Hospital & Rehab Referral Partners | CareWorks Houston In-Home Care

For Healthcare Professionals

A Discharge Partner You Can Count On

CareWorks Houston works directly with hospitals, rehab centers, and care teams to help patients get home safely — and stay there.

Speak with Our Team

Locally Owned & Operated in Houston Fast Response to Referrals Medicaid CAS / PHC Provider Veteran Care Support Dementia-Trained Caregivers

Who We Are

Trusted In-Home Care for Your Patients After Discharge

When a patient is ready to leave your facility, what happens next matters enormously. A smooth transition home can reduce readmissions, support recovery, and give families real peace of mind.

CareWorks Houston is a locally trusted in-home care agency serving Houston and the surrounding communities. We partner with hospitals, skilled nursing facilities, and rehab centers to provide the post-discharge care that keeps patients safe and comfortable at home.

Our care coordinators are responsive, knowledgeable, and ready to work alongside your discharge planning team from day one.

“When we refer a patient to CareWorks Houston, we know they’re going to be taken care of. They respond quickly, they communicate well, and they understand what our patients actually need when they get home.” — Hospital Discharge Planner, Houston, TX

Why Refer to Us

What Makes CareWorks Houston the Right Choice

We understand the pressure discharge planners and case managers face every day. You need a home care partner who picks up the phone, follows through, and communicates clearly. That’s exactly what we deliver.

⚡

Fast Care Start

We move quickly when a referral comes in. In many cases, we can arrange a care start within 24 to 48 hours of receiving a referral — so your patient doesn’t go home without support.

📞

Direct Communication

You’ll always have a real person to call. Our care coordinators keep discharge teams updated on care status and flag any concerns that may affect a patient’s recovery at home.

🏡

Seamless Transition Support

We focus on continuity — following the care plan, reinforcing discharge instructions, and helping patients and families stay on track after leaving your facility.

📋

Medicaid & Insurance Familiar

We work with Medicaid CAS/PHC, long-term care insurance, veteran benefits, and private pay — making care accessible for more of your patients regardless of their coverage.

🤝

A True Local Partner

We’re not a national call center. We know the Houston area, we know the neighborhoods, and we show up for families who need someone they can trust.

🧠

Dementia & Complex Care Ready

Our caregivers are trained to support patients with dementia, memory loss, and complex medical histories — including those who need closer supervision and structured routines at home.

Our Services

What We Provide for Your Patients at Home

CareWorks Houston provides non-medical in-home care across a wide range of daily needs. Whether a patient needs hands-on personal assistance or simply some help managing everyday tasks, we create a care plan that fits.

✓ Personal care assistance (bathing, dressing, grooming)

✓ Post-hospital discharge support

✓ Medication reminders

✓ Ambulation & fall prevention assistance

✓ Meal preparation & nutrition support

✓ Dementia & memory care

✓ Companion care & supervision

✓ Light housekeeping & errands

✓ Transportation to follow-up appointments

✓ Respite care for family caregivers

✓ Medicaid CAS / PHC services

✓ Veteran & long-term care support

How It Works

A Simple Referral Process

We’ve kept our referral process straightforward so your team can focus on what matters — getting your patients home safely.

Submit a Referral

Call us, send a fax, or fill out our online referral form. We respond to all referrals promptly.

We Review the Case

Our care coordinator reviews the patient’s needs and contacts the family or patient directly to coordinate details.

We Build a Care Plan

We work with the patient and family to build a home care plan that aligns with the discharge summary and clinical goals.

Care Begins

A matched caregiver is placed in the home — often within 24 to 48 hours. We follow up to ensure a smooth start.

Service Area

We Serve Houston and the Surrounding Communities

Whether your patient is returning to a Houston neighborhood or a suburb nearby, we have caregivers ready to support them close to home.

Houston (all major areas)
Sugar Land
Missouri City
Pearland
Cypress
Richmond & Rosenberg
Stafford & surrounding communities

Houston
Area

Locally owned & operated
Serving families across Greater Houston

Additional Support Through Trusted Partnerships

CareWorks works with trusted partners to help families access the right mix of home care, community support, and care planning resources. These partnerships can be especially helpful when a client needs more than one type of support after discharge or during a change in health needs.

CareScout Partnership

Our CareScout partnership helps eligible clients and families connect home care services with long-term care planning and support resources. It can make the process clearer for families who are trying to understand care options, benefits, and next steps after a health change or increased need at home.

Silver Heart Care Partnership

Through our Silver Heart Care partnership, clients may benefit from both professional in-home care and added community-based support. This can help reduce gaps in care by connecting seniors with practical help such as companionship, local support services, and other resources that improve safety and daily living at home.

Ready to Refer a Patient?

Our care coordinators are available to take referrals, answer questions, and coordinate directly with your discharge planning team. Reach out today — we’re ready to help.

📞 Call Our Referral Line ✉ Email Our Team