Care Coordination

Our care coordinators are the heart of our program and the relationship they build with our members is the key to what makes The Wesley at Home successful. Our care coordinators partner with our members in their aging journey and help maximize independence and choice no matter what changes may occur. Unlike traditional care management that is reactive, our care coordination is proactive and person-centered. Our process helps to build trust and familiarity for members.

Care Coordinators conduct various assessments including functional, cognitive, health, emotional, and social wellness with our members on an annual basis. These assessments establish a baseline and allow for our staff to identify areas that could benefit from an intervention. The main goal is to stave off decline in all aspects of wellness and reduce the need for facility-based care.

The relationship between the care coordinator and the member allows for the care coordinator to help advocate for the wants, wishes, and needs of the member. Care Coordinators provide expert advice and guidance to members and their loved ones during their most difficult times. For some members who may not have family nearby or maybe a solo ager, their care coordinator may be the first call they make when something is wrong. Care coordinators may attend physician appointments to help ask important questions or take notes. They may also go to the hospital to make sure a member’s needs are being met and that there is a safe discharge plan. They work with family members and loved ones and keep the member’s best interests and wishes at the core of their work.

The care coordinator is the contact for all services provided through The Wesley at Home. All it takes is one call to your care coordinator to get access to services. Our members do not call a 1-800 number, they call, text, or email their personal care coordinator directly. We set up all the services that you may need on your behalf and oversee them for quality. The continuity and ease of access to our services is another unique feature of our program.

What’s Included

At joining, we offer all members services to support their wellness and improve safety and supports in the home.
Check out our initial services below.

Preferred Vendors for Long Term Care Services

When members meet a chronically ill level of care, our preferred vendors offer services ranging from home aides and meaningful adult day services to Assisted Living and Skilled Nursing Communities. The Wesley at Home partners with quality local organizations to provide care and services to our members. We also have several other preferred vendors and facilities that we have vetted for quality. Services will be coordinated and costs will be paid by The Wesley at Home up to the maximum daily benefit amount contracted for by the member.

*Members may request any vendor or facility and our staff will vet and help them establish an agreement with that provider.

Elizabeth Cooney Personnel Agency
St Ann’s Adult Day Center
Springwell Assisted Living
Carita’s House Assisted Living
Broadmead Inc.
Stella Maris Skilled Nursing Facility
St. Elizabeth Rehab and Nursing Center
Levindale Geriatric Center

We have an exclusive opportunity for members to add Maryland Community for Life (SM) membership with Broadmead Inc. to their membership with The Wesley at Home. Adding Community for Life (SM) gives members monthly handyman and transportation services, plus access to Broadmead’s Center for Excellence in Health and Wellness which includes a fitness assessment and work-out plan, gymnasium, fitness classes, pool, and arts center.