Care Management Services


Words of thanks from a Power of Attorney:

Audrey, Lori and Tom,

Thank you so much for all of your help over the years with Gwen. She was a wonderful person and your services made the last few years of her life as good as they possibly could be. Lori, Tom and his team, were all a God send. Lori’s understanding and attention to detail allowed us to provide Gwen with the very best care and comfort possible. Tom’s consistent compassion and his staff’s dedication and care for Gwen was unmatched to any care facility that we could have ever found. It was always Gwen’s wish to pass away at home quietly, which is exactly what she did. I cannot thank all of you enough.

Best regards,

We understand the stress and challenges faced by seniors, caregivers, and their families. We are able to make things easier for individuals and families who struggle to find the time, energy and resources to balance their family needs, caregiving responsibilities and  work.

“I’m worried about my mother who has dementia and I don’t have enough time to get her the help she needs as I live in a different city”.

“My father had a stroke and I am not sure he is safe living by himself”.

“My caregiving responsibilities are taking over my life, what can I do?”

How A Care Manager Can Assist

We Provide:

    • Comprehensive assessment of needs and in home safety assessments
    • Analysis of most appropriate service options
    • Developing Care Plans which outline costs and local resources
    • On going coordination of care and service
    • Assistance with placement exploration
    • Advocacy- getting things done the right way- the first time
    • Liaison for out of town families
    • Care management- getting things organized and done.

Services can include:

      • Stay or Go: helping families decide whether the older individual can remain safely in their home and exploring retirement and alternate accommodation
      • Hospital discharge planning: including advocacy and navigation of the health care  and social systems
      • Family Meetings: helping families share caregiving responsibilities

Our care managers are registered social workers, occupational therapists and other allied health professionals. We meet with you and your family in your home to discuss and identify areas of concern. We will identify community resources to assist you and access publicly available services whenever possible. We are your case coordinators and your system navigator. We liaise with your medical team, family members and involved service providers to ensure a coordinated approach to service delivery. We work to ensure you and your loved one are living well.

Please note that the services of a Registered Social Worker are frequently covered by extended health care benefits.