Planning and Coordinating Care

Our Care Managers can help by:

• Assessing your physical and mental status, environmental and home safety, and needs for temporary or continued care.
• Developing a Care Plan that will address all care needs, set goals for healing, and include instructions for caregivers to follow; as often as needed, we'll re-evaluate the plan, and make revisions.
• Collaborating among family members and providers such as physicians, social workers, pharmacists, and hospital discharge planners.
• Ensuring that proper medical follow-up is being done to meet specific care needs, such as scheduling and attending regular doctors' appointments and diagnostic tests.
• Helping you to manage different medications.
• Arranging short term and long term stay at rehabilitation facilities, assisted living homes, or nursing homes.
• Helping to find physicians and other health care providers.
• Researching and explaining insurance coverage.
• Seeking local resources for home medical equipment, meal delivery, grocery service, medications, and transportation needs .
• Helping with personal needs such as finding leisure activities, making hair appointments, locating companies to help with home repairs, pest and insect control, and public utilities.
• Setting up a web based health information management system so that you, your family, and caregivers can easily keep track of your appointments and medical needs, and monitor progress or changes that occur.
• Training you, your family, and caregivers how to use the on-line service, and how to enter important information such as appointments.