Advantage Case Management

The Advantage programs offer home and community-based services to individuals aged 21 and older who are eligible for nursing facility care. These programs are designed to complement, rather than replace, the support provided by family or other informal caregivers, enhancing their ability to care for the individual.

To be eligible for the Advantage programs, individuals must first qualify for Medicaid, which is a low-income service. Please note that these services are not available for children or individuals with developmental disabilities.

Case Management

Case Management employs a collaborative approach to assess, plan, implement, monitor, and evaluate options and services tailored to meet each individual’s needs. This process encourages clients to make informed decisions about their care and promotes their journey toward greater independence.

Your Case Manager fulfills several important roles:

• Service Coordinator

  The case manager facilitates the interdisciplinary team processes to:

  • Identify the consumer’s needs and strengths.
  • Coordinate the delivery of services.
  • Arrange for and initiate the implementation of services.
  • Monitor the delivery of services.

• Advocate

  The Case Manager ensures that:

  • Consumers receive appropriate, high-quality services.
  • Services are adapted to meet changing needs.
  • Interventions are implemented to ensure the system responds effectively to consumers.
  • The care plan actively supports the individual’s journey toward self-care and prevents further loss of function.

• Consumer Consultant

  The Case Manager:

  • Assists consumers in recognizing and identifying their service needs.
  • Educates consumers about the quality and suitability of available services.
  • Encourages consumers to take responsibility for their own care as much as possible.
  • Represents consumers in interactions with the DHS program administration when necessary.

• Gatekeeper

  The Case Manager ensures the appropriateness of care levels and programs:

  • Only those consumers who qualify for Medicaid case management receive services through the DHS programs.
  • The service plan is designed to gradually help consumers achieve independence and utilize informal, family, and volunteer services.
  • Funds are expended justifiably.
  • Costs are monitored and controlled.

Enhancing Client Care Through Rights and Coordination

• Client Rights Assurance

  At Venerate, we prioritize the rights of our Advantage clients by ensuring they receive written notification of their rights and responsibilities. If a client is deemed incompetent, their family or guardian may exercise these rights on their behalf. We are committed to safeguarding and promoting client rights, providing each individual with a copy of The Client’s Bill of Rights, our grievance policy and procedures, information on abuse, neglect, and exploitation, as well as important safety and health materials before admission to our agency, ensuring they fully understand this information.

• Care Coordination Commitment

  We emphasize the importance of care coordination among all disciplines involved in a client’s care. By maintaining open communication and collaboration, we can effectively identify client needs and any barriers to receiving care. Both clients and their caregivers are actively involved in the ongoing discussions regarding treatment and care, while our Venerate Advantage Case Manager works diligently to coordinate community resources, services, and informal support across various service settings, ensuring clients receive comprehensive care and have maximum access to available community resources.

• Risk Management Approach

  For clients with complex health needs, the potential for inappropriate service utilization, fragmented care, and access delays increases. Our goal is to facilitate a smooth transition between access points in the most efficient and effective manner possible. The Venerate Case Management Process is designed to address these challenges, with our team meeting quarterly to review caseloads and identify high-risk clients. For those identified, we carefully evaluate their individualized care plans to ensure they adequately meet all of the client’s needs.

• Emergency Management Strategy

  Venerate Home Health collaborates with state and county emergency management officials to continuously align our agency’s emergency response plan with broader community and municipal disaster response strategies. Our primary objective is to ensure the health and safety of both our staff and clients during emergencies.