Care Management

Service Elite Long Term Care Management provides support services designed to promote and facilitate client-centered care while maximizing healthy living for elders, disabled and other individuals with chronic diseases that requires complex care needs.

We provide services to:

  • Individuals - Private Pay
  • Health Insurance Plans
  • Patient Centered Medical Homes (PCMH’s) – Physician Office
  • Hospitals/Skilled Nursing Centers

Service Elite focus is on promoting and sustaining highest level independent living possible with a unique delivery system carried out by a Coordinated Care Team of nurses, social workers and other health and community professionals.
Our holistic approach to long-term care management considers the individual’s well-being emotionally, physically, and spiritually based on the key components for successful aging. This approach is fundamental to our efforts to help keep individuals safely in their homes and out of the hospital, emergency rooms or the nursing home.

 

Key Components to Successful Aging

Nutrition/Meals 

Housing/Home Environment

Physiological/Health

Psychological/Emotions 

Social Engagement 

Financial

Legal

Spiritual


Our delivery system of services with integrated Care Management identifies gaps in these areas that could be a threat to an individual’s health and well-being. Efficiency in monitoring status and outcomes are reported to health partners and family members on an on-going basis.

  


 

System of Services
Assessment: Holistic evaluation of individual’s needs for long term services and supports to facilitate them to live safely independently as much as possible in their homes and communities. The comprehensive detailed assessments focus on the key components of successful aging. It serves as a road map for recommended services to improve quality of life. Our client's and/or their family members receive a written assessment with a customized care plan that clearly lists the services and equipment we recommended.


Customized Care Planning: Our team creates a customized care plan for incorporating long term services and required support. These care plans are focused on providing the right blend of cost effective services to maximize health outcomes and satisfaction of members while enabling them to remain at home or in the community.


Complex Care Management: For individuals with multiple chronic conditions and/or serious medical needs we offer specific services and support that includes helping our client understand their health care plan benefits to get the most out of it, as well as monitoring, tracking and reporting to client’s care team of doctor’s, home health agency, and others involved in the support of our client’s complex care needs.


In-Touch High-Touch: Home visits, in addition to telephone contact are essential to get a deeper understanding of how an individual lives and what their needs are while promoting their care plan.

 

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