Integrated Case Management

Aabcor, Inc. has a dedicated team of case managers who look at all aspects of care for people with chronic Illnesses, brain injury and other complex needs.

We work closely with the individuals, family members and care teams to ensure the transition back home or another care environment, enables clients to focus on their health. Whether they are being discharged from short-term hospitalization or rehabilitation, we can coordinate and implement the following home services:

Needs Assessment: Assess a person’s overall living situation to identify problems, determine unmet needs and assess eligibility for needed services
Develop and monitor care plan on an on-going basis
Relocation assistance to home, nursing / residential facility or other preferred environment.
Arranging medical appointments
Maintaining consistent communication with family members, care team and physicians
Maintain contact with out-of-town relatives
Medication management
Money Management
Wellness checks
Arranging for home modifications (ramps, lifts) adaptive equipment and assistive technology
Arranging for billing and delivery of equipment (wheelchair, specialized bed) and supplies
Assist with completing applications for eligible benefits
Provide coaching and support
Vocational Support
Risk Assessment
Recovery Planning