Care Management

About the Program

The care management program is a collaborative, person-centered service that focuses on the coordination and management of someone’s care. We use a holistic approach to ensure individuals and families are always supported.

Components of Care Management

  • Assessment: Identify the individual’s baseline status, support needs, current supports, available resources, goals, and potential barriers to accessing support.
  • Care Planning: Create a written care plan that identifies short-term an long-term support needs, goals, and stakeholders. The care plan outlines an action plan for coordination and monitoring and is updated as needs change. 
  • Coordination: Identify and coordinate services/transportation; Make referrals, schedule services, attend meetings/appointments; Keep stakeholders informed to assist with decision making.
  • Monitoring: The Care Manager monitors the safety and well-being of the individual, quality of care from support services, monitors for changes to the individual’s baseline status, and ensures support needs are met.

Areas of Support

  • Medical 
  • Social engagement and activities
  • Housing and home maintenance; assistive technology, home modifications
  • Financial
  • Scheduling, applications, referrals, check-ins, and more 

Benefits of Care Management

  • Reduce and prevent crises/emergencies
  • Identify risk factors and reduce costs through early intervention
  • Supports caregivers and helps bring peace of mind

Contact

To request services, complete our care management referral form.

For more information, email familysupportservices@servicesource.org or call 703-461-6000.

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