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Care Coordination

What is Care Coordination?

Care Coordination is for individuals 60 years of age or older who would benefit from in-home assistance or community services and resources. 

A Care Coordinator will work in partnership with an older adult and his or her loved ones to identify needs and coordinate care. A Care Coordinator can assist you in learning about community resources and services such as home care, housing options, home modifications, Medicare, and Medicaid, to name a few.

How Does it Work?

When an older adult is referred to this program, a telephone interview is conducted to identify the current situation and needs of the older adult. The Care Coordinator will visit the older adult in the home to conduct an in-depth assessment to identify the person’s health, social, environmental, financial and emotional needs.

How Does it Work?

When an older adult is referred to this program, a telephone interview is conducted to identify the current situation and needs of the older adult. The Care Coordinator will visit the older adult in the home to conduct an in-depth assessment to identify the person’s health, social, environmental, financial and emotional needs.

Care Plan and Ongoing
Follow-Up

The older adult and Care Coordinator develop a Care Plan based on needs identified during the assessment. Only services approved by the client will be arranged. The Care Coordinator will continue to stay in contact with the older adult to offer assistance as needed. Care Coordination assistance may be short-term or long-term depending on the older adult’s situation.

Cost of Services

There is no charge to work with a Care Coordinator. Donations are greatly appreciated and are used to help expand the program.

There may be charges for services that are arranged by the Care Coordinator. Services may be paid by:

Client and/or family

Local or grant funding

Health and social service programs

Cost of Services

There is no charge to work with a Care Coordinator. Donations are greatly appreciated and are used to help expand the program.

There may be charges for services that are arranged by the Care Coordinator. Services may be paid by:

Client and/or family

Local or grant funding

Health and social service programs

Care Coordination Articles

Care Coordination Corner: Life-Giving Connections

By Julie Randolph, Care Coordinator In the fall of 2020, Senior Services became aware of a local agency’s need for older adults to assist young adults and school aged children with literacy and the art of letter writing through a Pen Pal connection. Care Coordinators...

Care Coordination Corner: Insight on Sight

By Julie Randolph, Care Coordinator If you, or a loved one, are facing a progressive eye condition, it is a good idea to start preparations for continued decline in vision. Responding to vision loss takes time, ingenuity, and creativity. The educational and skill...

Care Coordination Corner: We Can Do Something About That!

By Julie Randolph, Care Coordinator In the Netflix film, Hillbilly Elegy, there is a poignant scene of an older adult, played by Glenn Close, accepting a home delivered meal from a Meals on Wheels volunteer. The older adult asks for more food but is denied, as the...

Meet the Team

Barbara H. Zebley-Oldani, LBSW

Director of Care Coordination,
Care Management, Home Care &
Medicare Assistance

Care Coordinators

 
Kim Short, Julie Randolph,
Elizabeth Burnett, Tricia Okuly,
Kathy Schmitt, Marissa Mason-Anders
and Allison Rossi Utter

Case Managers

Katie Vokal &
Sue Kremsreiter, RN

“Meeting with a Care Coordinator has provided a great deal of help in this new experience of caring for Mom.” –  Daughter of Client

“My Care Coordinator is wonderful—she keeps me going.” ~ Senior Services Client

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