Care Management

Care Management with Home Care Partners

Our Care Manager coordinates with your transitional care team, provides communication, interventions, and education. They support a hospital discharge or transition, explain the reasoning for health changes, and educate the client and family on conditions.

Oversight by a Care Manager reduces hospital readmissions with increased supervision and provides additional support with medication management, nutrition, and follow-up appointments.

Reviewing electronic care notes and client care documentation enables Home Care Partners to provide proactive healthcare when vitals are out of range, medications are not managed, or a decline occurs. This helps to manage the situation and improve both patient care and satisfaction.

Meet Your Care Manager, Kari

I manage high-risk patients with multiple chronic conditions and improve patient outcomes while coordinating transitional care, prioritizing communication, and providing excellent customer service.

I am dedicated to caring for our clients and families as my role focuses on reducing hospital readmissions through increased supervision, medication management, nutrition, and planning for the future.

Care Manager Oversight:
Increased supervision reduces hospital readmissions and provides additional support with medication management, nutrition, and follow-up appointments, allowing for a safer daily experience.

Dedication:
The Care Management Team focuses on you and your loved one, with care management and customer service being our top priorities.

Coordination:

Communicating with others in a client's health care continuum such as other home health providers, therapy teams, hospice teams, primary care doctors, pharmacists, and inpatient and outpatient coordinators result in a clearer, holistic understanding of a client's current health situation and the recommend care plan to improve it.

Utilizing Information:
We gather care management information from real-time charting notes and healthcare continuum professionals to provide health condition updates to family members.

Person Centered Care:
You provide the direction of care desired for your loved one and we will build a custom care plan accordingly.

Chronic Condition Management:
We care for those with memory loss, heart failure, COPD, and diabetes.

Increased Oversight of Safety Concerns:

We assess one's surroundings to incorporate additional safety measures and home modifications before a crisis takes place.

Technology:

Electronic charting allows us to see health changes in real-time and react to them immediately, unlike paper charting, which can sit in a binder, be read periodically, and result in delayed reactions.