The need for care management may relate to a new diagnosis, or a chronic condition, or a disability. The Care Manager works closely with the client, family, or others to meet the individual’s health and human needs. It is advocacy, communication, coordination, and resource management while promoting quality, cost-effective interventions and outcomes. Care Management leads to improved quality of life, and desirable outcomes.
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Care Management Nurse Services
A Care Manager is a trained and experienced nurse who assesses your condition and promotes your health and well being and prevents complications from illness or frailty
Care Management Services include:
- Assessment – A thorough in-person evaluation is done to determine the individuals’ and families current needs, priorities, and desires
- Advocacy/Communication — Increase the access to services and treatment. This could include talking to physicians, physician offices, insurance companies, and others.
- Home Needs – Identify and locate resources for the individual and family to address needs within the home that may be impacted by illness, such as housekeeping, meal preparation, accessibility, transportation, overnight support, home modifications.
- Locate and coordinate resources – the Care Manager can direct the individual and family toward options for healthcare, health promotion, and address anything (200 word count at this point) that is challenge in their daily lives.
- Monitoring – Care managers can oversee and monitor an individual when loved ones do not live locally. This can also extend to being a power of attorney for healthcare or other decision making. .
- Education – May include books, websites, peers, one on one consultation, support groups etc.
- Health Promotion – Care managers will address factors in the client’s life and the family life that if changed may enhance their lives. This includes stress management, smoking cessation, diet, exercise, individual and family counseling, etc.
- Benefits Management – Care managers will work with the individual and family to assist in interpreting health insurance benefits and facilitate communication with the health insurer to most effectively utilize the benefits available.
Examples of how Care Management can help:
- Healthcare Navigation — Care Managers can assist individuals and/or families with a new or existing diagnosis such as cancer, MS, ALS or others to be educated, confident, and thorough in their treatment decisions as well as enable them to manage their health and lives so both short term and long term to reach their optimum level of wellness. From direction to educational resources, providing knowledge to evaluate treatment centers, understanding the roles of specialists, and diagnostic tests, to benefit management, Care Management can provide the resources to help individuals move through the healthcare system efficiently.
- Dsability Management — Care Managers can assist individuals and families to manage a disability throughout a lifetime. This may include training of caregivers, accompanying the individual to MD appointments, periodic reassessments to determine the need for skilled therapy services when a significant improvement or decline occurs, etc.
- Support when families live far away — Care Managers can fill the role of a family member that lives far away. They can be involved to whatever level the family needs from managing caregivers and household expenses to managing healthcare needs by attending physician appointments, advocating for medication changes, etc.
We also offer Stand-Alone Care Management
