Watching a loved one age and experience physical, mental health, and other health challenges is incredibly difficult. Being the one to manage those challenges and make decisions on their behalf can be even more stressful. As a company that helps families through many different health crises, we understand the challenges involved in choosing the right care options for loved ones. Communicating with doctors, insurance companies, and attorneys, as well as coordinating prescriptions, medication schedules, caregivers, and equipment needs can be overwhelming. It takes years of experience and specialized training to properly navigate. Our team of professionals are experts on this matter and are prepared to handle the most complex situations and urgent needs, allowing families to have guidance and support so they no longer have to do it on their own.
An experienced Care Manager conducts a comprehensive assessment that reviews the medical, social, mobility, cognitive, and safety needs of the individual.
Based on the assessment, the Care Manager develops a detailed care plan that outlines care recommendations for the individual’s present and long-term needs.
After the care plan is agreed upon by the individual and their family, the Care Manager provides care coordination, oversight, and advocacy every step of the way.
Care Management plays an important role in the care of an aging loved one. That’s why our Care Managers are compassionate nurses or social workers with years of experience working in the healthcare field and advocating for older adults. Through a collaborative care dynamic, they meet with individuals and their families to start the Care Management process and conduct a comprehensive assessment to learn more about their loved one’s specific needs.
In addition to their extensive experience and knowledge, Care Managers can draw on the collective experience of our multidisciplinary team, meaning families have decades of insight and problem-solving skills at their disposal. When urgent situations arise, they will only have one phone call to make.
Care Managers Collaborate With and Oversee the Following
Care Managers Work With Families as an Advocate to Provide
Coordinates Skilled & Unskilled Care
Communicates and Coordinates with the PCP & Other Specialty Physicians
Ensures Safe Hospital Discharges
Schedules and Attend Doctor’s Appointments
Coordinates Mental Health and/or Substance Abuse Treatment
Experienced Registered Nurse or Social Worker
Assesses All Medical & Care Needs
Develops a Detailed Care Plan
Makes Timely Referrals to Specialists
Provides Crisis Interventions
Ensures Cost Efficiency of All Services
Advocates for the Client’s Needs
Communicates with Family Members
Connects with Professional Resources (Guardianships, Trusts, Wills)
What is a Care Plan?
Our comprehensive care plans are extensive and details everything relevant to the individual’s health. Once the care plan is established, it is consistently updated and amended by the Care Manager based on the individual’s progress, health, goals, and challenges.
What is Included in a Care Plan
Get the care your loved one deserves
We understand the emotional, physical, and financial challenges facing families — especially in moments of crisis. In those times, factual and educational decisions need to be made very quickly. Our team is here to support families and their loved one(s) through it all.
Our care team is comprised of experienced and compassionate caregivers who are available to provide 24/7 in-home caregiving services. Our companion care services can be customized to fit your loved one’s needs. A Care Manager can help determine which type of service(s) will best fit you or your loved one’s needs.
24/7 Professional Caregivers Provide
Hygiene and Bathing
If you or a loved one has recently been discharged from the hospital after a serious health concern, the risk of readmission is much higher without the proper understanding and execution of a discharge plan. With our 30-day Care Transitions Program, we provide you or your loved one with a safer and more reliable way to transition back home or to a care facility.
Care Transitions Addresses 5 Pillars
Personal Health Record
Identifying Red Flags
Prior to being discharged from the hospital, we contact the client and their family to gather their personal health care information.
We then contact the hospital discharge planner to receive the client's discharge instructions and medications.
Within 24 hours after discharge, we coordinate a conference call with the client and their family to discuss their personal health care record, medication management, identification of red flags, and physician follow-up.
Client's receive 1 hour weekly with a registered nurse regarding medication management, education, and to ensure proper follow-up with their physician.
Client's also receive 1 hour weekly with a licensed counselor who will provide them with emotional and mental health support.
"Aging is not 'lost youth' but a new stage of opportunity and strength."
What Our Clients Are Saying