St. Joseph Health Northern California LLC: CARE Network

The CARE Network at St. Joseph and Redwood Memorial Hospitals assists people during times of transition between hospital and home. The program offers individual health care navigation and interventions to select populations of patients with an overall goal of providing individuals tools needed to become active partners in their health management, especially during times of transition between health care settings. Medication self-management, disease process education, Behavioral Health Services, support for follow-up visits and respite housing are some of the interventions provided.

The CARE Network team coordinates planning of services with inpatient discharge planning as well as the emergency department, then works with patients outside of the hospital setting. The care and services provided by the team are person-centered and focused on a community-based, multi-disciplinary approach, linking individuals to the various resources available to help meet ongoing health care needs.

The CARE Network team consists of registered nurses, social workers and health care navigators.