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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.

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

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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

Debbie Brushaber, 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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