Care Management Services

We provide preventative and consistent care to people living at home, assisted, independent or other residential care facilities.

This includes weekly or biweekly visits depending on the plan chosen with nursing services such as pillboxes, monitoring Vital signs, home wellness and safety checks with assessments, ensuring appointments are attended, necessary tests such as colonoscopies scheduled and many more. Case Management and care coordination including referrals, appointment setting, updating family and more. 

This involves working closes with hospital discharge planners and coordinate all services and paperwork to ensure all patient care needs are met during their transition home.

 This is perfect for the person coming out of a hospital discharge. Weekly visits that include services such as reviewing DC instructions, coordinating care, tests and referrals and other necessities. 

Light Care Management: Perfect for Periodic Checks on Family in Facilities, hospitals or those at home needing periodic checks and reporting to family away.   

One Time Care:  Most of these falls under the A la Cart services such as accompanying to ER, Sick day care, etc. However, if you are a client who pays the minimal retainer, you get a significant discount.

 Help Navigating Long term care Insurance:  Do you have an older parent or relative with a long term care insurance policy who needs to use it. As someone who has done assessments for the insurance companies, I can help in navigating Includes in home assessment and being present for assessment.  Also offer plans to help navigating the entire claim process.

Emergency Care: This  works if you are away and find out your loved one is going to the ER, hospital or other facility and need Expert eyes and ears on the ground to monitor, assist and report to you. 

A nurse by your side to  ensure that you get safe and effective care. RN can either escort from home or meet patient at the hospital, ER or Urgent Care Facility. 

Expert Consultation for Care Placement: Doing LTC assessments has allowed me to know different facilities around Maryland. Whether looking for recommendations for a memory care facility, Assisted living, in Home care for family, I am available to give recommendations. And no, I do not contract with facilities to recommend them. If I send someone to a bad place, it is my name on the line. I have a conscience.

"On the Roll": This is involves being on my "roll" or roster. It is for me to know you, have your medical information and pertinent details so that in the case of emergency, I can coordinate care, advocate for you and inform your family. If you don't have family around, you get to have me as a contact who can coordinate with Healthcare providers. You get discounted fees for A la Cart services. I also check-in on you twice a year to check on your well-being as well as update any changes. If your information changes because our scheduled call, you are responsible for calling me to update.

Care managers work collaboratively with physicians, nurses, therapists, social workers, facilities and other healthcare providers.  They may also serve as advocates for patients, helping them navigate the healthcare system and access other services and resources. 

What is the goal of Care Management?

The goal of Care Management is  to ensure that patients access high-quality care and that their needs are met. Care Managers assess the patient's physical, psychological and social needs and develop care plans, coordinate services and resources, monitor patient progress and provide education and support to patients and their families. 

Are all Care Managers Nurses?

No, not all are nurses. There are care management companies with Care managers who do not have a clinical background or social work background. There also social workers who work as care managers.

What are the benefits of a Nurse Care Manager?

First and foremost, being able to provide actual nursing care. Most Care Managers are "hands-off" and do not have a clinical background. 

By having a Nurse as a Care Manager, you have someone who is able to actually assess your clinical condition and provide nursing care such as wound assessment and dressing changes, actual medication management, supervising care aides, while having the clinical expertise and background to discuss your care with your doctor, specialist or other members of the healthcare team. 

You are not dealing with someone who has to hire a wound care nurse or a nurse to come perform nursing services.

How is this different from Case Management?

A case manager primarily focus on coordinating services and resources for clients while care managers focus on coordinating care and medical treatment.

By having a Nurse Care Manager, you get to have both of these benefits and the extra benefit of a nurse who can also provide actual nursing care. You benefit from the nurses clinical expertise.

How do I know if my Care Manager has Clinical Experience?

Ask. Ask about their experience. Ask about their education and experience. Have they taken any courses in Care Management or Navigation? Not all nurses have care coordination experience. In fact most nurses don't. Just as there are Nurse Case Managers in hospitals working alongside Social Workers who are also care managers, the nurse working at the bedside many not have the experience of a Nurse Case Manager just as a Social Worker who  isn't a LCSW may not have the experience to work as a therapist. 

Ask.