We offer individualized care transition assisting individuals and families with the transition back into the community setting.
We believe that the best care is delivered in the community either in the home or in a home-like setting. Our Care Coordinators, Care Navigators & Community Health Workers focus on planning the necessary comprehensive health care services in the community.
We collaborate with individuals' healthcare teams including family members, physicians, nurses, hospital staff, and other healthcare facilities and agencies to coordinate care.
The secret to the TMCS CC success with coordinating care within the community isn't just the years of experience in case management and care transition. The true secret is our core of COMMUNITY HEALTH WORKERS (CHWs). Our team of CHWs offer a multifaceted, cultural competent and neighborly approach to healthcare delivery that results in benefits to both individuals and communities. Our CHWs, as trusted members of the communities they serve, are liaisons between healthcare teams and the individuals we serve, providing essential support and resources.
CHWs bridge gaps in healthcare access by bringing services directly to underserved populations, including those in remote areas or facing barriers such as transportation or language.
CHWs are chosen from the designated communities being served and often share cultural backgrounds and languages with the communities they serve, enhancing communication and understanding between healthcare providers and clients.
CHWs empower individuals with knowledge about preventive care, healthy behaviors, and available healthcare resources, leading to improved health literacy and outcomes.
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