8:30-9:30 a.m

76-D. Managing Care Transitions Across the Continuum

Immanuel, a multi-site senior living provider based in Omaha, NE, operates independent living, assisted living, and memory support communities, in addition to three Programs of All-Inclusive Care for the Elderly (PACE). This session will focus on how the organization developed a unique approach to managing care transitions in its PACE program and then applied that model to all its locations and campuses. Presenters will describe the service gaps that prompted Immanuel to establish the roles of a Care Transition Nurse Manager in its PACE programs and Care Navigator in its communities. You'll learn how the care transitions initiative was developed and its impact on costs, staff satisfaction, and quality of life for residents and participants.

• Beth Nodes, Director of Experience, Immanuel — Omaha, NE, US
• Devin Fox, Vice President-Clinical Operations/Associate Medical Director, Immanuel — Omaha, NE, US
• Jennifer Thurman, Clinical Utilization Manager, Immanuel — Omaha, NE, US
• Liza Grasz, Director of Clinical Operations PACE, Immanuel — Omaha, NE, US