Our care management services include:
• Comprehensive health assessment of the client*s physical, psychological,
social, environmental, and financial status and ability to function
• Develop and utilize nursing diagnoses and problem statements
• Development, implementation, monitoring, and modification of a plan of care
• Linking the client with the most appropriate institutional or community resources,
advocating on behalf of the client for scarce resources, and developing new resources
• Screen, arrange, and monitor in-home help or other services
• Coordination of service providers
• Provide crisis intervention
• Act as a liaison to families at distance
• Education of the client, the family, and the community
• Monitoring the client*s progress toward goal achievement and periodic reassessment of changes in health status
• Monitoring the service plan to ensure the quality, quantity, timeliness, and effectiveness of services
• Assist with moving an older person to or from a retirement complex, care home or nursing home evaluation of client and program outcomes
• Provide consumer education and advocacy
• Offer counseling and support