What services does a Care Manager offer ?

  • Support for patients and caregivers
  • Information on community resources
  • Information to help patients/families make informed decisions regarding the most appropriate care setting, including:
    • Assisted Living
    • Independent Living
    • Skilled Nursing Facilities
    • Adult Foster Care Homes
  • Psychosocial evaluations and treatment planning
  • Supportive and adjustment counseling, including coping with the loss of a loved one
  • Crisis intervention
  • Behavioral health assessment and referral services
  • Financial assessment and referral services
  • Abuse assessment and reporting
  • Education on self-management support and consultative services
  • Advance Directive assistance
  • Advanced care planning, including:
    • identifying patient’s wishes regarding their health care
    • DNR (Do Not Resuscitate) form completion
  • DPOA (Durable Power of Attorney) Education
  • Education/Referral to Palliative Care/Hospice
  • Support/Education for aging parents/Sandwich Generation
    • Life transitions, including:
      • new living arrangements
      • recent diagnosis of chronic disease
      • loss of driving privileges
      • loss of independence