Discharge Coordination | exacare ai
Admit, discharge, and track, all in one place
Send an outbound referral to any recipient, track it on a shared calendar, and see every status update, all within exacare ai.
Fewer Calls. Faster Placements.
Send referrals anywhere
Deliver outbound referrals to any type recipient, whether they use exacare ai or not.
Track statuses instantly
Communicate with recipients easily, upload documents securely, and see updates in real time.
Manage discharge dates together
See every resident's discharge in one shared calendar, visible to the whole team.
Follow every resident, from admit to discharge
Manage the entire resident journey, from admissions to discharge, in the same platform.
How it works
Send the referral
Choose a referral type, expected date, and recipient. Attach PCC and NetHealth clinical documents with one click, then send, directly within the exacare ai platform.
Add recipients as you go
Pull recipients straight from the Provider Directory, or set up contacts once for anyone on the team to use.
Deliver referrals securely
Recipients access the referral through a secure portal link with no account needed on their end.
Track every update
Two-way chat, read receipts, and a full activity log replace the usual email, fax, and phone-tag cycle, so status is visible the moment it changes.
Manage discharge dates
Track the move-out on a shared discharge calendar visible to the entire team, not just the sender.
Across the care journey
For Skilled Nursing
Send outbound referrals to home health and hospice, then track every transition from one place.
For Home Health
Receive referrals from SNFs and hospitals, then coordinate re-admissions as a patient’s condition changes.
For Hospice
Accept referrals across care teams, then keep providers informed through every transition.
Trusted by 2,500+ care teams
Move care forward
Trusted by 2,500+ care teams