We support your effective care resource management
We help vulnerable older adults safely and confidently achieve their best health in the most suitable setting by:
- Partnering with health plans
- Teaming up with post-acute care providers
- Working hand in hand with members
We work with you to provide quality patient care
We help vulnerable seniors safely and confidently make their way to their best health in the setting that’s right for them.
These efforts lead to care that makes a difference:
- 95% of engaged patients report increased patient satisfaction with their health plans1
- 4.3 combined average Star Ratings for our health plan partners2
Key stats
- 2,400 registered nurses, speech-language pathologists, and occupational and physical therapists
- 260+ clinical and functional measures, combined with historical data from similar patients, provide powerful insights into comorbidities and SDOH
- We provide services in 50 states
- 17k skilled nursing facilities working with or within to jointly serve and support members
- More than +85% of the discharge continuity of care plans we provide include referrals to health plan-sponsored services

Product information and resources
-
PDF
White paper
Care transitions flyer
With unmatched reach, naviHealth Post-Acute Care Solutions seamlessly connects patients and providers — ensuring smoother transitions and better outcomes at every step of the care journey.
-
PDF
Case study
Coordinator Kayla's story
A member’s care journey doesn’t end at the hospital. Kayla Perno, a Home & Community Care Transitions coordinator since Jan 2023, illustrates this through one of her member interactions.
-
PDF
Case study
Ben's story infographic
At Home & Community Care Transitions, we support our patients through their journey to recovery. View Ben’s story to see how our care coordinators provide guidance through his recovery journey.
Explore more home and community solutions
HouseCalls
Senior Living Community Program
Skilled Nursing Facility Program
- https://pubmed.ncbi.nlm.nih.gov/23321765/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6021124/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450306/
- Optum Home and Community Care Transitions book of business 2023.