Geriatric Care Management for Older Adults
In-person care management services are available in Destin, Fort Walton Beach, Niceville, Santa Rosa Beach, Miramar Beach, Shalimar, Valparaiso, Mary Esther, and surrounding communities.
Virtual options available throughout Pennsylvania.
Helping older adults and families navigate complex medical, hospital, rehabilitation, and long-term care decisions.
Why Families Choose Sunset Senior Concierge
Natasha Hilts, LCSW, CDCS, is a Licensed Clinical Social Worker and Certified Dementia Care Specialist with over a 15 years of experience in healthcare navigation, care coordination, caregiver support, dementia care, crisis intervention, and complex medical systems.
Geriatric Care Management
What Does A Care Manager Actually Do?
A geriatric care manager serves as a professional advocate and coordinator for older adults and their families.
Think of us as someone who helps connect the dots between doctors, hospitals, rehabilitation facilities, home health providers, community resources, and family members.
For example, families often contact Sunset Senior Concierge after a hospitalization, during a rehabilitation stay, when dementia symptoms emerge, or when multiple providers and family members need coordination and communication assistance.
A family may call after a parent is hospitalized following a fall. They may be unsure whether rehabilitation, home health, assisted living, or returning home is the safest option. A care manager helps gather information, coordinate communication with providers, and guide the family through available options.
Care management complements - but does not replace - medical or home health services.
When Families Typically Call
After a Hospitalization
An older adult experiences a fall and is admitted to the hospital. Family members are unsure what to ask, what services will be needed after discharge, or whether returning home is realistic.
Adult Children Live Out of State
A daughter lives in Pennsylvania while her father lives in Florida. She wants to help but cannot attend appointments or monitor changes in health and safety.
Multiple Medical Providers
A loved one sees cardiology, nephrology, neurology, primary care, and home health. Important information is scattered across providers and multiple electronic health records (EHRs) while family members struggle to keep everyone informed.
Dementia or Cognitive Changes
A family begins noticing memory concerns, medication errors, safety issues, or increasing caregiver stress.
Common Services Include
Coordination of medical appointments & provider communication
Helping families understand available care options
Collaboration with primary care & speciality providers
Organizing medical records, patient portals, and healthcare information
Resource identification & service coordination
Crisis response planning & stabilization support
Monitoring changes in health, safety, and support needs over time.
Transportation to and from medical appointments, when provided as a part of care management or medical escort services.
Care management consultations are available remotely throughout Pennsylvania. In-person services are currently available in Florida.
Pennsylvania Families
Remote care management consultations are available throughout Pennsylvania for families who need guidance navigating healthcare systems, long-term care planning, dementia concerns, VA benefits, and caregiver support.
You May Benefit From Care Management If…
A recent hospitalization or rehabilitation stay has created uncertainty
Family members disagree about next steps
You need help understanding long-term care options
A loved one wishes to remain independent at home
Multiple providers are involved in care
Following hospital discharge or major medical events
Medication regimens become complex
Adult children live out of state or work full-time
Safety concerns arise in the home
Cognitive changes or dementia symptoms appear
Additional Services That May Support Your Care Plan:
Care coordination may include arranging transportation, accompaniment to appointments, and essential errand services when needed.
Not Sure If Care Management Is Right for Your Family?
A brief phone consultation can help determine whether care management and senior concierge services are a good fit for your family’s needs.
Getting Started
Every care management relationship begins with a Comprehensive Care Management Assessment.
During this in-home visit, we'll take the time to understand your goals, current challenges, health concerns, home environment, support system, and any immediate priorities. Together, we'll develop recommendations and discuss the level of support that best fits your needs.
Following the assessment, you'll receive:
A personalized written summary
Professional recommendations and prioritized next steps
Home safety observations
Community resource recommendations
Ongoing care management options, if desired
Should you choose to continue with ongoing care management and senior concierge services, a portion of your assessment fee will be credited toward your first month of services.
Ready to Get Started?
Call and speak directly with Natasha Hilts, a Licensed Clinical Social Worker (LCSW) and Certified Dementia Care Specialist (CDCS)—never a call center.
Or,
Prefer to schedule a time?
Book a complimentary 20-minute consultation below.