Transitional Care Without Compromise

Transitional Care Without Compromise

How Serenelle Living is helping Marion County bridge the gaps between healthcare, housing, behavioral health, transportation, and community support.

The Space Between

Serenelle Living exists to bridge the space between services.

We are not the hospital. We are not the social worker. We are not the housing provider. We are the connective tissue that holds a person's care together when no single system is responsible for the whole.

Transitional Care Without Compromise

The Problem

A System That Works in Pieces

Each system functions independently. The person needing care must somehow navigate them all — simultaneously.

Why Serenelle Exists

We are not here to replace anyone. We are here to coordinate all of them.

Serenelle Living is not replacing hospitals. Not social workers. Not Marion Senior Services. Not behavioral health. We coordinate all of them — so the person never has to navigate alone.

Transitional Care Without Compromise

Service Overview

Every Department, One Coordinator

A single care coordinator is assigned to every client from day one — across every service below.

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Comprehensive Assessments

We identify barriers before they become crises.

Every assessment is designed to find the thing that will send this person back to the emergency room — before it does.

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Jimmy was experiencing homelessness.

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The crisis revealed medical complexity.

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One medication stood between Jimmy and a safe return.

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From discharge to a place to live.

Transitional Care Without Compromise

Employment, transportation, and the fabric of daily life.

Transitional Care Without Compromise

The support that holds when no one is watching.

Transitional Care Without Compromise

What Makes Us Different

We follow the client. We do not expect the client to navigate.

Transitional Care Without Compromise

Vernon's Place

A stabilization program. Not just housing.

Vernon's Place bridges recovery and independence through structure, accountability, and community reconnection.

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The Accountability Model

Structure that makes independence possible.

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Community Impact

When coordination works, the whole community benefits.

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Partnership Opportunities

How your organization can work alongside Serenelle.

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What We Need

We are seeking partners willing to help expand this model.

Appendix

Questions we are most often asked — with answers.

Transitional Care Without Compromise

Appendix · Q&A

How is Serenelle Living funded?

Serenelle operates on a private-pay model supplemented by grants, partnerships, and collaborative funding. We are actively seeking grant partners and pilot funding to expand access for clients who cannot afford the full cost of care. We are not a Medicaid provider, but we coordinate with Medicaid-funded services on behalf of our clients.

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Appendix · Q&A

Is Serenelle Living licensed? What about HIPAA?

Serenelle operates in compliance with Florida state requirements for the services we provide. We are HIPAA-compliant: all client data is encrypted at rest and in transit, access is role-based and audited, and every staff member signs a confidentiality agreement. We do not share protected health information without proper authorization.

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Appendix · Q&A

How does your transportation service work?

We provide non-emergency medical transportation (NEMT) for our clients — to appointments, pharmacies, the grocery store, and community resources. Our drivers are trained, our vehicles are inspected, and we coordinate rides alongside the rest of a client's care plan so transportation is never the reason a visit is missed.

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Appendix · Q&A

What exactly does Care Coordination include?

A dedicated coordinator assigned from day one. The coordinator manages assessments, attends key appointments, communicates with every provider, reconciles medications, manages handoffs between facilities, and stays with the client across every transition — for as long as the client needs coordination.

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Appendix · Q&A

What is Independent Living, and how is it different from a shelter?

Independent Living — including Vernon's Place — is a structured stabilization program, not a shelter. Residents set goals, maintain daily responsibilities, engage in employment planning, and reconnect with community. The model is built to restore independence, not simply to provide a bed.

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Appendix · Q&A

How do you handle behavioral health?

We do not provide clinical behavioral health treatment. We coordinate it. Our coordinators identify behavioral health needs during assessment, connect clients to licensed providers, support voluntary admissions, coordinate medication management, and stay with the client through the full course of treatment — including the transitions in and out of facilities.

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Appendix · Q&A

What does the technology behind Serenelle look like?

We have built a single, integrated platform that holds every client record, every assessment, every coordination note, every ride, and every message — across every department. Coordinators, caregivers, drivers, and partners all work from the same source of truth. Remote monitoring and medication reminders are built in. The platform is HIPAA-compliant and audited.

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Appendix · Q&A

What are your outcomes, and where is Serenelle headed next?

We are tracking readmissions, housing stability, medication adherence, employment, and behavioral health follow-up for every client. As a young organization, our early data is promising and we are committed to transparent reporting. Our roadmap includes expanding Vernon's Place capacity, deepening hospital partnerships, and building the coordinated care infrastructure to make Marion County a national model.

Transitional Care Without Compromise

Appendix · Q&A

Frequently asked: Can you serve my client? How do I refer?

Yes. You can refer through our Partner Portal at serenelleliving.com, by phone, or by direct introduction to our team. We will assess the client, assign a coordinator, and begin coordination — typically within 48 hours. There is no wrong door. If you are unsure whether we can help, call us and ask.