Hospitals
Coordination support around discharge planning, transfers, and post-acute resource needs.
SERVICES
One point of contact across the care continuum.
Prime Care Link helps patients, families, and healthcare professionals navigate care resource options from discharge planning to home-based support, placement needs, skilled care, hospice, and community services. We help organize practical next steps while final clinical, admission, placement, and service decisions remain with the appropriate licensed providers and decision-makers.
Physicians & Care Teams
Navigation support involving primary care, specialists, post-acute attending physicians, and care-team communication.
Medical Groups & IPAs
Resource navigation support for medical groups, IPAs, and care teams serving patients across the community.
Skilled Nursing
Information about skilled nursing facilities for short-term rehabilitation, complex needs, and longer-term skilled care.
Rehabilitation
Navigation support for inpatient and outpatient rehabilitation options, including physical, occupational, and speech therapy.
Assisted Living
Residential community options for people who need support with daily living, supervision, and a safer care setting.
Board & Care
Smaller residential care homes offering a more personal setting for supervision, daily support, and care coordination.
Home Health
Skilled nursing, therapy, and aide services delivered in the home when ordered and managed by licensed providers.
Hospice & Palliative Support
Guidance around comfort-focused support, symptom-management resources, and family-centered care options.
Wound Care
Navigation support for wound-care resources across home-based, outpatient, and facility settings.
Medical Equipment
Help identifying durable medical equipment and supply resources that may support safer care transitions.
Community Support
Connections to practical support resources such as transportation, caregiver assistance, and local community programs.
How a referral works
A simple, organized process designed to reduce confusion, clarify priorities, and keep communication moving during care transitions.
Start a referral- 01SubmitStart with a short referral form or direct phone call. Share the patient’s basic situation, current setting, discharge timing, location, insurance considerations, and the type of support being requested.
- 02ReviewWe review the information, clarify missing details when needed, and identify the main care-transition priorities. This helps identify which care resource areas may need to be reviewed first.
- 03Organize OptionsWe organize available resource options based on care needs, location, timing, family preferences, insurance considerations, and provider availability. Prime Care Link does not make clinical, admission, placement, or service decisions.
- 04Coordinate Next StepsWe help connect the appropriate parties, support communication, and follow up so the referral does not get lost between handoffs. Final decisions remain with the patient, family, legal representative, and licensed providers.