Age Well Senior Services, Inc. |
Individual Health Care Planning
Case Management
- The Case Manager at Senior Services helped guide me through the myriad of options available for me to be able to stay at home. With their help, I am now able to take better care of myself." - Julie May, San Juan Capistrano Senior
Seniors are often faced with chronic or catastrophic circumstances that stress their coping skills, personal/financial resources, and learning and functional abilities. This can be a daunting experience for the elderly person and their family. One major role of a geriatric community case manager is to empower seniors to maintain healthy independence. Case management requires a thorough, systematic assessment of the individual's functional skills, cognitive status, limitations, needs, strengths, abilities and available personal and community resources.
Case managers identify at-risk seniors' (age 60 and older) needs and develop and coordinate a plan of care by collaborating with other health care professionals and using available community resources to best meet their needs. They assist in activating a plan of care and evaluating the outcomes. Re-evaluation is ongoing as the client's status changes.
Case Managers assist with referrals, such as:
• In-Home Help, Personal Care or Housekeeping
• Meals on Wheels
• Medicare, Medi-Cal Information
• Assisted Living Care
• Physician, Attorney Referrals
• Adult Day Services
• Senior Centers: Meal and Activity Programs
• Adult Protective Services
• Financial Abuse Counseling
• Behavioral Health Referrals
• Transportation Information
• Medical Insurance Counseling
Case Management
949-380-0155
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