Community Case Management:
A United Way Funded Program

JFS Community Case Management is a United Way funded program designed to help frail older adults (age 55 and older) and their caregivers meet the challenges of aging at home. Each client is connected to one of our experienced case managers who assesses needs, develops a care plan and connects elders to programs and resources that support independence and safety for aging in place in their own homes or apartments.

In-Home Assessments

Your JFS Community Case Manager meets with you to assess the following:

  • Health status
  • Physical needs and capabilities
  • Emotional health
  • Home safety needs
  • Transportation needs
  • Financial challenges

This is essential for developing a care plan that best accommodates your needs.

Personalized Care Plan and Connection to Resources

Based on the assessment, your Case Manager will develop a care plan outlining the recommended support services for you to continue living safely in your own home.

We can also connect you to available resources which may include any of the following services:

  • Transportation
  • Social connections (such as senior centers)
  • Volunteer connections
  • Caregiver support
  • Mental health support
  • Medical advocacy
  • Food and nutritional support
  • Entitlements and referrals to benefit programs
  • Referrals to elder law and Medicaid attorneys

If a higher level of care is needed your Case Manager will make referrals and recommendations, provide support and assist with the transition process.

Ongoing Support

Your JFS Community Case Manager helps clients and caregivers navigate the maze of aging services. We interact with healthcare and other service providers to make sure our clients receive quality care and we will communicate with caregivers (in accordance with HIPAA). Your care plan will be assessed every six months or sooner based upon your changing needs.