A clear plan for complex care

Geriatric Care Management

Care management helps families evaluate needs, coordinate services, monitor changes, and navigate transitions. Elderberry’s nurses and representatives can serve as local eyes and ears for families, including those who live far away.

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What care can include

Support shaped around the patient.

Evaluation and monitoring of in-home care needs
Appointment, transportation, and service coordination
Short- and long-term care planning
Referrals to medical, legal, financial, and community resources
Respite-care coordination and family communication
Transitions between hospital, home, and senior living

Who this may help

Is this service a good fit?

Care management can help when several providers are involved, family members live at a distance, a discharge or move is approaching, or the current plan no longer feels manageable.

Getting started

A simple path forward.

1
Identify the immediate concerns, decision-makers, and goals.
2
Evaluate the current care environment and available resources.
3
Create and monitor a coordinated plan with clear next steps.

Common questions

Helpful answers for families.

What does a geriatric care manager coordinate?

Coordination may include caregivers, appointments, transportation, medication renewals, community services, respite, professional referrals, and living arrangements.

Can care management help long-distance families?

Yes. A local care manager can observe needs, coordinate services, and communicate updates to authorized family members.

Can you help after a hospital discharge?

Care managers can assist with transition planning, in-home support, appointments, transportation, and coordination with appropriate providers.

Let’s talk about what your family needs.

Call anytime for a free conversation with Elderberry’s care team.

Contact our care team Call (561) 359-2053