Geriatric Care Management
JFCS East Bay’s highly skilled Geriatric Care Managers provide personalized support to older adults and their families, helping them address the many challenges of aging.
Our Care Managers begin their work with a thorough in-home assessment of the older adult to evaluate physical health, mental health, medical history, social connection, family support, and home safety. They then work with the client and the family to create a personalized care plan, which outlines solutions for the client’s particular challenges.
We bring a holistic approach to care coordination, supporting older adults and their families in ways that promote aging in community with dignity and autonomy. With their deep knowledge of community resources, care managers save their clients time, money, and frustration.
We offer the following types of care management:
Ongoing Geriatric Care Management
- accompany client to appointments
- advocate for client when navigating medical system
- apply for veterans and government benefits for client, if eligible
- arrange for daily enrichment activities
- arrange for home care services and provide oversight on a continuing basis.
- assist with end-of-life and hospice care
- assist with home management activities
- assist with medication management
- coordinate medical appointments
- facilitate family meetings
- match clients with volunteers for friendly visits and support
- monitor changes in cognition and mood
- research and assist with financial and legal matters
- support communication between the client, their physicians, and their family
Hospital Discharge Planning
- advocate for high level of care and prevent premature discharge
- arrange for medical equipment in the home
- coordinate home care and other necessary support services
- obtain new prescriptions and review medication protocols
- participate in care conferences
- provide ongoing communication with physicians
Assessment and Planning
- arrange and oversee home care and support services
- arrange for driving assessment by professionals specializing in older driver safety
- evaluate long-term residential care choices and assist with transitioning to new homes
- provide assessment to identify problems and determine solutions and referrals
- review medical, legal, and financial issues and provide guidance