Care/Case Management
Overview
Our Care Management team develops personalized action plans tailored to each individual's unique needs. We work closely with clients, families, and healthcare professionals to coordinate ongoing support, ensure seamless transitions, and provide the resources needed to promote independence and enhance quality of life.
How we work with clients and families
Personalized Care Management, Lifelong Support
From initial assessment to ongoing support, our team meticulously plans and coordinates every aspect of care. We focus on family involvement, address medical and health challenges, and provide long-term solutions to improve quality of life.
Telephonic case management and customer outreach services:
Contact customer at least once a month
Serve as liaison between DHS/ORS counselors and customers
Provide additional support and resources
Perform in-home visits as needed
Provide education and information
Onboard new members into the program
Sweeping action plans and assessments
Our care coordination assessments cover all aspects of a client's needs, including medical challenges, mobility limitations, social and emotional well-being, and home environment risks. We continuously adapt our approach to ensure the best possible outcomes for each client.