Care Planning and Coordination
- Home safety evaluation
- Referrals to lawyers to establish power of attorney, health care proxy, and advance directives
- Facilitate communication between healthcare providers.
- Set up transportation to medical appointments
Independence and Advocacy
- Helping you achieve the highest level of independence in the community
- Advocacy at all levels of care
- Assisting in identifying care providers to best meet your needs
Insurance Assistance
- Assistance in working with your insurance
- Advocate for additional coverage time from managed care insurance and help with appeals
- Obtain prior authorization for homecare services
Homecare Services Management
- Follow homecare agencies to ensure timely assessment and start of services
- Assistance in finding private patient "gap services" before the initiation of home care agency services
- Ensure durable medical equipment is properly adjusted and in place
- Ensure medication is delivered on time
- Ensure the patient attends recommended appointments
- Ensure the home health aide meets the patient's clinical and personality needs
Provider and Network Management
- Ensure providers are in-network
- Research out of networking providers if in-network providers don't meet the patient's needs
Community Engagement and
Support
- Connect patients to community-based services to avoid social isolation.
Administrative Support
- Chart audit
- Applying for Medicaid, Medicare, or private insurance
- Assistance in setting up a pool trust.
End-of-Life Care
- Hospice and palliative care experience