• Karen McPhail, RN, MSN, CDP

What Does a Care Manager Do? A Common Question!

I had to provide clarification several times to an attorney this week on my role in managing client needs. Care Management can be a little confusing or even fuzzy at times as we are professionals with a broad area of coverage and expertise.

So it is common for individuals to ask me often what exactly a Care Manager does over the course of a day. My day is always different! However, that being said I wanted to give an overview of a typical day for me at work...

5:46 am Receive emergent text from a client family member for care guidance and support in accessing timely treatment in the am.

7 am: Read and return messages from clients and family members via email from overnight. Send updated rounding schedule to Care management field staff to ensure quality of care rounding done per specified guidelines for clients and that they are up to date on recent changes and areas of focus. Am phone discussion with Elder care attorney relating to client mediation.

9 am: Attend a care plan meeting at an assisted living community with a family and client to discuss and provide input into the resident plan of care. Reinforce the importance of individualized, holistic resident focused care and ensuring resident expressed wishes incorporated into all aspects.

10:15 am: Visit client at their home to discuss relocation to assisted living and began initial plans with client and family.

12 noon: Visit client and family to do a care management assessment with cognitive focus to assist in helping client to age in place and be best cared for in their home per their expressed wishes.

In between: Return calls, speak with discharge planners, physicians, hospice nurse, pastor, and answer client emails.

1:30 pm: Visit with several clients in assisted living communities to do quality of care reviews and provide guidance on plan of care. Spend time talking with clients about current events, concerns, and areas of interest. Client grief counseling session completed. Assist client family member in using mem pic book series to tap into preserved client memory for individual with FTD.

4 pm: Conference call with new client who is a guardian / conservator regarding a care concern in a memory care facility.

4:30 pm: Follow up on specifics for a client long distance relocation: Arrange for furniture rental, movers for specific personal items, transportation company, travel via airlines, private duty caregiver interviews, phone and cable service for client, and facility physician admission paperwork, records review, and nursing assessment follow up.

5 pm: Long term care planning meeting with new client with Parkinson's, age 60. Listen to client concerns and expressed wishes. Providing client with holistic and comprehensive long term plan to meet all client needs across the care continuum.

6pm: Return calls and emails to clients and others involved in client care (attorneys, families, nurses, physicians, PT, OT, Speech, movers).

7 pm: Give a community presentation on how to best support a loved one with Dementia. On the way home check on on a hospice client in the last weeks of life. Provide caregiver support and communicate critical end of life interventions to assist with client comfort. Update to hospice for follow timely up on recent changes and on areas of concern noted during visit.

9 pm: Return home - checked email and voice mail, assemble a sensory stimulation box for client in am to assist with bathing issues, confirm appointments for community tours for a client for the next day, arrange transportation for a client, complete written cognitive assessments and progress notes from throughout the day for client files.

Bed time! Not always!

2 am: Receive an emergent call relating to a client being transported via 911 to a local hospital. Immediate follow up onsite completed as required for client without local family members.

Every day is different in the life of a care manager! The above is just a glimpse into one day!

Reach out via our contacts tab if we can be of assistance!

#caremanagement #aginglifecare #Eldementals

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