Elder Care Planning

Care Management & Planning

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At Premier Home Health Care Services, Inc., our unique approach is based on this philosophy: “We are your heart and hands when you’re not there.” Our Comprehensive Care Management program is designed to assist clients by monitoring and arranging all aspects of daily living, and to provide peace of mind for family members who live either away from loved ones or are not able to be actively involved in their loved one’s care.

What Are the Benefits of a Comprehensive Care Management Program?

  • Clients are assigned to an RN and/or social worker as their primary care manager who is responsible for overseeing all care needs.
  • An evaluation which includes physical, mental, medical, social, environmental and financial status and development of a patient’s dedicated care plan, in conjunction with client and family
  • Medication management
  • Helping with the payment of bills and organization of finances
  • Coordination of ancillary services such as lab tests, physical and occupational therapy, long-term care, as well as assistance in selecting alternative housing
  • As experts in the health care field, our nurses will act as patient advocates who will assist and provide a voice in matters of health care and coordinate needs with a Primary Care Physician
  • Help with understanding and utilizing available resources in the community
  • Long-term patient care plan
  • Ensuring that appropriate professionals are meeting required health needs of the patient
  • Observation of the patient, and reporting status updates to family members and Primary Care Physician

What Does a Care Manager Discuss with the Client and Family?

  • It is important to hear the wishes of both the person who will be receiving care and their family regarding care goals. Some questions might include:
  • What potential plans have already been made for care?
  • Has a desire to remain at home been expressed?
  • Is there concern the client can be appropriately maintained at home?
  • Is there interest in alternative housing (e.g., senior housing, assisted living, independent living community, etc.)?
  • What long-term plans (e.g., healthcare insurance, living will, and/or power of attorney, etc.) have been arranged, and does the care manager need to begin action?
  • Were advanced directives discussed or initiated, such as DNR forms, a living will or health care proxy?

A care manager will be the primary point person to coordinate and cross-communicate with the client, family, Primary Care Physician, and other ancillary service providers.
(Note: Care plans may need to be adjusted as care needs change.)

Premier’s care consultant staff is available 24 hours, 7 days per week to discuss service options. Please contact us at 1-866-263-5118.

Note: Services available in New York, New Jersey, Massachusetts, Florida, Illinois, North Carolina, and Connecticut.
Services are provided under the direct supervision of a registered nurse.