Care Coordination and Case Management
The primary goal of Care Coordination is to help individuals prevent or delay institutional living.
As mandated by the Older Americans Act of 1965, our care coordination program helps link families to information and access to home- and community-based services for individuals who might be at risk of needing institutional care. Our Care Coordinators link consumers with resources available in the communities in which they live and assist with things like health insurance and Medicare benefits and enrollment, service coordination and transitional care, and in-home and personal service.
Our care coordination program serves individuals 60 or over who might need additional attention during recuperation stages of a hospital discharge; who might have suffered a major illness or health crisis; have insufficient family support; who are frail, isolated, and in great economic or social need; and who request the assistance of a Care Coordinator to obtain necessary services for care.
We make house calls. If an individual is unable to arrange for an appointment at our office, our team will come to your home and conduct a thorough assessment of our individual needs. At this time, we can help arrange for meal delivery, in-home care, and even some safety installations.