Do I or my patient Qualify?
A Nursing Home Transitions (NHT) program was developed to assist and empower individuals who wish to return to the community from a Nursing Home setting. The creation of the program was inspired by our recognition that eligible participants could be better served in their own communities and outside of institutional care settings for a more fulfilling life. This program is a natural extension of PCC’s mission while being cost-effective for community resources.
NHT assists qualified individuals in their efforts to return to their home and community by partnering them with a Care Manager who will provide the support to overcome any identified barriers. Some of these barriers may include a lack of familial support, housing (inclusive of security deposits, purchasing of furniture and other necessary household items), a need for waiver services in the community, assistance with accessing community services including mental health needs, public assistance and many other potential barriers to care.
PCC actively manages nearly 100 NHT participants currently. PCC will continue to invest and grow this program vital to the success of supporting at-risk participants’ independence in the community.
Individuals enrolled into the NHT program will get an assigned care manager to assist them with their transition. Your dedicated care manager will be with you in every step from orientation through your discharge back into the community and set up of your home in the community. As your ally and advocate, the NHT care manager will help navigate through many barriers including the following: