Skilled Nursing Patients Benefit from Proactive Engagement Strategies

With the shift to value-based care and improved cost efficiencies, there has been a decrease in the utilization of skilled nursing services. Stonegate Senior Living is embracing this change in care delivery and offering programs aimed at differentiating itself from local competition.

For the last three years, Stonegate has partnered with Dallas-based Care Navigation Services to develop and operationalize proactive engagement strategies for patients recovering in one of their facilities and/or when discharged to home.

  • Through its’ Care Elevate program, Care Navigation Services staffs an on-site registered nurse [RN] Transitional Advocate who engages patients in their own self-care upon admission to the Stonegate facility, utilizing innovative clinical quality coaching strategies, coupled with post-discharge coordination.  This program guarantees patients have access to necessary resources and tools, enabling them to take a more active role in their recovery and ongoing disease management. One-on-one time between RN Transitional Advocate and patient enhances overall quality of care and patient satisfaction, while reducing unnecessary returns to an acute care hospital.


  • Care Navigation Services partners with a 24/7 paramedic-staffed Call Center that is customized to deliver outbound telephonic patient management via scheduled follow-ups and reminders to patients in the critical periods post-discharge to home. The program also supports round-the-clock inbound calls from patients and their family to answer non-emergent questions, thus providing a high degree of comfort during the recovery process at home.

Care Navigation Services’ President, Shannon Clifton, explains the unique niche the company affords post-acute providers. “Our ability to operationalize patient-centric programs enables the Stonegate staff to remain actively involved in key stages of the patient recovery process while not having to dedicate their own valued resources to achieve results.  Our successful approach affords an efficient delivery of care coordination services, improved clinical-quality outcomes, and minimized risk – all of which result in very satisfied patients and clients.”

Stonegate Senior Living CEO, John Taylor, confirms the collaborative success. “Care Navigation Services brings tremendous value to our post-acute processes. Their expertise in identifying clinical workflow gaps and creating customized solutions to fill those gaps results in both a seamless transition to home for our patients and yields financial gains for our stakeholders.”

For more information about Stonegate Senior Living, please visit our website at 

For more information about Care Navigation Services, please visit