We provide a range of care management services including, Comprehensive Assessment & Individualized Planning, In-Home Care Management, Self-Directed Support, Short and Long-Term Care Coordination, and Transitional Services. To find out more about accessing these services, outlined below, learn about our Programs here.
Comprehensive Assessments & Individualized Planning
An in-depth evaluation of an individual’s current situation including health, function, cognition, and emotional status, living environment, financial situation, and available support system.
A personalized care plan is created for the individual, together with input from family and caregivers, that addresses current and long-term care goals of the person and taking into consideration personal or cultural preferences.
In-Home Care Management
Care managers work with the individual, family and caregivers, to consider options that meet identified desires, dreams, and goals. Coordination of services may include home health agencies, homemaker and companion services, adult day centers, transportation, assistive technology and more.
Self-Directed Support
Our care management team embraces a self-directed approach to care, empowering individuals to make their own choices about how support is provided with a focus on working closely with families and caregivers to achieve goals. Self-management skills may include being able to prioritize tasks, identify personal strengths and weaknesses, and knowing when to delegate tasks. Our care managers provide education on self-directed supports to people who choose to hire and manage their own personal care assistants (PCAs).
Short and Long-Term Care Coordination
Our team of care management professionals stand ready to help individuals, families and caregivers with short-and long-term needs based on a personalized plan of care developed together. We listen, assess needs, plan, and continue to provide support as long as it’s needed, both at home or in a variety of community settings such as rehabilitation or assisted living facilities. From personal care needs to housing and transportation, we’re there every step of the way to make living at home possible.
Transitional Services
CCC Care Managers and Transition Coordinators are trained to help transition individuals from the hospital or an assisted living facility back home or to a location of choice in the community through the state-sponsored program, Money Follows the Person, always guiding and helping to make the process easier on everyone.