |
Durable medical equipment arrangement |
| • |
Coordination of rehabilitation services |
| • |
Assistance with replacement services |
| • |
Utilization of community services |
| • |
Scheduling, accompaniment and transportation to medical appointments |
| • |
Assistance in securing home modifications |
| • |
Vocational assessment and monitoring |
| • |
Patient and family education |
| • |
Referrals to alternate settings |
| • |
Negotiated rate reduction with treatment provider |