How we start

Care management is a highly individualized experience.  Each person is unique - each family is totally different then another.  Therefore my work with each client is very personalized. For some clients they may need help with a single issue - insurance problem or housing or benefit counseling or a Medicaid application.  Another client may need a much more comprehensive care management plan.  But in all cases there are four main steps: 

   

Assessment

Assess the client’s medical, psycho/social and living condition to identify care and safety needs.  

Care Plan

     Create a customized care plan designed to improve the client’s overall physical, mental, and emotional health

Implementation

Implement  the care plan by arranging physician attorneys, home health agencies, and care companion agencies.Contact appropriate care companion agencies with client criteria and interview companions to find who best fits the client’s needs and behaviors

Follow Through

   Serve as liaison and advocate between physicians, therapists, money managers, attorneys and family members  to  make certain the client’s overall needs are met. Visit clients onsite to supervise their continued care, set up and reorder  medications, and support home care workers as needed. Coordinate the entire process and update families         through emails and phone calls. 

NASW, National Association of Social Workers
Aging Life Care Association - ALCA

Call us today on 1-914-420-2438

Rhinebeck NY, 12572

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