Heart & Soul Elder Care Management

Continuity of Care with Heart

Need help managing the care of a loved one?


Heart & Soul Care
is full-service care management that
addresses the needs of older adults and those living with chronic
illness. We provide attention to daily living needs and handle
complex issues, allowing patients to live well at home.



Comprehensive care, support and
facilitation of medical,
social, financial,
physical and emotional needs. We help
patients to avoid unnecessary
hospital re-admissions and
to prevent physical decline, depression and isolation.


We identify the areas of need and design and
implement a
Plan of Care that includes recommendations
and referrals for
on-going support services. We also provide
oversight of the plan to insure
stabilization of medical, social,
physical, and financial well-being.


We collaborate with Physicians, Hospital Discharge Planners,
Case Managers, Social Workers,
Nurses, Physical Therapists,
Insurance
Providers, Conservators and Attorneys.





What is care management ~
and what does a care manager do?


Care managers are Master's level trained professionals who specialize in
assessing needs and risk of people living with an illness. Care managers have
extensive knowledge about medical resources and they are concerned with quality
standards of patient care. Care Managers also have relationships with agencies
that provide resources and they may make recommendations and referrals
for services, on behalf of their clients. Care managers assist when
family members are unavailable to help to manage daily living needs.
 



Heart & Soul Elder Care Management provides intensive care management
services including a comprehensive assessment to determine functional status,
the best possible plan and the most cost-effective way to implement long-term care.
We handle the tasks of arranging for all of your loved one’s health related needs.

You can relax knowing your loved one’s care is managed by competent professionals.


 

  
Services Include:

· Home Safety/
Functional Evaluation

· Care Plan Report

· RN Well Care Visits

· Long-Term Care Plans

· Collaboration with
Physicians, Nurses

· Healthcare Advocacy

· Home Health Care
 Home Care Nursing

· Transportation &
Medication Assistance

      · Day program Activities

· Nutritional & Dietary

· Advance Directives
Legal Assist Referrals

· Entitlements

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