Care Navigator

Care Navigator Program


Peak can help you provide members with proper follow-up care

Peak’s Care Navigator Program takes prospective health assessments one step further and can assist your plan in documenting the results of your assessment program to ensure you are providing members with the appropriate care per CMS’s most recent guidance. After the completion of the in-home assessment, a patient coordinator will contact members individually and encourage them to follow up with their PCPs about conditions discussed at the visit. They can even assist them in making the appointment. Our Care Navigator program works in conjunction with a plan’s own case management program to ensure a seamless transition from the member’s perspective.

Suggested criteria for Care Navigator outreach

  • Member has multiple chronic conditions
  • Referral made for care management
  • New condition found during the assessment
  • Member has not been seen by PCP in a 12 month period, but has a chronic condition
  • Any pre-determined health plan–specific criteria

Peak’s continuum of care


Our patient coordinator’s strive to:

Engage more members into care coordination activities to reduce care gaps
Evaluate and help eliminate barriers to care
Promote medication adherence
Promote the most cost-effective healthcare delivery by coordinating with all providers and reducing inappropriate use of the ER
Partner in a member’s treatment plan to promote improved compliance
Communicate with providers to ensure they have a good understanding of a member’s home environment

Now let’s get started

Call us at (888) 267-8383 to discuss your plan’s patient care follow-up goals and see how Peak can make a difference.