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.

Care Plan and Ongoing

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

Care Coordination Corner: Building on Strength

by Julie Randolph, Care Coordination Manager A Care Coordinator works in partnership with an older adult to enhance their quality of life and to promote independence. Meeting a need by delivering a service or resource is not the primary goal. Our purpose is not...

Care Coordination Corner: Impacts of the Pandemic

by Julie Randolph, Care Coordination Manager We can all agree that COVID-19 disrupted our daily routine. We began working remotely, canceled social events, and delayed travel plans. Out of motivation to avoid the virus, older adults in particular reduced or...

Meet the Team

Barbara H. Zebley-Oldani, LBSW

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

Care Coordinators

Back Row: Marissa Mason-Anders,
Tricia Okuly,
Elizabeth Burnett,
Kim Short and Rachel Gale
Front Row:
Julie Randolph and Zack Greening

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