Case managers use this process to coordinate patient care, which influences both care and financial outcomes. The case manager will assess the patient and family/caregiver's needs and knowledge about CHF, and then provide appropriate resources and services. The patient is called within 3 days of discharge for educational reinforcement and to answer any questions he or she may have. The case manager will also schedule a follow-up appointment with an outpatient clinic within a week. The patient will be evaluated for symptoms associated with CHF and a medication reconciliation (CHRT,