Assessment

A Professional Care Manager (PCM) must first evaluate and assess ones needs, including medical psychosocial, functional, living environment, legal and financial. All of these indicators are important to the welfare of the older or disabled person. The PCM gains an understanding of their client with respect to their values, family dynamics, and expectations without bias.

Plan of Care

The PCM develops an individualized plan of care which focuses on the areas of concern that is recognized during the assessment process.  A plan of action is agreed upon by both client and PCM and then implemented.

Services are prioritized and arranged according to the action plan taking into consideration the client’s health, emotional and safety risk factors. Oversight of care can be set in place to continually monitor the plan of care for appropriateness and to make any necessary changes.

A PCM can get as little or as much involved as the client or family needs them to be. Some only prefer the initial assessment and care plan to be completed which offers them with enough direction while others prefer ongoing Care Management to stay proactively involved in the client’s care.

When is it time to call a PCM?

A PCM is called when the situation can no longer be taken care of by others involved. It could be that the family lives at a distance or the burden of care giving becomes too great for the spouse or loved one. Most of the time, the call comes from other professionals already involved with the client such as physicians, home care, bankers, or attorneys.

Flexibility and Cost Control

PCM services are flexible as to where, when and the length of involvement. Clients are cared for at home, in retirement centers, assisted living or nursing homes. PCMs also are asked to review charts and oversee ones care while in the hospital or skilled rehab. When there’s no local family willing or able to manage their loved ones care, the PCM is usually involved on an ongoing basis.  PCMs help manage the costs associated with health care by accurately matching services to needs, reduce overuse or duplication of services and work proactively to help avoid a costly crisis.

Trust