Level 2 · Patient worklist
Every patient on census with outreach, appointment status and the next action. Click a box to filter the list.
189 records match the current filters
| Patient | Tier / Owner | Setting & facility | Case mgmt | Admit / Discharge | Outreach | Appointment | Window | Status / Next action |
|---|---|---|---|---|---|---|---|---|
Terrance Guillory M435886 · 59y · Cedar Hills Family (518) 609-9822 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Aug 8 | Jul 31 Aug 8 | Contacted Care coordinator · 3 attempts | No-show Aug 19 · 1 miss | 19d past | No-show recovery |
Amir Abernathy M483482 · 76y · Redwood Primary (479) 801-663660d readmit | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Jul 19 Jul 29 | Not started — · 0 attempts | Not scheduled — | 29d past | No outreach yet |
Cora Marsden M456283 · 83y · Redwood Primary (349) 392-8437 | Critical Nurse | SNF Ridgeway LTAC | No case No plan | Aug 17 LOS 17d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Jonas Lindstrom M497326 · 60y · Redwood Primary (312) 635-5569 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Mar 29 | Mar 24 Mar 28 | Contacted Care coordinator · 1 attempt | No-show Apr 13 · 1 miss | 152d past | No-show recovery |
Bernard Sorensen M464119 · 71y · Redwood Primary (650) 334-9490 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Jul 22 | Jul 14 Jul 22 | Contacted Care coordinator · 2 attempts | Cancelled Aug 3 · 1 miss | 36d past | No-show recovery |
Xiomara Chandler M430075 · 72y · Cedar Hills Family (600) 625-645060d readmitReturned | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC May 12 | May 9 May 12 | Contacted Nurse case manager · 2 attempts | Completed May 21 · 9d · 1 miss | 107d past | On track |
Amir Marsden M410688 · 83y · Cedar Hills Family (471) 633-157560d readmit | Good Care coordinator | Inpatient St. Aldon Regional | No case No plan | Aug 28 LOS 6d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Eleanor Lindstrom M431388 · 84y · Cedar Hills Family (499) 725-129960d readmitReturned | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Jan 15 | Jan 3 Jan 16 | Contacted Care coordinator · 1 attempt | Not scheduled — | 223d past | Readmit — no appointment |
Yuki Salazar M420426 · 85y · Cedar Hills Family (628) 883-176360d readmit | Critical Nurse | Observation St. Aldon Regional | Case open Proj. DC Feb 7 | Feb 3 Feb 6 | Contacted Nurse case manager · 1 attempt | Completed Feb 11 · 5d | Met | On track |
Gerald Ferreira M498076 · 68y · Cedar Hills Family (357) 717-9167Returned | Critical Nurse | Home Health BrightPath Home Health | Case open Proj. DC Jan 10 | Dec 17 Jan 10 | Contacted Nurse case manager · 1 attempt | Completed Jan 12 · 2d | Met | Readmit — visit completed |
Hattie Ferreira M449055 · 89y · Redwood Primary (646) 650-403960d readmitReturned | Fair Care coordinator | SNF Willowbrook SNF | No case No plan | Sep 12 Sep 23 | Not started — · 0 attempts | Not scheduled — | 338d past | Readmit — no appointment |
Priya Petrov M415750 · 65y · Redwood Primary (457) 763-161460d readmit | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jun 26 | Jun 19 Jun 25 | Contacted Nurse case manager · 1 attempt | Completed Jun 28 · 3d · 1 miss | Met | On track |
Otis Ferreira M420936 · 77y · Cedar Hills Family (383) 315-596160d readmit | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Sep 28 | Sep 24 Sep 28 | Contacted Nurse case manager · 1 attempt | Completed Sep 30 · 2d | Met | On track |
Imani Sorensen M462430 · 64y · Redwood Primary (636) 411-8340 | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Sep 2 | Aug 25 Sep 3 | Contacted Nurse case manager · 3 attempts | Scheduled Sep 7 | 7d left | On track |
Marcus Chandler M447580 · 91y · Lakeview Internal (569) 690-4904 | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Jan 9 | Jan 5 Jan 9 | Contacted Nurse case manager · 3 attempts | Rescheduled Jan 13 · 1 miss | 230d past | On track |
Yuki Whitmore M469001 · 65y · Redwood Primary (528) 660-4622 | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Nov 11 | Nov 6 Nov 11 | Contacted Nurse case manager · 3 attempts | Completed Nov 16 · 5d | Met | On track |
Rafael Whitmore M404911 · 89y · Redwood Primary (242) 253-748060d readmit | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Nov 25 | Nov 20 Nov 25 | Contacted Nurse case manager · 3 attempts | Completed Nov 29 · 4d · 1 miss | Met | On track |
Bernard Abernathy M417041 · 88y · Cedar Hills Family (500) 355-2069 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Sep 7 | Sep 3 LOS 0d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Ruth Ionescu M479197 · 64y · Redwood Primary (291) 299-799560d readmit | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jan 24 | Jan 14 Jan 24 | Contacted Nurse case manager · 2 attempts | Completed Jan 27 · 3d | Met | On track |
Ruth Baptiste M470822 · 64y · Redwood Primary (313) 229-1006 | Critical Nurse | Inpatient Northside Medical Center | Case open Proj. DC Dec 20 | Dec 11 Dec 19 | Contacted Nurse case manager · 2 attempts | Completed Dec 21 · 2d | Met | On track |
Hattie Ferreira M448579 · 59y · Lakeview Internal (272) 612-7361 | Critical Nurse | Inpatient Valley Baptist | Case open Proj. DC Apr 21 | Apr 12 Apr 22 | Contacted Nurse case manager · 1 attempt | Completed Apr 27 · 5d · 1 miss | Met | On track |
Simone Nguyen M443795 · 65y · Cedar Hills Family (573) 426-413760d readmit | Serious Nurse | Inpatient St. Aldon Regional | No case No plan | Jul 1 Jul 9 | Attempted Care coordinator · 1 attempt | Not scheduled — | 49d past | On track |
Harold Lindstrom M452724 · 61y · Redwood Primary (506) 681-3044 | Critical Nurse | Inpatient Mercy General | Case open Proj. DC Sep 10 | Sep 3 LOS 0d | Contacted Nurse case manager · 1 attempt | Not scheduled — | In facility | On track |
Xiomara Guillory M447526 · 91y · Cedar Hills Family (522) 294-700560d readmit | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jan 3 | Dec 30 Jan 4 | Contacted Nurse case manager · 3 attempts | Completed Jan 13 · 9d | 235d past | On track |
Rosa Haddad M492361 · 72y · Redwood Primary (224) 731-2350Returned | Good Care coordinator | ED Mercy General ED | No case No plan | Apr 2 Apr 2 | Attempted PCP office · 2 attempts | Not scheduled — | 147d past | Readmit — no appointment |
Xiomara Sorensen M464514 · 70y · Cedar Hills Family (420) 680-6783Returned | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Dec 4 | Nov 28 Dec 5 | Unable to reach Front desk · 4 attempts | Not scheduled — | 265d past | Readmit — no appointment |
Otis Whitmore M477012 · 87y · Cedar Hills Family (382) 355-534660d readmit | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Sep 1 | Aug 25 Aug 31 | Attempted Care coordinator · 1 attempt | Not scheduled — | 4d left | Contacted, no appointment |
Yuki Petrov M481693 · 62y · Redwood Primary (466) 524-4464 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Nov 2 | Oct 29 Nov 2 | Contacted Care coordinator · 2 attempts | Cancelled Nov 6 · 1 miss | 298d past | No-show recovery |
Priya Guillory M482283 · 75y · Cedar Hills Family (380) 676-3063Returned | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Feb 9 | Feb 3 Feb 9 | Not started — · 0 attempts | Not scheduled — | 199d past | Readmit — no appointment |
Delia Whitmore M401264 · 80y · Redwood Primary (371) 813-719560d readmit | Serious Nurse | SNF Ridgeway LTAC | No case No plan | Feb 15 Feb 24 | Contacted Nurse case manager · 1 attempt | Completed Mar 1 · 5d | Met | On track |
Jonas Ferreira M488784 · 91y · Redwood Primary (509) 613-7300 | Critical Nurse | Home Health Anchor Home Services | Case open Proj. DC Aug 13 | Jul 13 Aug 13 | Contacted Care coordinator · 1 attempt | Completed Aug 15 · 2d | Met | On track |
Dwight Salazar M444577 · 71y · Redwood Primary (535) 819-4335Returned | Critical Nurse | ED Northside Medical ED | Case open Proj. DC Oct 4 | Oct 4 Oct 4 | Contacted Nurse case manager · 1 attempt | Completed Oct 13 · 9d | 327d past | On track |
Bernard Lindstrom M483823 · 90y · Redwood Primary (514) 887-7616 | Critical Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Jun 21 | May 31 Jun 21 | Contacted Nurse case manager · 2 attempts | Completed Jun 27 · 6d · 1 miss | Met | On track |
Beatrice Marsden M478595 · 90y · Redwood Primary (498) 293-1644 | Critical Nurse | Observation Mercy General | Case open Proj. DC Jun 8 | Jun 6 Jun 9 | Contacted Nurse case manager · 2 attempts | Completed Jun 12 · 3d | Met | On track |
Cora Rios M422697 · 59y · Cedar Hills Family (264) 820-3879 | Good Care coordinator | SNF Golden Oaks Rehab | No case No plan | Sep 1 LOS 2d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Imani Guillory M484792 · 91y · Cedar Hills Family (641) 716-620660d readmitReturned | Serious Nurse | SNF Golden Oaks Rehab | No case No plan | Jun 12 Jun 25 | Contacted Nurse case manager · 2 attempts | Completed Jul 6 · 11d | 63d past | On track |
Xiomara Abernathy M446863 · 80y · Redwood Primary (458) 337-499560d readmit | Serious Nurse | ED St. Aldon Regional ED | Case open Proj. DC Jan 19 | Jan 19 Jan 19 | Contacted Nurse case manager · 1 attempt | Completed Jan 23 · 4d | Met | On track |
Amir Marsden M409232 · 74y · Cedar Hills Family (239) 369-3523 | Critical Nurse | Home Health Comfort Care at Home | Case open Proj. DC Oct 7 | Aug 31 LOS 3d | Contacted Nurse case manager · 1 attempt | Not scheduled — | In facility | On track |
Terrance Okafor M450792 · 60y · Cedar Hills Family (331) 211-816060d readmit | Serious Nurse | ED Mercy General ED | Case open Proj. DC Dec 9 | Dec 9 Dec 9 | Attempted Care coordinator · 1 attempt | Not scheduled — | 261d past | On track |
Nadia Tanaka M498622 · 72y · Cedar Hills Family (423) 385-7967Returned | Critical Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Jun 21 | May 27 Jun 20 | Contacted Care coordinator · 3 attempts | Completed Jul 5 · 15d | 68d past | On track |
Rafael Whitmore M433937 · 72y · Redwood Primary (638) 674-301060d readmit | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC May 7 | Apr 17 May 7 | Contacted Nurse case manager · 3 attempts | Completed May 12 · 5d | Met | On track |
Ingrid Whitmore M439191 · 88y · Cedar Hills Family (504) 304-2349 | Critical Nurse | SNF Willowbrook SNF | Case open Proj. DC Jun 9 | May 25 Jun 9 | Contacted Nurse case manager · 2 attempts | Rescheduled Jun 18 · 1 miss | 79d past | On track |
Ruth Sorensen M466341 · 82y · Redwood Primary (390) 462-7659 | Critical Nurse | ED St. Aldon Regional ED | No case No plan | Jun 19 Jun 19 | Contacted Nurse case manager · 1 attempt | Completed Jun 22 · 3d | Met | On track |
Amir Okafor M471245 · 86y · Lakeview Internal (469) 852-1235 | Critical Nurse | SNF Golden Oaks Rehab | No case No plan | Oct 26 Nov 5 | Contacted Nurse case manager · 1 attempt | Completed Nov 9 · 4d | Met | On track |
Amir Chandler M404173 · 73y · Lakeview Internal (415) 851-315560d readmit | Serious Nurse | ED Northside Medical ED | No case No plan | Jul 20 Jul 20 | Attempted Nurse case manager · 1 attempt | Not scheduled — | 38d past | On track |
Delia Marsden M454147 · 84y · Redwood Primary (315) 459-2391 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Sep 3 | Aug 29 Sep 2 | Attempted Care coordinator · 1 attempt | Not scheduled — | 6d left | Contacted, no appointment |
Harold Petrov M403367 · 86y · Lakeview Internal (429) 299-8640 | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Mar 31 | Mar 16 Mar 31 | Contacted Care coordinator · 1 attempt | Cancelled Apr 6 · 1 miss | 149d past | No-show recovery |
Priya Ferreira M423496 · 80y · Redwood Primary (437) 766-1577 | Good Care coordinator | Observation St. Aldon Regional | No case No plan | Apr 13 Apr 18 | Contacted Care coordinator · 1 attempt | Cancelled Apr 26 · 1 miss | 131d past | No-show recovery |
Ruth Okafor M479690 · 87y · Lakeview Internal (534) 255-9382Returned | Serious Nurse | ED St. Aldon Regional ED | No case No plan | Apr 29 Apr 29 | Contacted Nurse case manager · 2 attempts | Completed May 2 · 3d | Met | Readmit — visit completed |
Imani Tanaka M469860 · 72y · Lakeview Internal (470) 695-3527 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Aug 24 | Aug 18 Aug 25 | Contacted Front desk · 2 attempts | Not scheduled — | 2d past | Window missed |
Cora Salazar M449659 · 89y · Redwood Primary (552) 605-8879 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Sep 10 | Sep 1 LOS 2d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Rosa Kowalski M483838 · 89y · Lakeview Internal (279) 297-1389 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Oct 29 | Oct 22 Oct 29 | Contacted Nurse case manager · 1 attempt | Completed Nov 12 · 14d | 302d past | On track |
Ruth Delgado M449975 · 63y · Lakeview Internal (312) 718-7106 | Serious Nurse | Inpatient Mercy General | No case No plan | Aug 2 Aug 7 | Contacted Nurse case manager · 1 attempt | Completed Aug 10 · 3d | Met | On track |
Jonas Mbeki M402602 · 85y · Redwood Primary (466) 508-7935 | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Feb 9 | Feb 2 Feb 8 | Contacted Nurse case manager · 2 attempts | Completed Feb 13 · 5d · 1 miss | Met | On track |
Milton Rios M479698 · 69y · Redwood Primary (385) 569-6808 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Mar 5 | Mar 1 Mar 4 | Contacted Nurse case manager · 1 attempt | Completed Mar 7 · 3d · 1 miss | Met | On track |
Eleanor Salazar M434534 · 89y · Lakeview Internal (651) 398-6577 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Jun 17 | Jun 9 Jun 16 | Contacted Nurse case manager · 3 attempts | Completed Jun 24 · 8d | 72d past | On track |
Dwight Haddad M420805 · 83y · Lakeview Internal (640) 792-7221 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Apr 8 | Mar 30 Apr 8 | Contacted Care coordinator · 2 attempts | Completed Apr 13 · 5d | Met | On track |
Bernard Whitmore M459706 · 86y · Redwood Primary (606) 425-2350 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC May 13 | May 5 May 13 | Contacted Care coordinator · 1 attempt | Not scheduled — | 106d past | On track |
Gerald Tanaka M461480 · 81y · Lakeview Internal (290) 388-2446 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Sep 19 | Sep 11 Sep 19 | Contacted Care coordinator · 2 attempts | Completed Sep 24 · 5d | Met | On track |
Imani Ionescu M436625 · 66y · Redwood Primary (241) 471-9803 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Dec 23 | Dec 19 Dec 23 | Contacted Care coordinator · 3 attempts | Completed Dec 28 · 5d | Met | On track |
Otis Mbeki M453596 · 79y · Redwood Primary (483) 521-4016 | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Feb 21 | Feb 12 Feb 21 | Contacted Nurse case manager · 2 attempts | Completed Feb 26 · 5d | Met | On track |
Terrance Lindstrom M442750 · 66y · Redwood Primary (637) 464-5387 | Serious Nurse | Inpatient Valley Baptist | Case open Proj. DC Sep 12 | Sep 7 Sep 13 | Contacted Nurse case manager · 2 attempts | Completed Sep 18 · 5d | Met | On track |
Otis Mbeki M432681 · 74y · Redwood Primary (547) 675-8431Returned | Serious Nurse | Inpatient Mercy General | Case open Proj. DC Apr 27 | Apr 19 Apr 27 | Contacted Nurse case manager · 3 attempts | Completed May 6 · 9d | 122d past | On track |
Cora Salazar M442864 · 76y · Redwood Primary (505) 734-5147 | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Mar 21 | Mar 13 Mar 21 | Contacted Nurse case manager · 3 attempts | Completed Apr 4 · 14d | 159d past | On track |
Marcus Salazar M489479 · 65y · Cedar Hills Family (668) 555-5303 | Serious Nurse | Inpatient St. Aldon Regional | Case open Proj. DC Jan 2 | Dec 23 Jan 2 | Contacted Care coordinator · 2 attempts | Completed Jan 8 · 6d | Met | On track |
Terrance Guillory M443908 · 74y · Cedar Hills Family (213) 616-9427 | Serious Nurse | Inpatient Northside Medical Center | Case open Proj. DC Sep 12 | Sep 3 LOS 0d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Rafael Sorensen M443804 · 88y · Redwood Primary (539) 639-8947 | Fair Care coordinator | Home Health Comfort Care at Home | No case No plan | Aug 13 LOS 21d | Not started — · 0 attempts | Not scheduled — | In facility | No case management |
Bernard Salazar M438427 · 71y · Lakeview Internal (384) 243-711260d readmit | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Aug 5 | Aug 1 Aug 6 | Contacted Care coordinator · 1 attempt | Completed Aug 16 · 10d | 21d past | On track |
Delia Nguyen M462677 · 85y · Cedar Hills Family (689) 886-830260d readmit | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Jun 4 | May 26 Jun 4 | Contacted Care coordinator · 2 attempts | Completed Jun 9 · 5d | Met | On track |
Ingrid Whitmore M429211 · 66y · Cedar Hills Family (288) 518-8935Returned | Fair Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Jul 18 | Jun 25 Jul 17 | Contacted Front desk · 1 attempt | Cancelled Jul 22 · 1 miss | 41d past | No-show recovery |
Delia Marsden M444827 · 89y · Lakeview Internal (491) 379-9194 | Serious Nurse | Observation Mercy General | Case open Proj. DC May 28 | May 19 May 27 | Contacted Nurse case manager · 1 attempt | Completed Jun 5 · 9d | 92d past | On track |
Bernard Marsden M404969 · 78y · Lakeview Internal (231) 293-5200 | Serious Nurse | SNF Ridgeway LTAC | Case open Proj. DC Aug 30 | Aug 6 Aug 30 | Contacted Nurse case manager · 1 attempt | Completed Sep 3 · 4d | Met | On track |
Alma Kowalski M415299 · 82y · Lakeview Internal (328) 853-9842 | Serious Nurse | SNF Riverstone Post-Acute | Case open Proj. DC Aug 13 | Jul 20 Aug 12 | Contacted Nurse case manager · 1 attempt | Completed Aug 14 · 2d | Met | On track |
Amir Chandler M460039 · 59y · Redwood Primary (343) 791-7404 | Serious Nurse | SNF Riverstone Post-Acute | Case open Proj. DC Aug 8 | Jul 31 Aug 9 | Contacted Nurse case manager · 1 attempt | Completed Aug 14 · 5d | Met | On track |
Otis Abernathy M453781 · 67y · Lakeview Internal (497) 443-6293 | Serious Nurse | ED Northside Medical ED | No case No plan | May 17 May 17 | Contacted Nurse case manager · 1 attempt | Completed May 22 · 5d | Met | On track |
Hattie Abernathy M468139 · 63y · Lakeview Internal (305) 821-2576 | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Jan 27 | Jan 13 Jan 28 | Contacted Nurse case manager · 3 attempts | Completed Jan 30 · 2d | Met | On track |
Eleanor Ionescu M418944 · 79y · Cedar Hills Family (405) 431-2498 | Serious Nurse | Home Health Comfort Care at Home | Case open Proj. DC Jun 16 | May 12 Jun 15 | Contacted Nurse case manager · 1 attempt | Completed Jun 18 · 3d | Met | On track |
Milton Sorensen M407512 · 90y · Lakeview Internal (503) 555-2716 | Serious Nurse | Observation Mercy General | Case open Proj. DC Jul 13 | Jul 7 Jul 13 | Contacted Care coordinator · 1 attempt | Completed Jul 18 · 5d | Met | On track |
Amir Baptiste M424354 · 64y · Cedar Hills Family (704) 453-8856 | Serious Nurse | SNF Riverstone Post-Acute | Case open Proj. DC Jun 20 | Jun 4 Jun 20 | Contacted Nurse case manager · 2 attempts | Completed Jun 25 · 5d | Met | On track |
Terrance Petrov M461873 · 85y · Redwood Primary (228) 771-1068 | Serious Nurse | Observation St. Aldon Regional | Case open Proj. DC Sep 2 | Aug 24 Sep 3 | Contacted Nurse case manager · 3 attempts | Scheduled Sep 7 | 7d left | On track |
Simone Baptiste M428275 · 68y · Cedar Hills Family (291) 544-2409 | Serious Nurse | ED St. Aldon Regional ED | No case No plan | Dec 24 Dec 24 | Contacted Nurse case manager · 3 attempts | Completed Dec 29 · 5d | Met | On track |
Alma Salazar M434868 · 60y · Cedar Hills Family (695) 409-2178 | Serious Nurse | SNF Golden Oaks Rehab | Case open Proj. DC Apr 8 | Mar 21 Apr 8 | Contacted Nurse case manager · 2 attempts | Completed Apr 10 · 2d | Met | On track |
Xiomara Whitmore M457396 · 79y · Redwood Primary (655) 805-2094 | Serious Nurse | SNF Ridgeway LTAC | Case open Proj. DC Sep 7 | Aug 25 LOS 9d | Contacted Nurse case manager · 1 attempt | Not scheduled — | In facility | On track |
Imani Guillory M479463 · 74y · Cedar Hills Family (633) 271-8059 | Serious Nurse | SNF Riverstone Post-Acute | Case open Proj. DC Aug 30 | Aug 9 Aug 30 | Contacted Nurse case manager · 3 attempts | Completed Sep 2 · 3d | Met | On track |
Yuki Salazar M497105 · 84y · Cedar Hills Family (682) 612-1804 | Serious Nurse | Home Health Anchor Home Services | Case open Proj. DC Aug 22 | Aug 5 Aug 22 | Contacted Nurse case manager · 2 attempts | Completed Aug 26 · 4d | Met | On track |
Xiomara Ferreira M434344 · 80y · Lakeview Internal (456) 265-9620 | Serious Nurse | SNF Riverstone Post-Acute | Case open Proj. DC Dec 16 | Dec 3 Dec 15 | Contacted Nurse case manager · 1 attempt | Completed Dec 18 · 3d | Met | On track |
Imani Ionescu M448521 · 69y · Lakeview Internal (395) 821-3449 | Serious Nurse | ED St. Aldon Regional ED | Case open Proj. DC Aug 22 | Aug 22 Aug 22 | Contacted Nurse case manager · 1 attempt | Completed Aug 28 · 6d | Met | On track |
Marcus Mbeki M420629 · 58y · Redwood Primary (520) 210-1821 | Serious Nurse | SNF Willowbrook SNF | Case open Proj. DC May 30 | May 10 May 31 | Contacted Nurse case manager · 1 attempt | Completed Jun 2 · 2d | Met | On track |
Beatrice Delgado M446326 · 62y · Lakeview Internal (696) 363-606660d readmit | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Aug 7 | Jul 16 Aug 7 | Contacted Front desk · 2 attempts | Completed Aug 22 · 15d | 20d past | On track |
Alma Whitmore M474272 · 86y · Lakeview Internal (371) 341-188060d readmit | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Oct 22 | Oct 2 Oct 22 | Contacted Care coordinator · 2 attempts | Rescheduled Nov 2 · 1 miss | 309d past | On track |
Alma Marsden M439795 · 78y · Cedar Hills Family (696) 353-244060d readmit | Good Care coordinator | ED Northside Medical ED | No case No plan | Sep 30 Sep 30 | Not started — · 0 attempts | Not scheduled — | 331d past | On track |
Ruth Sorensen M434990 · 78y · Lakeview Internal (562) 531-958960d readmit | Good Care coordinator | Observation Northside Medical Center | Case open Proj. DC Jun 14 | Jun 9 Jun 14 | Contacted Care coordinator · 2 attempts | Rescheduled Jun 17 · 1 miss | 74d past | On track |
Eleanor Okafor M416557 · 59y · Lakeview Internal (593) 417-475560d readmit | Good Care coordinator | SNF Riverstone Post-Acute | No case No plan | Apr 7 Apr 16 | Contacted Care coordinator · 1 attempt | Completed Apr 26 · 10d | 133d past | On track |
Priya Chandler M461848 · 84y · Lakeview Internal (699) 275-304660d readmitReturned | Good Care coordinator | ED Mercy General ED | No case No plan | Aug 2 Aug 2 | Contacted Front desk · 2 attempts | Rescheduled Aug 5 · 1 miss | 25d past | On track |
Callum Delgado M409755 · 71y · Cedar Hills Family (314) 607-245960d readmit | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Oct 23 | Oct 13 Oct 22 | Contacted Front desk · 2 attempts | Not scheduled — | 309d past | On track |
Alma Delgado M412393 · 83y · Lakeview Internal (523) 414-710560d readmit | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Aug 13 | Aug 7 Aug 13 | Contacted PCP office · 3 attempts | Rescheduled Aug 15 · 1 miss | 14d past | On track |
Frank Delgado M467993 · 71y · Cedar Hills Family (322) 367-564560d readmitReturned | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC May 7 | Apr 27 May 6 | Contacted Care coordinator · 3 attempts | Completed May 22 · 16d | 113d past | On track |
Dwight Mbeki M454998 · 89y · Cedar Hills Family (293) 861-116960d readmit | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Sep 25 | Sep 18 Sep 26 | Contacted PCP office · 2 attempts | Completed Sep 28 · 2d | Met | On track |
Frank Haddad M446726 · 62y · Cedar Hills Family (555) 573-373160d readmit | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jul 23 | Jul 15 Jul 23 | Contacted Care coordinator · 3 attempts | Completed Jul 29 · 6d | Met | On track |
Harold Lindstrom M432806 · 75y · Redwood Primary (610) 461-382860d readmit | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Nov 11 | Nov 2 Nov 10 | Unable to reach Front desk · 5 attempts | Not scheduled — | 290d past | On track |
Priya Ionescu M427813 · 72y · Cedar Hills Family (622) 841-378360d readmit | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 15 | Jul 4 Jul 14 | Contacted Care coordinator · 1 attempt | Completed Jul 17 · 3d | Met | On track |
Delia Whitmore M403644 · 88y · Redwood Primary (663) 276-2260 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Oct 29 | Oct 21 Oct 29 | Contacted PCP office · 1 attempt | Completed Oct 31 · 2d | Met | On track |
Gerald Mbeki M488501 · 87y · Cedar Hills Family (304) 702-2525 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 3 | Jun 25 Jul 3 | Contacted PCP office · 3 attempts | Completed Jul 8 · 5d | Met | On track |
Amir Sorensen M453720 · 84y · Lakeview Internal (306) 663-8384 | Good Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Jun 12 | Jun 8 Jun 13 | Contacted Care coordinator · 2 attempts | Completed Jun 16 · 3d | Met | On track |
Willie Nguyen M430806 · 81y · Lakeview Internal (332) 610-9666 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Aug 5 | Aug 1 Aug 5 | Contacted Care coordinator · 2 attempts | Completed Aug 20 · 15d | 22d past | On track |
Bernard Salazar M446039 · 83y · Cedar Hills Family (686) 298-1598 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Mar 26 | Mar 17 Mar 26 | Contacted Care coordinator · 3 attempts | Completed Mar 29 · 3d | Met | On track |
Ruth Ferreira M414225 · 68y · Cedar Hills Family (659) 819-1843 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Mar 30 | Mar 23 Mar 31 | Contacted Care coordinator · 1 attempt | Completed Apr 6 · 6d | Met | On track |
Willie Petrov M474546 · 79y · Redwood Primary (378) 272-4051 | Good Care coordinator | Inpatient Northside Medical Center | No case No plan | Oct 26 Nov 1 | Unable to reach Care coordinator · 5 attempts | Not scheduled — | 299d past | On track |
Rosa Okafor M436031 · 87y · Redwood Primary (430) 769-9904 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Mar 5 | Mar 1 Mar 4 | Contacted Front desk · 3 attempts | Completed Mar 7 · 3d | Met | On track |
Delia Rios M443285 · 68y · Cedar Hills Family (669) 806-4869 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Aug 22 | Aug 18 Aug 21 | Contacted PCP office · 1 attempt | Completed Aug 24 · 3d · 1 miss | Met | On track |
Lena Baptiste M426236 · 65y · Lakeview Internal (413) 522-5014 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Apr 4 | Mar 27 Apr 3 | Contacted Care coordinator · 1 attempt | Completed Apr 18 · 15d · 1 miss | 146d past | On track |
Dwight Guillory M447047 · 70y · Lakeview Internal (648) 382-4435 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jan 1 | Dec 24 Dec 31 | Contacted Front desk · 2 attempts | Completed Jan 5 · 5d | Met | On track |
Rafael Chandler M467513 · 86y · Lakeview Internal (514) 808-4569 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Dec 31 | Dec 24 Jan 1 | Attempted Care coordinator · 1 attempt | Not scheduled — | 238d past | On track |
Terrance Haddad M459400 · 58y · Redwood Primary (289) 855-3932 | Good Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Apr 17 | Apr 10 Apr 18 | Contacted Care coordinator · 2 attempts | Completed Apr 21 · 3d · 1 miss | Met | On track |
Eleanor Abernathy M443168 · 80y · Cedar Hills Family (359) 727-6862 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Sep 7 | Aug 30 LOS 4d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Rosa Okafor M497790 · 74y · Cedar Hills Family (306) 720-7451 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jan 7 | Jan 4 Jan 8 | Contacted Care coordinator · 2 attempts | Rescheduled Jan 10 · 1 miss | 231d past | On track |
Terrance Mbeki M425117 · 76y · Redwood Primary (257) 719-3626 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Apr 30 | Apr 21 Apr 30 | Contacted Front desk · 2 attempts | Completed May 4 · 4d | Met | On track |
Priya Mbeki M400303 · 68y · Cedar Hills Family (611) 427-5405 | Good Care coordinator | Inpatient Valley Baptist | No case No plan | Nov 14 Nov 23 | Contacted Care coordinator · 1 attempt | Completed Nov 27 · 4d | Met | On track |
Bernard Baptiste M450904 · 84y · Redwood Primary (434) 230-8157 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Apr 18 | Apr 11 Apr 18 | Contacted Front desk · 3 attempts | Rescheduled Apr 27 · 1 miss | 131d past | On track |
Lena Kowalski M484268 · 73y · Lakeview Internal (509) 572-8592 | Good Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jul 7 | Jul 1 Jul 8 | Attempted Care coordinator · 2 attempts | Not scheduled — | 50d past | On track |
Rosa Ionescu M441308 · 83y · Lakeview Internal (659) 657-8056 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Sep 4 | Aug 26 LOS 8d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Rafael Abernathy M472174 · 74y · Lakeview Internal (446) 668-8954 | Good Care coordinator | Inpatient Mercy General | Case open Proj. DC Oct 7 | Oct 4 Oct 7 | Contacted Front desk · 1 attempt | Rescheduled Oct 16 · 1 miss | 324d past | On track |
Gerald Tanaka M420622 · 60y · Lakeview Internal (228) 755-619060d readmit | Fair Care coordinator | ED Valley Baptist ED | Case open Proj. DC Nov 5 | Nov 5 Nov 5 | Not started — · 0 attempts | Not scheduled — | 295d past | On track |
Delia Marsden M469620 · 80y · Cedar Hills Family (493) 505-583460d readmit | Fair Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jan 31 | Jan 13 Jan 31 | Contacted Care coordinator · 2 attempts | Completed Feb 15 · 15d · 1 miss | 208d past | On track |
Amir Sorensen M431087 · 82y · Redwood Primary (417) 554-4378 | Good Care coordinator | ED Mercy General ED | Case open Proj. DC May 20 | May 20 May 20 | Contacted Care coordinator · 1 attempt | Completed Jun 3 · 14d | 99d past | On track |
Marcus Abernathy M465016 · 67y · Cedar Hills Family (678) 290-9272 | Good Care coordinator | Observation Mercy General | Case open Proj. DC May 24 | May 18 May 24 | Not started — · 0 attempts | Not scheduled — | 95d past | On track |
Bernard Ferreira M419070 · 62y · Cedar Hills Family (596) 885-5682 | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Aug 31 | Aug 31 Aug 31 | Contacted Front desk · 2 attempts | Scheduled Sep 10 | 4d left | On track |
Imani Salazar M495406 · 89y · Redwood Primary (513) 880-7171 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Sep 18 | Aug 27 LOS 7d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Eleanor Whitmore M447488 · 63y · Cedar Hills Family (654) 368-5483 | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Sep 12 | Aug 29 LOS 5d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Beatrice Sorensen M415167 · 87y · Redwood Primary (681) 275-2299 | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Apr 5 | Mar 4 Apr 6 | Attempted Care coordinator · 1 attempt | Not scheduled — | 143d past | On track |
Simone Sorensen M492693 · 87y · Cedar Hills Family (411) 683-1300 | Good Care coordinator | ED St. Aldon Regional ED | Case open Proj. DC May 6 | May 6 May 6 | Contacted Care coordinator · 2 attempts | Not scheduled — | 113d past | On track |
Ruth Guillory M457411 · 89y · Redwood Primary (279) 623-4146 | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Aug 25 | Aug 25 Aug 25 | Contacted PCP office · 2 attempts | Completed Aug 30 · 5d | Met | On track |
Hattie Kowalski M495694 · 66y · Lakeview Internal (413) 594-2800 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Nov 29 | Nov 6 Nov 28 | Attempted Care coordinator · 2 attempts | Not scheduled — | 272d past | On track |
Ruth Haddad M481124 · 84y · Lakeview Internal (221) 726-3647 | Good Care coordinator | ED Valley Baptist ED | No case No plan | Jun 11 Jun 11 | Contacted Front desk · 1 attempt | Completed Jun 20 · 9d | 77d past | On track |
Cora Salazar M421809 · 58y · Redwood Primary (650) 601-4910 | Good Care coordinator | ED St. Aldon Regional ED | No case No plan | Apr 11 Apr 11 | Contacted Care coordinator · 2 attempts | Completed Apr 23 · 12d | 138d past | On track |
Hattie Chandler M460581 · 88y · Cedar Hills Family (305) 437-4458 | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Sep 3 | Aug 15 Sep 2 | Contacted PCP office · 2 attempts | Scheduled Sep 16 | 6d left | On track |
Milton Petrov M414432 · 79y · Cedar Hills Family (666) 229-6827 | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC May 14 | Apr 29 May 13 | Not started — · 0 attempts | Not scheduled — | 106d past | On track |
Gerald Whitmore M457726 · 86y · Redwood Primary (375) 294-5207 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Feb 5 | Jan 10 Feb 6 | Contacted Care coordinator · 3 attempts | Completed Feb 12 · 6d | Met | On track |
Yuki Petrov M428549 · 59y · Cedar Hills Family (424) 815-1105 | Good Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC May 27 | May 9 May 28 | Contacted Care coordinator · 2 attempts | Completed Jun 3 · 6d | Met | On track |
Milton Lindstrom M496051 · 90y · Redwood Primary (339) 342-5420 | Good Care coordinator | Observation Mercy General | Case open Proj. DC Jul 16 | Jul 10 Jul 15 | Contacted Care coordinator · 3 attempts | Completed Jul 23 · 8d | 43d past | On track |
Gerald Salazar M445016 · 64y · Redwood Primary (317) 339-6204 | Good Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Feb 5 | Jan 18 Feb 5 | Contacted Care coordinator · 2 attempts | Completed Feb 21 · 16d | 203d past | On track |
Alma Nguyen M407695 · 89y · Lakeview Internal (423) 381-3376 | Good Care coordinator | ED Northside Medical ED | Case open Proj. DC Jul 8 | Jul 8 Jul 8 | Contacted Front desk · 2 attempts | Completed Jul 18 · 10d · 1 miss | 50d past | On track |
Imani Guillory M492183 · 61y · Cedar Hills Family (383) 789-4507 | Good Care coordinator | Observation St. Aldon Regional | Case open Proj. DC Jul 9 | Jul 5 Jul 9 | Contacted Care coordinator · 1 attempt | Completed Jul 13 · 4d | Met | On track |
Rafael Guillory M414057 · 77y · Cedar Hills Family (643) 483-3981 | Good Care coordinator | SNF Willowbrook SNF | Case open Proj. DC Apr 8 | Mar 22 Apr 7 | Contacted Care coordinator · 1 attempt | Completed Apr 20 · 13d | 142d past | On track |
Terrance Marsden M461407 · 66y · Redwood Primary (655) 437-5558 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC May 7 | Apr 14 May 6 | Contacted Care coordinator · 2 attempts | Completed May 16 · 10d | 113d past | On track |
Rafael Tanaka M415890 · 68y · Cedar Hills Family (427) 322-3286 | Good Care coordinator | Home Health BrightPath Home Health | No case No plan | Apr 24 May 29 | Not started — · 0 attempts | Not scheduled — | 90d past | On track |
Nadia Marsden M432268 · 76y · Lakeview Internal (648) 607-4306 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jan 1 | Dec 17 Jan 1 | Contacted Front desk · 2 attempts | Completed Jan 16 · 15d | 238d past | On track |
Xiomara Ferreira M487433 · 72y · Lakeview Internal (697) 363-3689 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jun 19 | Jun 7 Jun 19 | Contacted Care coordinator · 2 attempts | Completed Jun 27 · 8d | 69d past | On track |
Gerald Baptiste M408832 · 60y · Lakeview Internal (391) 440-1858 | Good Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Nov 23 | Nov 5 Nov 22 | Contacted Front desk · 2 attempts | Completed Dec 7 · 15d | 278d past | On track |
Lena Haddad M422528 · 68y · Cedar Hills Family (489) 824-4744 | Good Care coordinator | ED Northside Medical ED | No case No plan | Oct 18 Oct 18 | Contacted Care coordinator · 1 attempt | Completed Oct 24 · 6d | Met | On track |
Cora Ferreira M441424 · 91y · Lakeview Internal (226) 824-4310 | Good Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Mar 30 | Mar 19 Mar 30 | Contacted Front desk · 3 attempts | Not scheduled — | 150d past | On track |
Harold Nguyen M447051 · 72y · Lakeview Internal (217) 737-2524 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Jan 31 | Jan 12 Feb 1 | Contacted Care coordinator · 2 attempts | Rescheduled Feb 16 · 1 miss | 207d past | On track |
Amir Tanaka M413997 · 72y · Redwood Primary (649) 532-1866 | Good Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC Feb 7 | Jan 23 Feb 7 | Contacted Care coordinator · 3 attempts | Completed Feb 13 · 6d | Met | On track |
Yuki Salazar M431552 · 65y · Redwood Primary (621) 465-7958 | Good Care coordinator | ED Valley Baptist ED | Case open Proj. DC Jul 4 | Jul 4 Jul 4 | Contacted Front desk · 3 attempts | Completed Jul 7 · 3d | Met | On track |
Alma Tanaka M452702 · 83y · Cedar Hills Family (688) 484-7443 | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Apr 1 | Mar 27 Apr 1 | Attempted Front desk · 2 attempts | Not scheduled — | 148d past | On track |
Nadia Okafor M471197 · 69y · Cedar Hills Family (675) 512-2844 | Fair Care coordinator | Inpatient St. Aldon Regional | No case No plan | Jun 25 Jul 2 | Not started — · 0 attempts | Not scheduled — | 56d past | On track |
Milton Mbeki M444594 · 84y · Lakeview Internal (508) 865-5707 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Oct 19 | Oct 15 Oct 19 | Contacted Care coordinator · 1 attempt | Rescheduled Oct 31 · 1 miss | 312d past | On track |
Hattie Nguyen M484228 · 59y · Lakeview Internal (530) 389-2096Returned | Fair Care coordinator | Inpatient Valley Baptist | No case No plan | Sep 13 Sep 23 | Contacted PCP office · 2 attempts | Completed Oct 2 · 9d | 338d past | On track |
Nadia Sorensen M493114 · 64y · Lakeview Internal (318) 591-4258 | Fair Care coordinator | Inpatient Mercy General | Case open Proj. DC Jun 9 | Jun 5 Jun 9 | Attempted Care coordinator · 2 attempts | Not scheduled — | 79d past | On track |
Ruth Marsden M443988 · 63y · Redwood Primary (543) 669-2819 | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC May 10 | May 7 May 10 | Contacted Care coordinator · 2 attempts | Completed May 13 · 3d | Met | On track |
Willie Petrov M465668 · 69y · Redwood Primary (565) 616-3248 | Fair Care coordinator | Inpatient Northside Medical Center | Case open Proj. DC Jul 5 | Jun 29 Jul 6 | Attempted Care coordinator · 2 attempts | Not scheduled — | 52d past | On track |
Harold Baptiste M455084 · 62y · Cedar Hills Family (381) 231-8827 | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Mar 27 | Mar 18 Mar 27 | Contacted PCP office · 3 attempts | Completed Mar 31 · 4d | Met | On track |
Lena Tanaka M454497 · 78y · Cedar Hills Family (581) 689-5958 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC May 8 | May 5 May 8 | Unable to reach Care coordinator · 4 attempts | Not scheduled — | 111d past | On track |
Terrance Salazar M438843 · 66y · Redwood Primary (691) 596-6499 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Feb 10 | Jan 31 Feb 10 | Contacted Care coordinator · 2 attempts | Not scheduled — | 198d past | On track |
Bernard Tanaka M465739 · 64y · Lakeview Internal (631) 663-4905Returned | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Jun 7 | May 30 Jun 7 | Contacted PCP office · 1 attempt | Completed Jun 15 · 8d | 81d past | On track |
Xiomara Delgado M417611 · 82y · Redwood Primary (233) 459-6159 | Fair Care coordinator | Inpatient St. Aldon Regional | Case open Proj. DC Oct 10 | Oct 3 Oct 10 | Contacted Care coordinator · 1 attempt | Completed Oct 18 · 8d | 321d past | On track |
Jonas Abernathy M495404 · 67y · Redwood Primary (594) 814-9033 | Fair Care coordinator | Inpatient Valley Baptist | Case open Proj. DC Sep 11 | Sep 2 LOS 1d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Rafael Whitmore M413112 · 74y · Lakeview Internal (498) 759-9623 | Fair Care coordinator | Home Health Comfort Care at Home | No case No plan | Jun 3 Jul 2 | Attempted PCP office · 2 attempts | Not scheduled — | 56d past | On track |
Imani Kowalski M479753 · 67y · Lakeview Internal (403) 801-7041 | Fair Care coordinator | Observation Mercy General | Case open Proj. DC May 16 | May 7 May 17 | Contacted Care coordinator · 2 attempts | Completed May 20 · 3d | Met | On track |
Simone Ferreira M492465 · 70y · Lakeview Internal (325) 287-3567 | Fair Care coordinator | SNF Ridgeway LTAC | Case open Proj. DC Aug 9 | Jul 15 Aug 8 | Contacted PCP office · 2 attempts | Completed Aug 14 · 6d | Met | On track |
Simone Salazar M444591 · 70y · Cedar Hills Family (376) 386-5459 | Fair Care coordinator | Observation St. Aldon Regional | Case open Proj. DC Jun 9 | Jun 6 Jun 9 | Contacted Care coordinator · 1 attempt | Not scheduled — | 79d past | On track |
Imani Tanaka M417902 · 75y · Lakeview Internal (282) 370-3221 | Fair Care coordinator | ED Valley Baptist ED | Case open Proj. DC Feb 24 | Feb 24 Feb 24 | Contacted PCP office · 3 attempts | Completed Mar 8 · 12d | 184d past | On track |
Amir Lindstrom M400193 · 79y · Lakeview Internal (302) 809-4639 | Fair Care coordinator | ED Valley Baptist ED | Case open Proj. DC Jan 18 | Jan 18 Jan 18 | Contacted Care coordinator · 3 attempts | Completed Jan 29 · 11d | 221d past | On track |
Priya Baptiste M408265 · 68y · Cedar Hills Family (588) 808-9068 | Fair Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Jun 16 | May 10 Jun 16 | Contacted Care coordinator · 3 attempts | Completed Jun 18 · 2d | Met | On track |
Cora Sorensen M460765 · 61y · Redwood Primary (323) 500-5687 | Fair Care coordinator | Home Health Comfort Care at Home | Case open Proj. DC Nov 18 | Oct 14 Nov 18 | Contacted Front desk · 1 attempt | Completed Nov 22 · 4d · 1 miss | Met | On track |
Yuki Chandler M462576 · 68y · Lakeview Internal (277) 412-4925 | Fair Care coordinator | SNF Willowbrook SNF | Case open Proj. DC May 13 | Apr 22 May 13 | Contacted Front desk · 3 attempts | Completed May 15 · 2d | Met | On track |
Rosa Delgado M413818 · 86y · Lakeview Internal (653) 688-8672 | Fair Care coordinator | Observation St. Aldon Regional | Case open Proj. DC May 20 | May 14 May 20 | Contacted Care coordinator · 3 attempts | Completed Jun 4 · 15d · 1 miss | 99d past | On track |
Dwight Tanaka M419612 · 90y · Lakeview Internal (454) 525-3799 | Fair Care coordinator | ED Valley Baptist ED | Case open Proj. DC Sep 3 | Sep 3 Sep 3 | Contacted PCP office · 1 attempt | Scheduled Sep 8 | 7d left | On track |
Ruth Petrov M467224 · 72y · Redwood Primary (561) 516-9056 | Fair Care coordinator | ED Mercy General ED | Case open Proj. DC May 15 | May 15 May 15 | Contacted Front desk · 2 attempts | Completed May 24 · 9d | 104d past | On track |
Ruth Rios M499278 · 68y · Cedar Hills Family (442) 297-4738 | Fair Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Sep 19 | Aug 28 LOS 6d | Not started — · 0 attempts | Not scheduled — | In facility | On track |
Milton Okafor M439397 · 91y · Redwood Primary (520) 736-7695 | Fair Care coordinator | SNF Riverstone Post-Acute | Case open Proj. DC Aug 27 | Aug 11 Aug 26 | Contacted Front desk · 2 attempts | Scheduled Sep 4 | 1d past | On track |
Willie Whitmore M450100 · 81y · Redwood Primary (447) 568-8044 | Fair Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Jan 18 | Dec 13 Jan 17 | Contacted Care coordinator · 2 attempts | Not scheduled — | 222d past | On track |
Jonas Whitmore M448456 · 77y · Cedar Hills Family (329) 887-1660 | Fair Care coordinator | Home Health Anchor Home Services | Case open Proj. DC Mar 9 | Feb 10 Mar 10 | Contacted Care coordinator · 3 attempts | Rescheduled Mar 12 · 1 miss | 170d past | On track |
Ingrid Rios M432750 · 80y · Lakeview Internal (576) 273-3739 | Fair Care coordinator | Observation St. Aldon Regional | No case No plan | Aug 19 Aug 26 | Contacted Care coordinator · 3 attempts | Completed Aug 30 · 4d | Met | On track |
Marcus Haddad M469173 · 88y · Lakeview Internal (239) 863-2807 | Fair Care coordinator | Observation Mercy General | Case open Proj. DC Jul 6 | Jun 29 Jul 6 | Contacted PCP office · 1 attempt | Rescheduled Jul 9 · 1 miss | 52d past | On track |
Dwight Marsden M448598 · 80y · Redwood Primary (409) 200-6578 | Fair Care coordinator | ED Valley Baptist ED | No case No plan | Jan 28 Jan 28 | Contacted PCP office · 3 attempts | Completed Jan 30 · 2d | Met | On track |
Gerald Petrov M453709 · 71y · Cedar Hills Family (574) 435-3861 | Fair Care coordinator | Home Health BrightPath Home Health | Case open Proj. DC Jun 5 | May 21 Jun 4 | Contacted Care coordinator · 3 attempts | Completed Jun 10 · 6d | Met | On track |
Imani Mbeki M422836 · 84y · Lakeview Internal (459) 612-4586 | Fair Care coordinator | Observation St. Aldon Regional | Case open Proj. DC May 25 | May 16 May 26 | Contacted Care coordinator · 3 attempts | Rescheduled Jun 6 · 1 miss | 93d past | On track |
Rafael Nguyen M410587 · 58y · Cedar Hills Family (325) 255-6286 | Fair Care coordinator | SNF Golden Oaks Rehab | Case open Proj. DC May 22 | Apr 28 May 22 | Contacted Care coordinator · 2 attempts | Rescheduled Jun 5 · 1 miss | 97d past | On track |