HarmonyCare Nursing Solutions, Inc.
Transitional care management for Nevada patients after hospital and skilled nursing facility discharge.
Led by Jaqueta Williams, DNP, FNP-C, PMHNP-BC, nurse practitioner licensed in Nevada
Services: transitional care management (Medicare TCM), medication reconciliation, telehealth follow-up visits within 7–14 days of discharge, care coordination with primary care and home health, cognitive assessment and care planning.
OUR CORE SERVICES
Comprehensive care, personalized
for every stage of life.
Transitional Care Management
Contact within 2 business days of discharge, medication reconciliation, and a telehealth visit within 7–14 days. 30 days of follow-up to prevent readmission.
Cognitive Assessment & Care Planning
Structured cognitive evaluation with a written care plan for patients and caregivers.
Follow-Up Visits
Telehealth evaluation and management visits for established patients between and after transitional care.
YOUR QUESTIONS, ANSWERED
Who is eligible?
Adults being discharged from a hospital, observation stay, or skilled nursing facility to home or assisted living in Nevada. Most patients are covered by Medicare.
How do referrals work?
Hospitals, SNFs, home health agencies, and physicians fax the discharge summary and referral form to [fax]. We respond the same business day and contact the patient within 2 business days of discharge.
What insurance do you accept?
Original Medicare. Additional Medicare Advantage and commercial plans are being added; call to confirm.
Is this in person?
Visits are by video or phone. Patients need no transportation, and family caregivers are welcome on the call.
Have a patient going home this week?
Fax the referral or call. Same-business-day response.
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