Reason To call for Case Management:

    Checklist for Care Management

•  Evaluation of health status, home safety, medications, services in place
•  Local or long distance care-giving responsibilities
•  A decline in condition, memory or ability to perform self-care
• Challenges in obtaining health information and resources to address needs
•  Multiple physicians being utilized
• Confusion or concern about medications or treatments
• Increasing falls (with/without injury)
• Limited health care benefits
• Escalating healthcare costs
• Major illnesses – dementia, stroke, diabetes, cancer, etc.
• Multiple disease processes
• Questionable adherence or lack of progress with treatment
• Increasing number of hospital stays
• Extended hospitalization due to a major illness or complications
• Communication issues with healthcare providers

Care Management Services Offered

• Education on disease processes, medication management, home safety, diet, wellness etc.
• Ongoing, consistent assessment of care needs and/or treatment
•  Facilitation of communication between client, physicians, providers
• Identification of community resources to address care needs
• Relocation assistance when moving to the area
• Healthcare services coordination
• Transitions of care assistance
• Individualized care plan development
• Onsite visits/contacts for ongoing monitoring purposes
• Medicare and Health insurance education
• Medical bill review
• Health and wellness coaching
• General consultation services and educational programs on request