Care Coordination
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
Keeping it Together: Advance Care Planning
This advance planning program is for caregivers organizing a loved one’s paperwork or for anyone who wants to prepare and plan for their future. You’ll receive information about topics such as Advanced Funeral Planning, Estate Planning and Advance Medical Directives.
Care Coordination Articles
Open Enrollment – Medicare Part D and Advantage Plans
Open enrollment for Medicare Part D and Medicare Advantage is October 15 through December 7 with coverage beginning January 1st. The open enrollment period is an opportunity for you to shop around for a plan that will best meet your needs next year. By completing a...
Care Coordination Corner: UTI Symptoms
You may have heard of the term “UTI” but do not know what it stands for, or you may have experienced a UTI and know exactly how it can affect your health and life. A UTI is a Urinary Tract Infection. Common causes are a weakened immune system, improper or poor...
Having a Bad Day? A New Hotline Gives You Options for Joy
Amid a crush of heavy news from around the world, who couldn't use some sage advice right now? Call a new hotline, and you'll get just that — encouraging words from a resilient group of kindergartners. Kids' voices will prompt you with a menu of options: If you're...
Meet the Team
Director
Barbara H. Zebley-Oldani, LBSW
Director of Care Coordination,
Care Management, Home Care &
Medicare Assistance
Care Coordinators
Back Row:
Tricia Kalivas, Zack Greening,
and Kim Short
Front Row:
Marissa Mason-Anders,
Julie Randolph, Jennifer Clark
and Elizabeth Burnett
Care Manager
