Care Management

  • Comprehensive Assessment

    … of your unique needs to develop a personalized plan that addresses your specific goals and concerns

  • Communication

    Phone, Zoom, IM or visit to discuss current status and strategies for optimal care.
    Personal Dashboard offering a variety of ways to communicate (see below)

  • Coordination & Collaboration

    New (or old) medical regimens and chronic disease management with your medical provider
    Navigating the healthcare system and insurances
    Appointments and follow-ups
    With your healthcare team for continuity of care
    Safe and efficient discharge from the hospital or rehab
    Guidance, emotional and social support

  • Personal Dashboard

    Summaries of communications, appointments or other events
    Direct IM communication
    Documents library: shared uploads and downloads
    Action reminders (Tasks)
    Opportunity to give yourself some attention. Food, Mood, Lifestyle journals to track and bring an awareness to how you’re taking care of you
    All HIPAA protected
    Click here to see how the portal works.

Wellness Checks

  • Ensuring physical and mental health needs are being met

  • Review medication adherence, safe techniques to administer, fill medication boxes (as prescribed), assist with and troubleshoot refills

  • Assess for any areas of concern or potential risks to their well-being. Follow-up with appropriate resources as needed

Appointments Made Easy

Dread coordinating with your busy schedule?
Figuring out when and how to get there?
Then having to remember, “what in the world did they say”?

What’s Offered

  • Assistance with prepping to leave and getting in the car (not wheelchair accessible)

  • Transportation to appointment

  • Translate and Advocate during appointment

  • Assistance into home and settling in

  • Summary of visit added to dashboard Notes and upload of any paperwork

  • IM outreach with any questions

*within Georgia Metro area

Discharge Planning

Assessment

Assess current status, home situation and available insurance or funds to meet discharge needs

Communication

Communication & Collaboration with the healthcare team for a safe and smooth transition home

Coordination

Ensure barriers are addressed & arrangements are made timely for discharge

Care Management options:

  • Short term

  • Long term

  • Weekly & Monthly packages

    Based on location and availability

  • Identify any areas of concern or potential risks to your loved-one’s health and well-being @ home or in facilities.

  • Assistance getting to, from and during appointments.

  • Ensure a smooth and safe transition home.