300+ Point Holistic Assessment, Care Plan & Recommendations Development reviewed with client & caregiver (2 face to face visits with nurse care manager)
Monthly Care Management Service Fee for continuous care management
Face-to-Face health care & quality of life plan implementation with client/caregiver post initial assessment/recommendation review as listed above
Additional Nurse Care Manager Face-to-Face Visits
Nurse Care Manager Monthly Correspondence with client via telephone or virtual visit for ongoing care plan implementation, education and updates
Multi-disciplinary health care team review of client care plan & recommendations within 30 days of joining monthly service, semi-annually, & as needed as client condition changes. (Physician, Pharmacist, Nurse, Social Worker, Mental Health Specialist, & others as needed)
24/7 Nurse Care Manager availability to access client personal file & communicate with medical professionals and those involved with client care
Binder #1: “My Life Plan For My Loved Ones”. A 16 section personalized & organized binder which communicates key information to the client’s caregiver & loved ones.
Binder #2: “My Health & Wellness Information”. A customized, organized communication tool to use with the client’s health care providers. Includes 9 key sections pertaining to the client’s health status.
Hourly rate additional care management hours which exceed Level 1 or 2 package offerings; or if Al-a-Carte services are utilized