How We Support You

Services

  • Set up private duty home care services and manage process

  • Assess care needs regularly and make adjustments when necessary

Pre-Move

  • Determine best options based on input from family/older adult

  • Create a moving plan based on timeline, finances and family involvement

  • Coordinate all aspects of move with vendors (and community team when applicable)

Day of Move

  • Onsite management of all phases of process

  • Continuous communication with family (and community team when applicable)

Post-Move

  • Liaise with family, older adult (and community team when applicable) to evaluate transition

  • Determine if any additional supports are needed

Care Coordination

Ongoing Support

  • Identify care needs and coordinate all necessary services/supports

  • Schedule/Attend Tele-Health and in-person appointments

  • Set up Medicare certified services (VNA), when needed

  • Attend care plan meetings

  • Communicate regularly with individual's clinicians

  • Communicate regularly with family/care partners/medical teams regarding progress/needs

 

 

Post-Rehab/Hospital Stay

  • Coordinate care with case management/discharge planners

  • Set up Medicare certified services (VNA), when needed

  • Schedule follow-up medical appointments

  • Set up additional services/supports

Home Care Management

Transition Support

Move Planning & Support