

Mobile Personalized Care


Alongside our Mobile Primary Care Services, we offer Personalized Care Management as an add-on for patients with chronic health conditions.
Care Management is a personalized, proactive approach that keeps Mobile HealthCare Partners’ patients and providers connected between regularly scheduled physician visits—actively guiding our patients through the complex healthcare continuum, reducing hospitalizations, and keeping their health on track.
In addition to Primary Care, our program includes these services—all designed to help you stay safe, healthy, and comfortable at home.

Chronic Care Management (CCM):
A customized and innovative approach to managing the care of Medicare beneficiaries with two or more chronic conditions. Our care management is strengthened by remote communication between your scheduled doctor visits to actively oversee your health, thus decreasing hospital and emergency room visits. Our program ensures that the provider, care team, and family are all involved in the patient's care, working together from a cohesive, patient-centered care plan. We provide an extra layer of support, making sure your provider is informed when you need help and can track your progress in managing your conditions.

Principle Care Management (PCM):
A Medicare service tailored for patients with a single complex chronic condition. Similar to our Chronic Care Management, this service emphasizes care coordination, monitoring, and management to enhance patient outcomes, offering an additional layer of support to ensure that the provider, care team, and family are all actively involved in the patient's care to help avoid avid hospitalization or other unscheduled acute care.

Transitional Care Management (TCM):
A specialized service ensures coordinated care for patients moving from inpatient to community settings, focusing on communication, medication management, follow-up appointments, and patient education to improve patient outcomes, reduce hospital readmissions and improve the overall quality of care delivery. Documentation of additional support from a healthcare provider or the practice's clinical staff is required. Transition of care requires that the patient be discharged from an inpatient setting to a community setting.

Remote Patient Monitoring (RPM):
Our proactive and efficient approach to enhancing your health involves utilizing digital technologies to monitor your vital signs remotely in real-time. These services encompass telehealth consultations and the deployment of various devices to actively oversee a treatment plan for chronic or acute conditions from the comfort of your residence, whether it's your own home or a care facility.
Mobile Personalized Care Management
We Offer
A comprehensive strategy to maintain your health at its optimal level. We employ a variety of techniques to interact with and oversee our patients, ensuring their conditions and medications are managed effectively.
Each patient is assigned a CARE COORDINATOR who serves as a personal health and wellness advocate, ensuring the seamless management and communication of your health-related needs.
- Geriatric Care
- Diagnostics (Labs, Xrays, Ultrasounds, EKG, etc)
- Pharmacy & Medication Management
- Telehealth Collaboration
- Nursing Triage
- Care Coordinators

Mobile Personalized Care Management
Who is it For?
People with one (PCM) or more (CCM) chronic conditions needing specialized care. Those who have recently transitioned (TCM) from an inpatient setting to a community environment.
These patients may reside in:
- Skilled Nursing Facilities
- Assisted Living Facilities
- Group Homes
- Independent Living Facilities
- Home-Bound or Home-Limited
Mobile Personalized Care Management
Benefits of Our Care
We meet our patients' needs by offering accessible, cost-effective, and forward-thinking healthcare. Enrolling in this service allows patients to take a significant step towards becoming more engaged in their own healthcare.
We can benefit patients in a number of ways, such as:
- Personalized care plan
- Tailored resources
- Enhanced access to healthcare
- Decrease delays in receiving care
- Continuity of care and follow-up support
- Reduce Costly ER/ED Admissions & ReAdmissions.

Become a Partner
Could your care facility gain from our resources and services?
Partner with Mobile Healthcare Partners today and enjoy the benefits of our Personalized Care Management Program.
The advantage of our program for providers is straightforward: you will gain an additional care plan, a dedicated care team, and access to more information about your patients between their scheduled visits.
Your patient's care team and their family will receive regular updates from the Mobile Personalized Care Management team as they develop comprehensive and dynamic care plans for each patient.
Once these plans are established, you will have access to these documents for review, input, and consultations.

Become a Patient
Living at home, or in a facility that isn’t partnered with us? You still have the freedom to choose the healthcare that best fits your needs.
With our Personalized Care Management Program, you’ll receive a proactive, individualized care plan designed to help you avoid trips to the ER and stay comfortable in your own space.
Our dedicated team works closely with you to understand your health challenges, goals, and preferences. We coordinate your care every step of the way and act as your advocate across the healthcare system.
Your care team and loved ones will receive timely updates, so everyone stays informed and involved as we shape your care plan to fit your unique situation.
With Mobile HealthCare Partners, you can feel empowered, supported, and confident in your health journey—no matter where you call home.