FULL RANGE of CARE MANAGEMENT SERVICES & ADVOCACY

BILL PAYING AND INSURANCE FILING SERVICES

 

  • TLCCS services can assist clients with budgeting and bill paying, including situations involving  "spending down" to obtain Medicaid eligibility.
  • TLCCS provides a variety of bill paying and documentation services.
  • We can prepare checks for client signature, reconcile checking accounts, and prepare and make  bank deposits.
  • TLCCS will review medical insurance papers and verify the proper processing of claims.
  • We will analyze health care needs during Medicare open enrollment and provide information and options to aid the decision making process.
  • TLCCS will organize financial documents and negotiate with creditors.
  • Financial planning per life expectancy calculations.


In addition, TLCCS can become a Conservator, Trustee, or Agent under a Power of Attorney, or Guardian in guardianship cases when no realistic options are available.

AVAILABLE ASSESSMENT AND CARE PLANNING SERVICES

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  • Assessing needs, abilities, and resources
  • Identifying strength’s and limitations
  • Identifying modifiable problems and presenting solutions
  • Serving as liaison between family and medical service providers
  • Identifying appropriate community services
  • Evaluating existing care providers and services
  • Reviewing insurance, medical, and financial matters
  • Identifying safe, alternative living options
  • Identifying eligibility for assistance and community services


Risk Assessment areas:

  • Behavioral changes
  • Financial concerns
  • Psychological needs
  • Cognitive functioning
  • Housing concerns
  • Caregiving concerns
  • Medical concerns
  • Home safety
  • Caregiver and family stress

CLIENTS NEEDING ONGOING CARE MANAGEMENT SERVICES

When clients and families need support on an on-going basis, the care manager is an advocate who provides oversight, coordination, and support for the client and family to:

  • Locate and manage hired home care / caregivers
  • Liaison with medical professionals
  • Enhance confidence and independence
  • Locate needed medical services
  • Coordinate and attend physician visits and interpret results to family
  • Liaison to out of town families
  • Routine status visits to monitor for changes
  • Provide consumer education, negotiation, and advocacy
  • Coordinate access to counseling and on-going psychosocial support
  • Assist with home repairs and maintenance
  • Assist with lifestyle transitions, when necessary
  • Educate clients and their families so informed decisions can be made
  • Offer on-call Crisis Care Management 
  • Weekly case assessment and care conference

MEDICATION MANAGEMENT SERVICES

  • Medication monitoring
  • Coordinate medical and other service provider appointments
  • Participate at facility care planning meetings
  • Assist clients with medication compliance
  • Arrange for consumable and Durable Medical Equipment (DME) healthcare alert devices, grab bars, bathroom and bedroom devices
  • Work with the Pharmacist in analyzing prescribed and over-the counter medications (looking for contraindications and side effects)

EMOTIONAL AND SOCIAL RELATED SERVICES

  • Design effective interventions that improve family decision-making
  • Support completion of unresolved matters
  • Encourage clients to engage in enjoyable activities
  • Coordinate acces to Behavioral Management Practitioners to produce positive outcomes