Helping America's most vulnerableā„¢

Care Management overview

Care Management can

Help determine when it’s time to move.

Making the decision to move from one’s home to a more supported living setting can be a very difficult one for many older adults and their families. There are many ways to support an older adult in their own home. However, at some point, home may no longer be the best option to meet the older adult’s health, psychological, and emotional needs.

Using a collaborative approach, our care managers are experienced at helping older adults and their families sort through living arrangement issues, identify solutions, and determine an appropriate, dignified plan of care. If a move to a more supported living setting is appropriate, our care managers will provide the older adult with options that are tailored to their social, emotional, and physical needs, and can ensure the entire move is well-coordinated with minimal stress to the older adult and family members.

Be the eyes and ears for out-of-town family members.

Today’s mobile society often finds family members living hundreds of miles apart. According to the National Institute on Aging, approximately seven million Americans are long-distance caregivers. When illness or unexpected disability strikes an older family member, an adult child living far away can feel at a loss about how to stay on top of their parent’s health and well being. Our care managers can monitor an older adult’s health and service needs on an ongoing basis and be the single point of contact for out-of-town family members. We provide the peace of mind that comes with knowing that someone is checking in regularly on an older family member’s welfare.

Our care managers communicate with long distance caregivers to keep them informed of changes in the older adult’s condition and to review and recommend cost-effective care options to ensure that the best quality care is provided.

Provide assistance for families who are in conflict.

Conflict can be a normal part of family life. During times of stress, such as illness, injury or the progression of a disease, stress can increase as a family tries to determine the “right” thing to do for their loved one. Differing opinions can create more family conflict during a time of stress.

Our care managers can serve as a neutral, objective, professional experienced in assessing the functional abilities and needs of a person with a physical or cognitive impairment. Their professional recommendations are based on facts and are not colored by the history and emotion, but by training and experience. Additionally, our care managers work in and around family conflict, but do not engage in the conflict, leaving the care manger to focus on the needs of the incapacitated family member. They can provide the professional expertise and credibility to establish a plan of care while helping family members understand why recommendations are made.

Our care managers can also provide a written assessment and recommendations so all family members are able to view the same information and facts. They can facilitate family meetings where family members have the opportunity to state their concerns, ask questions, give input, and hear the information needed to result in the best plan possible for their loved one.

Recommend service options needed to remain living safely at home.

Our care managers have more than 50 years of combined experience working with the health and social service delivery systems for older adults and are savvy in accessing the maze of community support services and in understanding the complexities of the health care system.

Our care managers have extensive knowledge of the programs and services available to support older adults including: adult day programs; home care services including RN services, home health aide services, homemaking services; transportation and escort services; home-delivered meals and grocery delivery services; information and support for specific conditions such as low vision and hearing loss; financial programs; medical equipment and supplies including automatic medication dispensing systems; respite care including 24-hour care options; Lifeline/emergency response systems; state and county waivered programs; as well as legal services including guardianship and conservatorship.

Interact with health care and other professionals to ensure a comprehensive plan of care.

It is very common today for older adults to have multiple health care providers. It can be overwhelming to sort out and understand the information that seems to be coming from every direction. Our care managers can facilitate communication amongst the multiple health care providers and help the older adult and their family obtain information that results in a clearer understanding of the older adult’s health care status. Our care managers have the knowledge needed to navigate the health care system. They serve as a strong advocate for older adults who are unable to speak for themselves and have no one to serve in that capacity.

For the long distance caregiver, it is especially helpful to have a care manager present during times of health care crises. Our care manager can provide up-to-date information and be the presence needed to relay critical information to health care providers as well as to the out-of-town family members. 

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